Back to Top Skip to main content

New way of teaching service members how to treat combat wounds vetted at Fort Benning

Inside Fort Benning’s Medical Simulation Training Center, medics and other experts from across the armed services practice treating “junctional” wounds, those at points where limbs connect to the human torso. The medics were part of a group of about 40 service member and civilians who gathered at Fort Benning to do a close review of a new curriculum that will be used to teach service members a type of battlefield first aid that the U.S. military calls Tier 2 Tactical Combat Casualty Care. (Photo by Markeith Horace) Inside Fort Benning’s Medical Simulation Training Center, medics and other experts from across the armed services practice treating “junctional” wounds, those at points where limbs connect to the human torso. The medics were part of a group of about 40 service member and civilians who gathered at Fort Benning to do a close review of a new curriculum that will be used to teach service members a type of battlefield first aid that the U.S. military calls Tier 2 Tactical Combat Casualty Care. (Photo by Markeith Horace)

Recommended Content:

Combat Support

FORT BENNING, Ga. – A new, standardized way of training combat troops of all services in how to give first aid to wounded service members has undergone intensive vetting here by experts, and a final draft will be delivered to the Department of Defense at the end of this month, officials said Dec. 9.

Upon adoption by the Pentagon, the curriculum, known as Tier 2 Tactical Combat Casualty Care, would become the one official set of methods taught to certain service members in non-medical jobs, especially those close to combat, who might well be the only ones available to keep the wounded alive until they can get to a hospital, officials here said. Which service members will be given Tier 2 training will be at the discretion of the individual services.

Tier 2 is just one of four parts of what the military calls Tactical Combat Casualty Care, or TC3.

TC3 has been drawn up in response to a Pentagon directive that a new tactical combat casualty care curriculum be developed for all the armed forces. It consists of four levels of skill, all geared to training service members in the best methods for giving medical care to the wounded in the first critical minutes before they can be taken to a hospital.

Tier 2 will replace what is currently known as Combat Lifesaver (CLS) training, and draws on the most medically up-to-date lessons learned during the nearly two decades of post-9/11 combat in places like Iraq and Afghanistan, said Army Lt. Col. Ethan Miles, chairman of the Tier 2/Combat Lifesaver Working Group. He is also the surgeon for Fort Benning's Maneuver Center of Excellence.

“One of the many things that the Global War on Terrorism has taught us is that one of the most important things you can do in saving lives is training non-medical people,” Miles, 44, of Aptos, California, said of Tier 2 TCCC. “The person next to you is the one who's gonna save your life, or it might be you saving your own life.”

Miles is an Army medical professional with years of battlefield experience, largely with the U.S. Army Rangers.

Indeed, it was the 75th Ranger Regiment that even before 9/11 was training all Rangers to a certain basic level of TCCC so that if one were wounded another would know what to do to try to keep him alive, Miles said.

“Before the War on Terrorism started,” said Miles, “they were doing tactical combat casualty care training and they were doing it for every single member of the 75th Ranger Regiment. So if you deployed you knew how to do basic TC3 skills.

“And of course since they've been continuously engaged in combat they've got a massive data base of injured Rangers,” he said. “And what we've really learned from that database is that it's the person next to you that's gonna save your life. We saw a huge amount of these skills being put to use by non-medical personnel.”

That practice kept to zero the number of wounded Rangers who died from preventable causes before reaching a hospital, Miles said.

Of the other three TC3 skill levels, Tier 1 is elemental first aid to be taught to all non-medical service members regardless of military job. Tier 3-Combat Medic/Hospital Corpsman is for certified medics. And Tier 4 Combat Paramedic/Provider is for special operations medics, physicians and physician assistants.

For the vetting of the Tier 2 curriculum Fort Benning was chosen in large part because of its status as home of the MCoE, which trains and is the intellectual center for the Army’s maneuver force – the Infantry and Armor branches.

To ensure the Tier 2 curriculum – including its training videos, teaching slides and other materials – will be workable for trainers and those they'll be training, some 40 experts from across the services, including medics, drill sergeants, combat arms Soldiers, civilian curriculum developers and others, spent five days at Fort Benning doing a line-by-line vetting of the Tier 2 TCCC curriculum. They began work Dec. 2.

While the group included certified military medics it also included non-medics like drill sergeants and others who teach service members how to tend the wounded on the battlefield, in the crucial, first-responder stage before they get to a hospital.

“We wanted to get some non-medical folks in the room, to get the trainers in the room, and get feedback,” said Army Master Sgt. Mike Remley, senior enlisted adviser to the Joint Trauma System at Joint Base San Antonio, Texas, said in an interview last week.

The group was brought together at Fort Benning to assess the curriculum in its many details, said Remley, 36, of Jacksonville, Florida.

