Time-Critical Decision Making in Casualty Care during Special Operations - A Proposed Tactical Combat Casualty Care (T3C) Flowchart-System as a Learning Tool

摘要

The in Tactical Emergency Medical Support interested but civilian anaesthetist author tried to create an algorithm for the management of casualties in tactical setting. During this work was he confined over the current civilian pre-hospital trauma textbooks only to the freely accessible printed and electronic military sources. An electronic correspondence with two experts of this topic Col.(ret.) Clifford C. Cloonan MD, FACEP and Capt. Frank K. Butler, Jr., MD pointed out that the traditional civilian emergency medical approach is suitable for this case only with important restrictions and modifications due to necessities of the special operations. Their advises have changed from an originally pathophysiologically oriented, strictly designed, and slightly complicated algorithm to a more practical, loose and simple flowchart. Unfortunately there is not any official and organized interest in Hungary for TEMS, therefore the author can t report concrete results but he would get gratefully any feedback from the professional providers.