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Manikins and trainers for Tactical Combat Casualty Care (TCCC) and hemorrhage control training.

Tactical Combat Casualty Care

Tactical Combat Casualty Care (TCCC) are guidelines for supplying immediate medical care for life-threatening injuries on the battlefield. Training in the management of combat trauma and blast related injury should be provided to all medical and non-medical combatants. TCCC differentiates three phases of casualty care: care under fire, tactical field care and tactical evacuation care. Medical care training focuses on caring for the common combat wound scenarios with hemostatic dressings and airway management while tactical training adds skills like drags and carries to move the casualty to relative safety.

Care under fire

Life-threatening external hemorrhage or extremity hemorrhage should be controlled immediately during the first phase using limb tourniquets.

Tactical field care

During the second phase, massive hemorrhage will be controlled and the airway be managed (jaw thrust maneuver, nasopharyngeal airway). In the case of an airway obstruction or massive facial trauma, a cricothyrotomy might be necessary. At this stage, breathing and circulation will be closely monitored and checked for signs of tension pneumothorax and sucking chest wounds should be treated and sealed. Tourniquets should be reassessed to make sure bleeding is stopped and the casualty checked for signs of hemorrhagic shock. Further, measures of hypothermia prevention should be applied, fractures should be splinted and medication (pain relief, antibiotics) given. Another important factor is the monitoring and treatment of burns.

Tactical evacuation care

During the third phase, care given should be the same as in the preceding phase. If chest or abdominal trauma are present, the casualty should be monitored closely for signs of tension pneumothorax. Additionally, any persisting or renewed bleeding must be controlled and the casualty be kept warm.

Enhance Tactical Combat Casualty Care training with medical simulation

Wound management, fast evacuation, and infection control have always been a critical point in warfare. In 1919, Col. H.M. Gray stated in “The Early Treatment of War Wounds”:
“The hemorrhage that take[s] place when a main artery is divided is usually so rapid and so copious that the wounded man dies before help can reach him.”
Since then, the training for first responder skills in military settings has vastly improved. As in all fields of medical training, the use of simulation can enhance the training by offering realistic scenarios and hands-on learning. Simulating high-stress battlefield scenarios with combat trauma manikins and trainers can give all combatants the skills necessary to decrease the amount of preventable deaths.

Preventable deaths: using simulation to train combatants in TCCC

With the right training, medical and non-medical combatants can learn how to effectively care for the wounded and control hemorrhage until they can evacuate the casualty from the battlefield to reach medical personnel for further treatment.

The suite of Tactical Casualty Care Simulators (TCCS) and Tactical Hemorrhage Control Trainers (THCT) offers military, government forces, medical rescue, and private security a realistic way for TCCC training in life-saving techniques and strategies for trauma care on the battlefield. TCCC simulation is based on common wound patterns in combat and can enhance preparedness and reaction times of all combatants to significantly reduce the number of preventable death.
 
“The fate of the wounded lies in the hands of the ones who apply the first dressing.”
Dr. Nicholas Senn,  founder of the Association of Military Surgeons of the United States.

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Hemorrhage Control Arm Trainer, Light Skin, 1022652 [P102], TCCC Simulators

Hemorrhage Control Arm Trainer, Light Skin

From 1,555.33 €
Item: 1022652 [P102]
Free domestic shipping

Hemorrhage Control Leg Trainer, Light Skin, 1023106 [P103], TCCC Simulators

Hemorrhage Control Leg Trainer, Light Skin

From 1,555.33 €
Item: 1023106 [P103]
Free domestic shipping

Hemorrhage Control Leg Trainer, Dark Skin, 1023314 [P103D], TCCC Simulators

Hemorrhage Control Leg Trainer, Dark Skin

From 1,555.33 €
Item: 1023314 [P103D]
Free domestic shipping

Simulated Patient Monitor - REALITi 360 Plus, 1022815, TCCC Simulators

Simulated Patient Monitor - REALITi 360 Plus

Item: 1022815

CPR Module for REALITi 360 Patient Monitor Simulators, 1022856, TCCC Simulators

CPR Module for REALITi 360 Patient Monitor Simulators

Item: 1022856

6N1 Trainer, 1025848, TCCC Simulators

6N1 Trainer

4,493.21 €
Item: 1025848
Free domestic shipping

6N1 Chest Liner (Package of 4), 1025849, TCCC Simulators

6N1 Chest Liner (Package of 4)

291.53 €
Item: 1025849
Free domestic shipping

6N1 Humeral Head IO Puck (Package of 10), 1025852, TCCC Simulators

6N1 Humeral Head IO Puck (Package of 10)

60.74 €
Item: 1025852

6N1 Neck Skin, 1025853, TCCC Simulators

6N1 Neck Skin

63.17 €
Item: 1025853

6N1 Skin, 1025854, TCCC Simulators

6N1 Skin

1,093.24 €
Item: 1025854
Free domestic shipping

6N1 Sternal IO Puck (Package of 10), 1025855, TCCC Simulators

6N1 Sternal IO Puck (Package of 10)

