Skip to main content

Military Health System

Multinational trauma course aims to standardize battlefield care

Image of Two soldiers, one laying on the ground and the other giving him medical attention. U.S. Army Staff Sgt. Noel Ang, an instructor with the International Trauma Combat Casualty Care course at Landstuhl Regional Medical Center, checks a self-applied tourniquet on a Bundeswehr (German Armed Forces) soldier in late Sept. The international course, which included Service Members from four Nations, was aimed at providing unit-level health care providers life-saving instruction to increase survivability at the point of injury. (Photo by Marcy Sanchez, Landstuhl Regional Medical Center.)

Recommended Content:

Health Readiness & Combat Support | Global Health Engagement | Education & Training

Nearly 30 service members from United States and Allied armed forces across Europe participated in an International Trauma Combat Casualty Care course at Landstuhl Regional Medical Center (LRMC), in Germany in late September-early October.

The international course, which included service members from four nations, was aimed at providing unit-level health care providers life-saving instruction to increase survivability at the point of injury.

“The course teaches battlefield medicine,” said Army Sgt. Ryan Williams, a combat medic with Landstuhl Regional Medical Center’s Education Division. “Anywhere from tourniquets all the way up to chest seals and goes through the MARCH algorithm.”

MARCH, an acronym for Massive hemorrhage, Airway, Respiratory, Circulation and Hypothermia, is an algorithm taught during the course which has proven essential in lifesaving care.

“Following that sequence, helps us make sure we're stopping what's going to kill the patient first,” explained Williams. “(Combat Medics) and most medics (from other countries) are the first ones on the scene. Recognizing what to do until casualties are able to Medevac to hospitals or the higher echelons of care is essential to surviving.”

In addition to soldiers and airmen, international partners included German, British and Czechian armed forces. Course instruction included an international cadre to ensure proficiency across the allied nations.

According to the TCCC handbook, the course of instruction has saved hundreds of lives during conflicts in Iraq and Afghanistan, citing the importance of the prehospital phase of care in reducing combat fatalities. The concept, developed in 1996 by special operations forces, are evidenced-based and battlefield proven to reduce deaths at the point of injury. Not only does the course introduce students to battlefield medicine best practices, it also serves to train participants in tactical combat components such as care under fire, tactical field care and tactical evacuation care.

“It's all about tactical field care,” said Janine Foncello, a paramedic in the German Armed Forces, or Bundeswehr.

For Foncello, a staff sergeant in the Bundeswehr, who was sent from her unit to absorb and later teach the medical practices and tactics to new recruits, the course prepares her for an upcoming deployment next year.

“It's very important for me to learn here,” explained Foncello. “(The Bundeswehr) wants to (improve) training for our Soldiers. To train and connect together with other nations is a diverse and nice experience.”

The international course marks the first time it has been taught at LRMC, which included multiple lessons covering everything from assessing a combat environment to requesting for medical evacuation of combat casualties.

“We’re bringing our partner nations in and getting on the same page and the same type of medical training across the board,” explained Williams, an instructor at the course. “It's important for our international partners as well as ourselves to make sure we're up to date on current medicine, that we're not moving backwards in time and learning the most advanced medical treatments to increase the rate of survival for our patients.”

You also may be interested in...

Military pharmacy teams continue dedicated legacy of service

Article
10/19/2020
Black and white image of soldiers on the battlefield

Seven military pharmacy professionals have been awarded the Medal of Honor.

Recommended Content:

Health Readiness & Combat Support | Coronavirus and the COVID-19 Vaccine | Coronavirus & the MHS Response | Information for Patients: TRICARE Pharmacy Program

Navy tele-health supports Guam civilian hospital during COVID-19

Article
10/19/2020
Woman sitting in front of several computer monitors

[T]his is the first-ever DOD tasking for telemedicine support in response to a request from civil authorities for aid.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Global Health Engagement | Coronavirus and the COVID-19 Vaccine | Nursing in the Military Health System

NH Bremerton relies on experienced nurse to help new moms

Article
10/16/2020
Military personnel gives nurse an award

"Navy Medicine has taken me from novice to expert over a 20 year career..."

Recommended Content:

Health Readiness & Combat Support | Women's Health | Patient Safety | Nursing in the Military Health System

Navy unit provided COVID-19 support to Peruvian First Responders

Article
10/16/2020
Fireman getting COVID test in firehouse garage

The province of Callao has the second highest number of COVID-19 cases in Peru.

Recommended Content:

Coronavirus & the MHS Response | Global Health Engagement | Coronavirus and the COVID-19 Vaccine

Air Force Unit provides worldwide medical response capability

Article
10/15/2020
Two military personnel loading equipment onto an aircraft

The 379th EAES crews provide time sensitive in-flight patient care.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

DHA’s new Joint Operations Center serves as essential integration hub

Article
10/14/2020
Three military personnel looking at a document

From conference rooms to one location, DHA’s JOC gets an upgrade.

