In 1996, the Naval Special Warfare Command developed a new set of tactically appropriate battlefield trauma care guidelines named TCCC. The TCCC guidelines were adopted by the U.S. Special Operations Command (USSOCOM) and approved by the American college of surgeons (ACS) and the National Association of Emergency Medical Technicians (NAEMT). The committee on TCCC was established in 2001 and was directed to further develop the TCCC standards and guidelines. The committee on TCCC functions as a working group of the trauma and injury subcommittee of the Defense Health Board (DHB). The full blown TCCC training initiative started in Operation Enduring Freedom and was implemented across all the service branches under the insistence and full support of the Secretary of Defense Robert Gates. In his words: "I am tired of writing letters to parents informing them of their children dying on the battlefield". The impact was immediate and adopted as the standard for all U.S. forces.
Eliminate preventable loss of life on the battlefield by providing standardized training to improve first responder care at the point of injury. The implementation of TCCC across all services has been identified as one of the contributing factors to the highest combat casualty survival rates in history.
The TCCC-AC Course has become the standard of care for the tactical management of combat casualties within the Department of Defense and the NAEMT for casualty management in tactical environments. The focus of the instruction is to give the soldier the ability to quickly recognize, evaluate and control life threatening wounds, airway compromise and chest trauma, that present during a tactical mission by using an Individual First Aid Kit (IFAK) and/or aid bag. The soldier will learn to integrate tactical and technical skills during rigorous scenario training. This 1-week (40- hour) is open to all personnel irrespective of medical training and back ground.