91.11 €
Item: 1025855

6N1 Trachea, 1025856, TCCC Simulators

6N1 Trachea

24.30 €
Item: 1025856

6N1 Repair Kit, 1025857, TCCC Simulators

6N1 Repair Kit

182.20 €
Item: 1025857

Cut Suit Skin Surgical - Medium Skin, 1025864, TCCC Simulators

Cut Suit Skin Surgical - Medium Skin

2,368.68 €
Item: 1025864
Free domestic shipping

Cut Suit Skin - TCCC/EMS - Medium Skin, 1025866, TCCC Simulators

Cut Suit Skin - TCCC/EMS - Medium Skin

2,368.68 €
Item: 1025866
Free domestic shipping

Cut Suit Trachea, 1025867, TCCC Simulators

Cut Suit Trachea

24.30 €
Item: 1025867

Brachial Sleeve - Dark Skin, 1025870, TCCC Simulators

Brachial Sleeve - Dark Skin

515.67 €
Item: 1025870
Free domestic shipping

Blood Kit, 1025874, TCCC Simulators

Blood Kit

206.50 €
Item: 1025874
Free domestic shipping

Brachial Sleeve - Medium Skin, 1025875, TCCC Simulators

Brachial Sleeve - Medium Skin

515.67 €
Item: 1025875
Free domestic shipping

Brachial Sleeve - Medium Skin, 1025876, TCCC Simulators

Brachial Sleeve - Medium Skin

516.26 €
Item: 1025876
Free domestic shipping

BPS Deluxe - Medium Skin, 1025882, TCCC Simulators

BPS Deluxe - Medium Skin

5,101.79 €
Item: 1025882
Free domestic shipping

Femoral Sleeve - Medium Skin, 1025883, TCCC Simulators

Femoral Sleeve - Medium Skin

546.61 €
Item: 1025883
Free domestic shipping

Femoral Sleeve - Shorts (w/ bone) - Medium Skin, 1025884, TCCC Simulators

Femoral Sleeve - Shorts (w/ bone) - Medium Skin

607.35 €
Item: 1025884
Free domestic shipping

Blast Trousers - Medium Skin, 1025885, TCCC Simulators

Blast Trousers - Medium Skin

1,100.12 €
Item: 1025885
Free domestic shipping

Alcohol Paint Set, 1025917, TCCC Simulators

Alcohol Paint Set

48.71 €
Item: 1025917

IV Veins (Package of 10), 1025944, TCCC Simulators

IV Veins (Package of 10)

66.81 €
Item: 1025944

Multi-Junctional Bleed Trainer - Dark Skin, 1025946, TCCC Simulators

Multi-Junctional Bleed Trainer - Dark Skin

601.28 €
Item: 1025946
Free domestic shipping

Multi-Junctional Bleed Trainer - Medium Skin, 1025948, TCCC Simulators

Multi-Junctional Bleed Trainer - Medium Skin

601.28 €
Item: 1025948
Free domestic shipping

OS3 Open Surgical Simulation System, 1025950, TCCC Simulators

OS3 Open Surgical Simulation System

Item: 1025950

Surgical Cut Suit (TCCC/EMS Capabilities) - Medium Skin, 1025958, TCCC Simulators

Surgical Cut Suit (TCCC/EMS Capabilities) - Medium Skin

Item: 1025958

Visceral Lining, 1025959, TCCC Simulators

Visceral Lining

19.43 €
Item: 1025959

Spleen, 1025960, TCCC Simulators

Spleen

382.63 €
Item: 1025960
Free domestic shipping

Spleen - Damaged, 1025961, TCCC Simulators

Spleen - Damaged

443.37 €
Item: 1025961
Free domestic shipping

Blood Bladder - Appendectomy, 1025962, TCCC Simulators

Blood Bladder - Appendectomy

206.50 €
Item: 1025962
Free domestic shipping

Blood Bladder - Axillary (Small), 1025963, TCCC Simulators

Blood Bladder - Axillary (Small)

19.43 €
Item: 1025963

Blood Bladder - Laparotomy (Large), 1025964, TCCC Simulators

Blood Bladder - Laparotomy (Large)

60.74 €
Item: 1025964

Blood Bladder - Thoracotomy, 1025965, TCCC Simulators

Blood Bladder - Thoracotomy

60.74 €
Item: 1025965

Bloodline (Aorta w/ Kidneys), 1025966, TCCC Simulators

Bloodline (Aorta w/ Kidneys)

971.77 €
Item: 1025966
Free domestic shipping

Blood Concentrate, 1025967, TCCC Simulators

Blood Concentrate

143.24 €
Item: 1025967

Pelvic Bone (w/ Bladder), 1025968, TCCC Simulators

Pelvic Bone (w/ Bladder)

479.81 €
Item: 1025968
Free domestic shipping

Pleural Lining (Set of 2), 1025969, TCCC Simulators

Pleural Lining (Set of 2)

