Veidlapa Nr. M-3 (8)
Study Course Description
Tactical Care of Battle Victims Ahead of Hospital Stage
Course Code
MMDG_003
Branch of Science
Other medical sciences; Other Sub-Branches of Medical Sciences
ECTS
3.00
Target Audience
Business Management; Civil and Military Defense; Communication Science; Information and Communication Science; Juridical Science; Law; Management Science; Marketing and Advertising; Pedagogy; Person and Property Defence; Political Science; Psychology; Social Anthropology; Social Welfare and Social Work; Sociology; Sports Trainer
LQF
All Levels
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Vladimirs Voicehovskis
Structure Unit Manager
Vladimirs Voicehovskis
Structural Unit
Military Medicine Lecturer Group
Contacts
MMDG, Anniņmuižas bulvāris 26a
About Study Course
Objective
To provide students with the opportunity to acquire knowledge and practical skills necessary for delivering pre-hospital care to casualties in military and civil-military settings, based on the core principles of the internationally recognized Tactical Combat Casualty Care (TCCC) program.
Preliminary Knowledge
Not required.
Learning Outcomes
Knowledge
1.The student understands the principles and phases of TCCC (Tactical Combat Casualty Care) and their application in military and civil-military contexts. They are familiar with available medical solutions, medications, and materials, as well as their use in various situations. They have knowledge of the components of the MARCH-PAWS algorithm (Massive bleeding. Airways. Breathing. Circulation. Shock. Hypothermia. Head injuries. Eye injuries. Sickening. Antibiotics. Wounds. Burns. Fractures. Observation).
Skills
1.The students is able to perform the skills required for the implementation of the MARCH-PAWS algorithm.
Competences
1.Upon completion of the study course, the student will be able to provide professional and context-appropriate tactical healt care to casualties in the pre-hospital phase, operating within military and civil-military environments across all three threat zones.
Assessment
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
TCCC theoretical test |
25.00% from total grade
|
10 points
|
|
Pre-Test. Post-Test |
||
|
2.
March-Paws (SKILLS ASSESMENT) |
35.00% from total grade
|
10 points
|
|
Evaluation of the acquisition of individual skills |
||
|
3.
Simulation |
40.00% from total grade
|
10 points
|
|
Static military scenario w/legend in immersive reality room (CRAWL, WALK) |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Principles and Applications of TCCC
Description
Phases of Care and Considerations Differences in Care in Civilian and Military Settings TCCC System Structure and Concepts |
|
Medical Equipment
Description
Three tier level medical support Available medical equipment, medical supplies and medications |
|
Care Under Fire
Description
Decision making in the red zone (right action, right time) Casualty evacuation techniques (one/two rescuer technique) Self-aid (stopping life-threatening bleeding) |
|
Principles and Application of Tactical Field Care
Description
Safety in Yellow and Green Zones Linear and Vertical Communication in Military Environment Triage (Triage Protocol) Casualty Collection Point Structure and Configurations |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Tactical Trauma Assessment
Description
Tactical Trauma Assessment (MARCH-PAWS Protocol) |
|
Massive Hemorrhage Control
Description
Recognizing Massive Bleeding Means and techniques for stopping massive bleeding (tourniquet application, tactical tourniquet protocol, wound packing, pressure dressing in the neck, axillary, and groin areas) |
|
Airway Management
Description
Upper airway trauma Advanced airway management strategies, indications, contraindications and limitations Airway management tools, devices, applications (head tilt chin lift, jaw thrust, nasopharyngeal airway, recovery position, bag valve mask resuscitation – one/two rescuer technique) |
|
Respiration Assessment and Management
Description
Chest trauma, general signs Respiratory support, devices, application (chest seal and NCD) |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Principles and Application of Tactical Field Care
Description
Safety in Yellow and Green Zones Linear and Vertical Communication in Military Environment Triage (Triage Protocol) Casualty Collection Point Structure and Configurations |
|
Massive Hemorrhage Control
Description
Recognizing Massive Bleeding Means and techniques for stopping massive bleeding (tourniquet application, tactical tourniquet protocol, wound packing, pressure dressing in the neck, axillary, and groin areas) |
|
Circulation/Hemorrhage Control
Description
Bleeding Recognition Strategies, Indications and Limitations for Progressive Bleeding Control Bleeding Control Means and Techniques (Bandage, Pressure Dressing, Tourniquet Replacement, Tourniquet Conversion) |
|
Shock Recognition and Management
Description
Shock, signs of shock, symptoms |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Airway Management
Description
Upper airway trauma Advanced airway management strategies, indications, contraindications and limitations Airway management tools, devices, applications (head tilt chin lift, jaw thrust, nasopharyngeal airway, recovery position, bag valve mask resuscitation – one/two rescuer technique) |
|
Respiration Assessment and Management
Description
Chest trauma, general signs Respiratory support, devices, application (chest seal and NCD) |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Hypothermia Prevention
Description
Advanced strategies, indications, limitations in active and passive hypothermia prevention |
|
Head Injuries
Description
Mechanism of Injury in Head Trauma Signs and Symptoms of Head Trauma Advanced Strategies and Considerations in Head Trauma and AVPU Method |
|
Eye Injuries
Description
Penetrating Eye injury care according to TCCC guidelines (rigid eye shield) Rapid visual acuity test method |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Tactical Trauma Assessment
Description
Tactical Trauma Assessment (MARCH-PAWS Protocol) |
|
Pain Medications (Analgesia) and Antibiotic Administration
Description