“Do the videos and the skill cards and the slides get you where we want you to be? Is there confusion? Is it intuitive?” Remley said. “Is it easy to access? And it’s making sure that we’re all on the right track. So we have folks from the Navy, the Marine Corps, the Air Force and the Army here now.”

Once adopted, Tier 2 training will last one week and will teach service members a variety of skills that can prevent the most common causes of battlefield death – those involving bleeding and breathing, Miles said. Those skills include applying tourniquets and various types of bandages, and restoring breathing when a wounded service member’s airway is blocked.

The team huddled daily at Fort Benning’s Medical Simulation Training Center on Bass Road to discuss the curriculum and test the teachability of the techniques by performing them on fellow-team members and on mannequins used to simulate wounded troops.

One of the experts representing the Marine Corps during the vetting was Navy Petty Officer 1st Class Anthony Ley, 28, of Murietta, California. He's a Navy hospital corpsman with the Marine Corps’ Field Medical Training Battalion-East, at Camp Lejeune, North Carolina. He’s given medical care to wounded service members in Afghanistan.

“We’re going through the Tier 2 CLS curriculum, going through it by the numbers,” said Ley. “And then putting it under our magnifying glass or our microscope and filtering and making sure that it makes sense to our branches.

Ley said the NCOs feel “a responsibility to” junior members of the Army, Navy, Air Force and Marine Corps "to make sure that this curriculum is easy to digest.

Making sure that their non-medical eyes and ears can understand it at first glance. And obviously, as subject matter experts, we have a responsibility to make sure that it’s medically viable, that it makes sense,” Ley said.

Another of the Tier 2 team’s NCOs, Army Staff Sgt. Felicia Simpson, said she was encouraged by seeing that the curriculum contains techniques that would become part of the new guidelines for Tier 2 TCCC training.

Simpson, 32, of Green Cove Springs, Florida, is an Army medic stationed at Fort Benning with Headquarters and Headquarters Company, 198th Infantry Brigade, which trains Soldiers to serve in the Infantry. She’s a former drill sergeant who’s currently a senior instructor with the brigade’s First Aid Committee.

Simpson has also served as a combat medic in Afghanistan, and at times gave wounded troops in-flight blood transfusions in the medical helicopters that swept them off the battlefield and rushed them to medical stations for further treatment.

“Seeing those changes that they’re going to make – had those changes been made when I deployed, it would have been more beneficial,” said Simpson. “I could have gotten blood administered faster if certain interventions were done. So the changes that I’m seeing here, it’ll be a positive change across the board.”

Disclaimer: Re-published content may be edited for length and clarity.  Read original post.

You also may be interested in...

I am Navy Medicine: Lt. Daniel Murrish

Article
7/9/2020
Image of Lt. Daniel Murrish wearing a mask

Murrish was recently selected as NMRTCCP’s Officer of the Year for calendar year 2019.

Recommended Content:

Health Readiness | Combat Support

Combat stress techniques help military providers during COVID pandemic

Article
7/6/2020
Image of soldier in a hazmat suit with a medical-grade mask

6 steps to get medical team members back in the fight

Recommended Content:

Combat Support | Coronavirus

Defending the Homeland: BACH Civilian earns RHC-A Civilian of the Year

Article
6/26/2020
Soldier and woman standing by two flags, crossed.

[Guidry] will advance to the U.S. Army’s Medical Command (MEDCOM) Civilian of the Year competition later this year.

Recommended Content:

Coronavirus | Health Readiness | Combat Support

Total Force Airmen: Supporting the DoD – in and out of uniform

Article
6/25/2020
Three soldiers at a desk, two sitting and one standing, pointing at a piece of paper

"The Liberty Wing’s mission: Provide combat-ready Airmen for global engagement"

Recommended Content:

Armed Forces Medical Examiner System | Combat Support | Total Force Fitness

Nearly 10,000 Guardsmen called up for COVID-19 response

Article
3/25/2020
Army Sgt. Moises Castillo of the California Army National Guard helps an Amador County resident load food supplies into a vehicle at the Interfaith Food Bank in Jackson, Calif., March 23, 2020. (U.S. Army photo illustration by Army National Guard Staff Sgt. Eddie Siguenza)

The president left control of the National Guard to the governors and the adjutant generals

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

DoD aims to fill medical gaps with military while states, cities ramp up

Article
3/24/2020
Defense Secretary Dr. Mark T. Esper speaks to reporters during a news conference at the Pentagon to discuss the department's efforts in response to the COVID-19 pandemic, March 23, 2020. (DoD photo by Army Staff Sgt. Brandy Nicole Mejia)

The secretary sees the military filling gaps in cities, states until they can deal with COVID-19 on their own

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

A full night’s sleep could be the best defense against COVID-19

Article
3/23/2020
Sleep is critical for maintaining physical, cognitive and immunological dominance on and off the battlefield. Leaders must prioritize sleep as a valuable asset in maintaining readiness and resilience, especially in the context of multi-domain operations and increased health risks worldwide – including those risks associated with exposure to infectious diseases (U.S. Army photo by Robert Timmons)

Getting more sleep could dramatically improve your odds of avoiding infection

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus | Total Force Fitness

Air Force takes steps to assure ‘unblinking’ operations, readiness and capabilities amid pandemic

Article
3/23/2020
Air Force medics and health personnel around the globe are resolutely following and ensuring compliance with guidelines issued by the Department of Defense and Centers for Disease Control and Prevention according to Air Force Lt. Gen. Dorothy Hogg.

