214: TCCC Updates with John

Last Updated: March 10, 2025

In this episode of the PFC Podcast, Dennis and John discuss the ongoing updates and changes within the Tactical Combat Casualty Care (TCCC) guidelines. They delve into the role of the TTC Committee, the importance of literature reviews in developing algorithms for trauma care, and the proposed changes to the March algorithm, emphasizing the need for resuscitation before decompression. The conversation also covers the overhaul of the analgesic section, the recommendations for antibiotics, and the role of TXA in treating hemorrhagic shock. Additionally, they touch on the significance of triage in mass casualty situations and the future directions of the committee’s work.

Takeaways:

TCCC is continuously updated to reflect new research.

Resuscitation should be prioritized over decompression in trauma care.

The March algorithm may undergo significant changes to improve outcomes.

Analgesic options are being re-evaluated due to supply issues.

Rocephin is being recommended as a primary antibiotic.

TXA is crucial for managing hemorrhagic shock in trauma patients.

Triage protocols are essential for effective mass casualty management.

The committee is open to innovative ideas and solutions.

Training and education are vital for implementing new guidelines.

Future meetings will focus on finalizing and voting on proposed changes.