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Barksdale trains medics with Tactical Combat Casualty Care

Staff Sgt. Johanna Esquivel, 2nd Operational Medical Readiness Squadron medical technician, and Staff Sgt. Jelisa Adams, 2nd Healthcare Operations Squadron medical technician, provide tactical field care to a training dummy during a Tactical Combat Casualty Care (TCCC) class at Barksdale Air Force Base, La., Dec. 9, 2020.

Staff Sgt. Johanna Esquivel, 2nd Operational Medical Readiness Squadron medical technician, and Staff Sgt. Jelisa Adams, 2nd Healthcare Operations Squadron medical technician, provide tactical field care to a training dummy during a Tactical Combat Casualty Care (TCCC) class at Barksdale Air Force Base, La., Dec. 9, 2020. Barksdale medics must take a three day course to be trained on the new TCCC guidelines. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Staff Sgt. Johanna Esquivel, left, 2nd Operational Medical Readiness Squadron medical technician, provides tactical field care to a training dummy during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020.

Staff Sgt. Johanna Esquivel, left, 2nd Operational Medical Readiness Squadron medical technician, provides tactical field care to a training dummy during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020. TCCC is developed by the U.S. Department of Defense Defense Health Agency (DHA) Joint Trauma System to teach evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Lt. Col. John A. Camacho-Ayala, 2nd Medical Group health care integrator and director of medical management, teaches a class on Tactical Combat Casualty Care (TCCC) at Barksdale Air Force Base, La., Dec. 7, 2020.

Lt. Col. John A. Camacho-Ayala, 2nd Medical Group health care integrator and director of medical management, teaches a class on Tactical Combat Casualty Care (TCCC) at Barksdale Air Force Base, La., Dec. 7, 2020. TCCC is the new standard of care across the Department of Defense. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Staff Sgt. Jelisa Adams, 2nd Healthcare Operations Squadron medical technician, runs during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020.

Staff Sgt. Jelisa Adams, 2nd Healthcare Operations Squadron medical technician, runs during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020. The training exercise included providing medical care under fire, tactical field care and tactical evacuation care. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Capt. Marsha Bennett, 2nd Operational Medical Readiness Squadron nurse manager of the flight medicine clinic, provides tactical field care to a training dummy during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020.

Capt. Marsha Bennett, 2nd Operational Medical Readiness Squadron nurse manager of the flight medicine clinic, provides tactical field care to a training dummy during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020. TCCC is developed by the U.S. Department of Defense Defense Health Agency (DHA) Joint Trauma System to teach evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Staff Sgt. Johanna Esquivel, 2nd Operational Medical Readiness Squadron medical technician, takes a test during a Tactical Combat Casualty Care (TCCC) class at Barksdale Air Force Base, La., Dec. 7, 2020.

Staff Sgt. Johanna Esquivel, 2nd Operational Medical Readiness Squadron medical technician, takes a test during a Tactical Combat Casualty Care (TCCC) class at Barksdale Air Force Base, La., Dec. 7, 2020. Barksdale medics must take a three day course to be trained on the new TCCC guidelines. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Staff Sgt. Jelisa Adams, 2nd Healthcare Operations Squadron medical technician, and Senior Airman Nikolas Swift, 2nd HCOS medical technician, drag a training dummy during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020.

Staff Sgt. Jelisa Adams, 2nd Healthcare Operations Squadron medical technician, and Senior Airman Nikolas Swift, 2nd HCOS medical technician, drag a training dummy during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020. The training exercise included providing medical care under fire, tactical field care and tactical evacuation care. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

Tech. Sgt. Michael Tomaszewski, Operational Medical Readiness Squadron medical technician, positions himself behind a tree during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020.

Tech. Sgt. Michael Tomaszewski, Operational Medical Readiness Squadron medical technician, positions himself behind a tree during a Tactical Combat Casualty Care (TCCC) field training exercise at Barksdale Air Force Base, La., Dec. 9, 2020. Barksdale's medics took a three day course on TCCC that included classroom learning as well as a field training exercise. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

A 2nd Medical Group Tactical Combat Casualty Care (TCCC) bag sits on the ground during a TCCC field training exercise at Barksdale Air Force Base, La., Dec. 9 2020.

A 2nd Medical Group Tactical Combat Casualty Care (TCCC) bag sits on the ground during a TCCC field training exercise at Barksdale Air Force Base, La., Dec. 9 2020. Barksdale's medics took a three day course on TCCC that included classroom learning as well as a field training exercise. (U.S. Air Force photo by Airman 1st Class Jacob B. Wrightsman)

BARKSDALE AIR FORCE BASE, La. --

With the implementation of the Tactical Combat Casualty Care (TCCC) guidelines and the TCCC training course, Barksdale’s medics are training to become increasingly proficient in providing first line trauma care and prehospital medicine in a combat zone.

“The goal of the 2nd Medical Group is to keep folks safe and healthy in all sorts of environments,” said Col. Erich Schroeder, 2nd Medical Group commander. “Whether it’s treating patients here in the clinic or providing care as we deploy and go into harm's way, this is what TCCC is all about.”

As the official guidelines of the U.S. Department of Defense, TCCC prioritizes decreasing preventable combat death by specifically training Airmen on providing care under fire, tactical field care and tactical evacuation care.

TCCC’s heavy emphasis on combat specific medical care differs from previous training guidelines as it provides specialized training to regular forces.

“TCCC is not your average stateside Bossier City or Shreveport medical care -this is designed for combat,” said Lt. Col. John A. Camacho-Ayala, 2nd MDG health care integrator and director of medical management. “It was developed by special forces and after previous Secretary of Defense, James Mattis, saw the success rate of their preventative casualty deaths, it has since become the standard of care across the DoD.”

Here at Barksdale, TCCC has been drilled into the minds and actions of Barksdale’s medics by the means of a three day, hands-on class.

“Over the past 20 years of combat that we’ve had, a lot of the evidence based practices and lessons learned have been incorporated into the TCCC course,” Camacho-Ayala said. “I always tell folks that these lessons were written in blood, because someone had to get wounded in order to implement these actions.”

The lessons taught to the medics attending the course are put to the test on the final day as the students run through a real-world field training exercise. Complete with life-like dummies, smoke machines and simulated gunfire, the medics must tactically provide care under fire, provide tactical field care and finally provide rapid evacuation care.

“With the dynamics of hearing the shooting and the alarms going off, the training really puts you in the field,” said Senior Master Sgt. Melissa Sartain, 2nd Maintenance Squadron first sergeant and student of the TCCC course. “As medical personnel who don’t carry weapons as often, being able to go out there with the weapon, with the kevlar helmet plus the gear, securing your weapon and still providing care and doing it tactically is an important piece as we go down-range.”

All-in-all, the new standard of TCCC is designed to save the lives of those in combat. By providing Barksdale’s medics with tactical field training, the 2nd Medical Group will do just that.

“This is the way forward, not just for the Air Force but the DoD as a whole,” said Camacho-Ayala. “It’s paramount that we train our folks not just to competency but to make sure that they are proficient in the way we care for patients. Our main goals as medics is to provide that care that we promised to our fellow soldiers.”

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