Within the Air Force, our medics are executing all available measures to mitigate the spread of COVID-19

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

Addressing emotional responses to threat of Coronavirus

Article
3/20/2020
U.S. Air Force Master Sgt. Kathleen A. Myhre, 446th Airman and Family Readiness Center noncommissioned officer in charge, meditates outside the 446th Airlift Wing Headquarters building on Joint Base Lewis-McChord, Washington, Feb. 12, 2020. Myhre traveled to India in 2016 to study to become an internationally-certified yoga instructor. She now shares her holistic training with Reserve Citizen Airmen of the 446th AW. (U.S. Air Force photo by Staff Sgt. Mary A. Andom)

Even if you’re feeling healthy, medical professionals recommend staying home and limiting social contact as much as possible

Recommended Content:

Preventive Health | Mental Wellness | Physical Activity | Combat Support | Public Health | Coronavirus | Coronavirus

Place addresses DHA COVID-19 response

Article
3/19/2020
Lt. Gen. Ronald Place, director of the Defense Health Agency, and Rear Adm. Bruce Gillingham, surgeon general of the Navy, discuss plans for additional COVID-19 response efforts with the Pentagon Press Corps.

Crisis Action Team part of broad-based effort

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

DoD ready to help with Coronavirus, but capability limited

Article
3/17/2020
Misook Choe, a laboratory manager with the Emerging Infectious Disease branch at the Walter Reed Army Institute of Research in Silver Spring, Md., runs a test during research into a solution for the new coronavirus, COVID-19, March 3, 2020. The Emerging Infectious Diseases branch, established in 2018, has the explicit mission to survey, anticipate and counter the mounting threat of emerging infectious diseases of key importance to U.S. forces in the homeland and abroad. (U.S. Army Sgt. Michael Walters)

The DoD has only about 2% to 3% of the number of hospital beds that the private sector has

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

How DHA monitors the spread of health outbreaks

Article
3/13/2020
The Armed Forces Health Surveillance Branch (AFHSB) is the central epidemiologic resource for the U.S. Armed Forces, conducting medical surveillance to protect those who serve our nation in uniform and allies who are critical to our national security interests. AFHSB provides timely, relevant, actionable and comprehensive health surveillance information to promote, maintain, and enhance the health of military and military-associated populations. (U.S. Air Force photo by Tech. Sgt. Nathan Lipscomb)

The Defense Health Agency works as a combat support agency to the military services and Military Health System

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

DoD issues flexible instructions on response to Coronavirus

Article
3/13/2020
This illustration, created at the Centers for Disease Control and Prevention (CDC), reveals ultrastructural morphology exhibited by coronaviruses. The illness caused by this virus has been named coronavirus disease 2019 (COVID-19). (CDC Illustration)

The memo covers aspects from before the outbreak through all levels of infection

Recommended Content:

Combat Support | Public Health | Coronavirus | Coronavirus

COVID-19: Know what the terms mean

Article
3/10/2020
Soldiers stationed on U.S. Army Garrison Casey conduct pre-screening processes on individuals awaiting entry to the base, USAG-Casey, Dongducheon, Republic of Korea, Feb. 26, 2020. Additional screening measures of a verbal questionnaire and temperature check are in response to the heighted awareness of Coronavirus (COVID-19) following a surge in cases throughout the Republic of Korea and are meant to help control the spread of COVID-19 and to protect the force. (U.S. Army photo by Sgt. Amber I. Smith)

Learning the language can help you stay safe

Recommended Content:

Coronavirus | Public Health | Combat Support | Coronavirus

DoD makes plans to combat Coronavirus

Article
3/4/2020
Defense Secretary Dr. Mark T. Esper and Army Gen. Mark A. Milley, chairman of the Joint Chiefs of Staff, speak to reporters at the Pentagon, March 2, 2020. (DoD photo Lisa Ferdinando)

The number one priority remains to protect our forces and their families

Recommended Content:

Coronavirus | Public Health | Combat Support | Coronavirus
<< < 1 2 3 4 5 > >> 
Showing results 31 - 45 Page 3 of 5

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.