Analgesia strategy, indications and considerations Types of analgesia, methods Analgesia medication indications, contraindications, administration, dosages Antibiotic usage strategy Antibiotic usage methods Antibiotic usage indications, contraindications, administration, dosages |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Wound Management
Description
Wound Care Considerations Care of open abdominal wounds, foreign body wounds, and limb amputation wounds (open abdominal wound care, amputation wound care, foreign body wound care) |
|
Burns
Description
Mechanism of Burn Injury Degrees of Burns Estimating Burn Surface Area Burn Care and Prevention of Hypothermia |
|
Fractures
Description
Bone fracture recognition, signs Immobilization (immobilization of large bones) |
|
Casualty Monitoring
Description
Methods and limitations of assessing the state of consciousness and vital signs of trauma casualties |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
PRE EVACUATION PROCEDURES
Description
Casualty Card Recommendations for filling out the casualty card Evacuation priorities Pre evacuation procedures |
|
EVACUATION PROCEDURES
Description
Evacuation devices Casualty hand over procedures |
Total ECTS (Creditpoints):
3.00
Contact hours:
28 Academic Hours
Final Examination:
Exam
PART-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Principles and Applications of TCCC
Description
Phases of Care and Considerations Differences in Care in Civilian and Military Settings TCCC System Structure and Concepts |
|
Medical Equipment
Description
Three tier level medical support Available medical equipment, medical supplies and medications |
|
Care Under Fire
Description
Decision making in the red zone (right action, right time) Casualty evacuation techniques (one/two rescuer technique) Self-aid (stopping life-threatening bleeding) |
|
Principles and Application of Tactical Field Care
Description
Safety in Yellow and Green Zones Linear and Vertical Communication in Military Environment Triage (Triage Protocol) Casualty Collection Point Structure and Configurations |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Tactical Trauma Assessment
Description
Tactical Trauma Assessment (MARCH-PAWS Protocol) |
|
Massive Hemorrhage Control
Description
Recognizing Massive Bleeding Means and techniques for stopping massive bleeding (tourniquet application, tactical tourniquet protocol, wound packing, pressure dressing in the neck, axillary, and groin areas) |
|
Airway Management
Description
Upper airway trauma Advanced airway management strategies, indications, contraindications and limitations Airway management tools, devices, applications (head tilt chin lift, jaw thrust, nasopharyngeal airway, recovery position, bag valve mask resuscitation – one/two rescuer technique) |
|
Respiration Assessment and Management
Description
Chest trauma, general signs Respiratory support, devices, application (chest seal and NCD) |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Tactical Trauma Assessment
Description
Tactical Trauma Assessment (MARCH-PAWS Protocol) |
|
Massive Hemorrhage Control
Description
Recognizing Massive Bleeding Means and techniques for stopping massive bleeding (tourniquet application, tactical tourniquet protocol, wound packing, pressure dressing in the neck, axillary, and groin areas) |
|
Circulation/Hemorrhage Control
Description
Bleeding Recognition Strategies, Indications and Limitations for Progressive Bleeding Control Bleeding Control Means and Techniques (Bandage, Pressure Dressing, Tourniquet Replacement, Tourniquet Conversion) |
|
Shock Recognition and Management
Description
Shock, signs of shock, symptoms |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Airway Management
Description
Upper airway trauma Advanced airway management strategies, indications, contraindications and limitations Airway management tools, devices, applications (head tilt chin lift, jaw thrust, nasopharyngeal airway, recovery position, bag valve mask resuscitation – one/two rescuer technique) |
|
Respiration Assessment and Management
Description
Chest trauma, general signs Respiratory support, devices, application (chest seal and NCD) |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Hypothermia Prevention
Description
Advanced strategies, indications, limitations in active and passive hypothermia prevention |
|
Head Injuries
Description
Mechanism of Injury in Head Trauma Signs and Symptoms of Head Trauma Advanced Strategies and Considerations in Head Trauma and AVPU Method |
|
Eye Injuries
Description
Penetrating Eye injury care according to TCCC guidelines (rigid eye shield) Rapid visual acuity test method |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Tactical Trauma Assessment
Description
Tactical Trauma Assessment (MARCH-PAWS Protocol) |
|
Pain Medications (Analgesia) and Antibiotic Administration
Description
Analgesia strategy, indications and considerations Types of analgesia, methods Analgesia medication indications, contraindications, administration, dosages Antibiotic usage strategy Antibiotic usage methods Antibiotic usage indications, contraindications, administration, dosages |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Wound Management
Description
Wound Care Considerations Care of open abdominal wounds, foreign body wounds, and limb amputation wounds (open abdominal wound care, amputation wound care, foreign body wound care) |
|
Burns
Description
Mechanism of Burn Injury Degrees of Burns Estimating Burn Surface Area Burn Care and Prevention of Hypothermia |
|
Fractures
Description
Bone fracture recognition, signs Immobilization (immobilization of large bones) |
|
Casualty Monitoring
Description
Methods and limitations of assessing the state of consciousness and vital signs of trauma casualties |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
PRE EVACUATION PROCEDURES
Description
Casualty Card Recommendations for filling out the casualty card Evacuation priorities Pre evacuation procedures |
|
EVACUATION PROCEDURES
Description
Evacuation devices Casualty hand over procedures |
Total ECTS (Creditpoints):
3.00
Contact hours:
28 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Tactical Combat Casualty CareSuitable for English stream
2.
TCCC Combat Lifesaver (TCCC CLS)Suitable for English stream