Recommended Content:

Health Readiness & Combat Support

DHA priorities focused on readiness, patients, outcomes

Article
10/7/2020
Defense Health Agency Director Army Lt. Gen. Ronald Place speaks at a podium.

Adaptation key to providing outstanding care to beneficiaries.

Recommended Content:

Health Readiness & Combat Support | Health Care Administration & Operations | Coronavirus & the MHS Response | Coronavirus & the MHS Response | Quality & Safety of Health Care (for Health Care Professionals) | Clinical Quality Management | Coronavirus and the COVID-19 Vaccine

From Ghana to Washington, Sailor provides leadership during COVID-19

Article
9/10/2020

Acquiring supplies, in general, has been a hurdle worldwide.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Coronavirus & the MHS Response | Coronavirus and the COVID-19 Vaccine

Air Force updates medical courses with COVID-19 content, procedures

Article
8/24/2020
Two technicians in full PPE in a lab

COVID-19 has shed new light on the methods of conducting medical training and education.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Health Readiness & Combat Support | Education & Training

Military Medicine Joining Forces to Fight COVID-19 All Around the World

Article
7/17/2020
A group of military personnel posing for a picture

Multiple commands from the Navy and Air Force responded to the request with personnel from all over the country.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support

COVID-19: Lifestyle Tips to Stay Healthy

Article
5/22/2020

As we move toward a third year of the COVID-19 pandemic, the virus has changed many of our daily routines in ways no one anticipated and that have become the new normal.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Total Force Fitness

Military pharmacy teams continue dedicated legacy of service

Article
10/19/2020
Black and white image of soldiers on the battlefield

Seven military pharmacy professionals have been awarded the Medal of Honor.

Recommended Content:

Health Readiness & Combat Support | Coronavirus and the COVID-19 Vaccine | Coronavirus & the MHS Response | Information for Patients: TRICARE Pharmacy Program

Navy tele-health supports Guam civilian hospital during COVID-19

Article
10/19/2020
Woman sitting in front of several computer monitors

[T]his is the first-ever DOD tasking for telemedicine support in response to a request from civil authorities for aid.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Global Health Engagement | Coronavirus and the COVID-19 Vaccine | Nursing in the Military Health System

NH Bremerton relies on experienced nurse to help new moms

Article
10/16/2020
Military personnel gives nurse an award

"Navy Medicine has taken me from novice to expert over a 20 year career..."

Recommended Content:

Health Readiness & Combat Support | Women's Health | Patient Safety | Nursing in the Military Health System

Navy unit provided COVID-19 support to Peruvian First Responders

Article
10/16/2020
Fireman getting COVID test in firehouse garage

The province of Callao has the second highest number of COVID-19 cases in Peru.

Recommended Content:

Coronavirus & the MHS Response | Global Health Engagement | Coronavirus and the COVID-19 Vaccine

Air Force Unit provides worldwide medical response capability

Article
10/15/2020
Two military personnel loading equipment onto an aircraft

The 379th EAES crews provide time sensitive in-flight patient care.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

DHA’s new Joint Operations Center serves as essential integration hub

Article
10/14/2020
Three military personnel looking at a document

From conference rooms to one location, DHA’s JOC gets an upgrade.

Recommended Content:

Health Readiness & Combat Support

DHA priorities focused on readiness, patients, outcomes

Article
10/7/2020
Defense Health Agency Director Army Lt. Gen. Ronald Place speaks at a podium.

Adaptation key to providing outstanding care to beneficiaries.

Recommended Content:

Health Readiness & Combat Support | Health Care Administration & Operations | Coronavirus & the MHS Response | Coronavirus & the MHS Response | Quality & Safety of Health Care (for Health Care Professionals) | Clinical Quality Management | Coronavirus and the COVID-19 Vaccine

From Ghana to Washington, Sailor provides leadership during COVID-19

Article
9/10/2020

Acquiring supplies, in general, has been a hurdle worldwide.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Coronavirus & the MHS Response | Coronavirus and the COVID-19 Vaccine

Air Force updates medical courses with COVID-19 content, procedures

Article
8/24/2020
Two technicians in full PPE in a lab

COVID-19 has shed new light on the methods of conducting medical training and education.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Health Readiness & Combat Support | Education & Training

Military Medicine Joining Forces to Fight COVID-19 All Around the World

Article
7/17/2020
A group of military personnel posing for a picture

Multiple commands from the Navy and Air Force responded to the request with personnel from all over the country.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support

COVID-19: Lifestyle Tips to Stay Healthy

Article
5/22/2020

As we move toward a third year of the COVID-19 pandemic, the virus has changed many of our daily routines in ways no one anticipated and that have become the new normal.

Recommended Content:

Coronavirus & the MHS Response | Health Readiness & Combat Support | Total Force Fitness
<< < ... 6 7 8 > >> 
Showing results 106 - 116 Page 8 of 8
Refine your search
Last Updated: July 20, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery