Video: TCCC Core Principles: Phases of Care/MARCH/PAWS

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You may have heard me reference TCCC in articles, podcasts, or videos. TCCC, sometimes called T3C or T triple C, is a term that means tactical combat casualty care, and it represents the military’s current recommendations regarding the care of soldiers who have incurred traumatic injuries. These have been so widely accepted that many law enforcement and civilian medical personnel follow these guidelines.

And well they should. These protocols were developed at the cost of painful lessons in the field in Iraq and Afghanistan. It is thought that there were 1000 preventable deaths in these conflicts. If you extend that to civilian injuries during the same time period, the number of preventable deaths might be in the hundreds of thousands. The TCCC’s primary goals is to save lives, prevent additional casualties, and, in true military fashion, complete the mission.

In this companion video to a previous article, Joe Alton MD discusses some core principles of the phases of care in TCCC as well as the mnemonic MARCH/PAWS, your primary and secondary survey when assessing a casualty.

To watch, click below:

Wishing you the best of health in good times or bad,

Joe Alton MD

Find out more about field casualty care and 150 other off-grid medical topics in the third edition of the award-winning SURVIVAL MEDICINE HANDBOOK, plus learn about all sorts of infectious diseases and the antibiotics you can obtain to cure them in our new book “ALTON’S ANTIBIOTICS AND INFECTIOUS DISEASE: THE LAYMAN’S GUIDE TO AVAILABLE ANTIBACTERIALS IN AUSTERE SETTINGS“, available at Amazon or get an autographed copy at our store at!

Hey, don’t forget to check out our entire line of quality medical kits and individual supplies at Also, our Book Excellence Award-winning 700-page SURVIVAL MEDICINE HANDBOOK: THE ESSENTIAL GUIDE FOR WHEN HELP IS NOT ON THE WAY is now available in black and white on Amazon and in color and color spiral-bound versions at

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Survival Medicine Hour: TCCC Core Principles, Preparedness and "Normal" People, More
Important Aspects of Tactical Combat Casualty Care