30.37 €
Item: 1025969

Plug - Surgical Cut Suit, 1025970, TCCC Simulators

Plug - Surgical Cut Suit

303.68 €
Item: 1025970
Free domestic shipping

Liver w/ Gallbladder, 1025971, TCCC Simulators

Liver w/ Gallbladder

728.83 €
Item: 1025971
Free domestic shipping

Liver w/ Gallbladder - Damaged, 1025972, TCCC Simulators

Liver w/ Gallbladder - Damaged

789.57 €
Item: 1025972
Free domestic shipping

Lungs, 1025973, TCCC Simulators

Lungs

576.98 €
Item: 1025973
Free domestic shipping

Lungs Damaged, 1025974, TCCC Simulators

Lungs Damaged

637.72 €
Item: 1025974
Free domestic shipping

Tib/Fib Closed Fracture Sleeve - Dark Skin, 1025979, TCCC Simulators

Tib/Fib Closed Fracture Sleeve - Dark Skin

371.29 €
Item: 1025979
Free domestic shipping

Sucking Chest Wound + Exit Back - Short Sleeve Shirt - Dark Skin, 1025980, TCCC Simulators

Sucking Chest Wound + Exit Back - Short Sleeve Shirt - Dark Skin

412.55 €
Item: 1025980
Free domestic shipping

Lacerated Scalp Hood - Dark Skin, 1025981, TCCC Simulators

Lacerated Scalp Hood - Dark Skin

412.55 €
Item: 1025981
Free domestic shipping

Femoral Sleeve Shorts - Dark Skin, 1025982, TCCC Simulators

Femoral Sleeve Shorts - Dark Skin

607.35 €
Item: 1025982
Free domestic shipping

Full Thickness Arm Burn - Long Sleeve Shirt - Dark Skin, 1025983, TCCC Simulators

Full Thickness Arm Burn - Long Sleeve Shirt - Dark Skin

495.05 €
Item: 1025983
Free domestic shipping

Full Thickness Burns - Lower Leg Sleeve - Dark Skin, 1025984, TCCC Simulators

Full Thickness Burns - Lower Leg Sleeve - Dark Skin

577.57 €
Item: 1025984
Free domestic shipping

Full Thickness Burns to Chest and Back - Short Sleeve - Dark Skin, 1025985, TCCC Simulators

Full Thickness Burns to Chest and Back - Short Sleeve - Dark Skin

495.05 €
Item: 1025985
Free domestic shipping

TCCC Advanced Moulage Kit - Medium Skin, 1025986, TCCC Simulators

TCCC Advanced Moulage Kit - Medium Skin

4,588.40 €
Item: 1025986
Free domestic shipping

Sucking Chest Wound + Exit Back - Short Sleeve Shirt - Medium, 1025987, TCCC Simulators

Sucking Chest Wound + Exit Back - Short Sleeve Shirt - Medium

412.55 €
Item: 1025987
Free domestic shipping

Tib/Fib Closed Fracture Sleeve - Medium Skin, 1025988, TCCC Simulators

Tib/Fib Closed Fracture Sleeve - Medium Skin

371.29 €
Item: 1025988
Free domestic shipping

Radial/Ulna Fracture Sleeve - Medium Skin, 1025989, TCCC Simulators

Radial/Ulna Fracture Sleeve - Medium Skin

371.29 €
Item: 1025989
Free domestic shipping

Lacerated Scalp Hood - Medium Skin, 1025990, TCCC Simulators

Lacerated Scalp Hood - Medium Skin

412.55 €
Item: 1025990
Free domestic shipping

Femoral Sleeve Shorts - Medium Skin, 1025991, TCCC Simulators

Femoral Sleeve Shorts - Medium Skin

607.35 €
Item: 1025991
Free domestic shipping

Full Thickness Arm Burn - Long Sleeve Shirt - Medium Skin, 1025992, TCCC Simulators

Full Thickness Arm Burn - Long Sleeve Shirt - Medium Skin

495.05 €
Item: 1025992
Free domestic shipping

Full Thickness Burns - Lower Leg - Lower Leg Sleeve - Medium Skin, 1025993, TCCC Simulators

Full Thickness Burns - Lower Leg - Lower Leg Sleeve - Medium Skin

577.57 €
Item: 1025993
Free domestic shipping

Full Thickness Burns to Chest and Back - Short Sleeve - Medium Skin, 1025994, TCCC Simulators

Full Thickness Burns to Chest and Back - Short Sleeve - Medium Skin

495.05 €
Item: 1025994
Free domestic shipping

Silicone - Beige, 1025996, TCCC Simulators

Silicone - Beige

17.01 €
Item: 1025996

Cut Suit Make Up Kit, 1025999, TCCC Simulators

Cut Suit Make Up Kit

182.20 €
Item: 1025999

Z-Medica Trauma Trainer, 1021915 [3011617], TCCC Simulators

Z-Medica Trauma Trainer

646.17 €
Item: 1021915 [3011617]
Free domestic shipping