Accession Number:



Combat Ready Clamp Addition to the Tactical Combat Casualty Care Guidelines

Descriptive Note:

Technical Report

Corporate Author:

Defense Health Agency/Defense Health Board Falls Church United States

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Tactical Combat Casualty Care TCCC is a set of trauma care guidelines customized for use in the pre-hospital combat setting. TCCC is currently used in training for medics by all Services in the Department of Defense DoD and by many U.S. coalition partners. The Committee on Tactical Combat Casualty Care CoTCCC, a work group of the Defense Health Board DHB Trauma and Injury Subcommittee, performs a quarterly review of current evidence demonstrating the successes and shortcomings of the TCCC Guidelines, and considers proposed updates and revisions. Junctional hemorrhage sustained in the course of combat operations is recognized as a leading cause of mortality in the current conflict in Afghanistan. Tourniquets may be difficult or impossible to apply at these sites and QuikClot Combat Gauze may not always be effective at controlling the hemorrhage. The Combat Ready Clamptrademark CRoCtrademark Combat Medical Systems, Fayetteville, NC is a U.S. Food and Drug Administration FDA-approved medical device indicated for the control of hemorrhage in the inguinal area that is not amenable to the application of a tourniquet. The CoTCCC began reviewing the data supporting the use of the CRoCtrademark in November 2010. On August 2, 2011, the CoTCCC approved the proposed addition of the CRoCtrademark for hemorrhage control to the TCCC Guidelines. This recommendation was approved by the DHB Trauma and Injury Subcommittee on August 3, 2011 and subsequently approved by unanimous vote of the DHB, on August 8, 2011.

Subject Categories:

  • Medicine and Medical Research

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