Tactical Combat Casualty Care (TCCC) Tiered Training

### This document consolidates all policy directives for TCCC training from the DoD, DHA, JTS, and the Army into one location for leaders and trainers to reference. For updates to this document, check the Army collection on Deployed Medicine at Army Medicine Collection or on the 68W Community of Practice website.

### NOTE: Completion of Brigade Combat Team Training (BCT3) or the Tactical Combat Medicine Course (TCMC) does not constitute Tactical Combat Casualty Care (TC3) Tier 3 or Tier 4 qualification. While BCT3 and TCMC provide valuable trauma and combat medicine instruction, they are distinct training programs and should not be considered equivalent to the standardized TC3 Tier 3 or Tier 4 certification requirements.

DoD Requirements

ASM training is conducted In Accordance With (IAW) Department of Defense Instruction (DoDI) 1322.24

DoDI 1322.24 establishes the following DoD requirements:

All Service members (officer and enlisted) receive role-based (i.e., All service members, combat lifesaver, combat medic/hospital corpsman/aerospace medicine technician, combat paramedic/provider) TCCC training and certification as outlined by the Joint Trauma System (JTS), the DoD’s Center of Excellence for trauma as designated in DoD Instruction (DoDI) 6040.47.

Service members and DOD expeditionary civilians (DoD-EC) personnel who are designated as augmentees to an operational unit complete MRT with their deploying unit within 12 months before departure. DoD-EC personnel who are individual augmentees not assigned to an operational unit complete MRT before deployment.

Units will record all assigned Service member and DoD-EC TCCC certifications (initial and recertification) in Service-designated training tracking systems. Any additional MRT metrics identified by the Secretaries of the Military Departments and the CCDRs will be reported into Service-designated authoritative data sources as required.

TCCC Refresher Training

The Secretaries of the Military Departments, in coordination with the Director, DHA, may establish TCCC refresher courses as a supplement to TCCC certification courses. TCCC refresher courses are designed to ensure proficiency on TCCC skills and may be tailored to individual Service mission requirements. Completion of TCCC refresher training does not certify a Service member in TCCC and will not be recorded as such in Service-designated training tracking systems.

TCCC Certification

All TCCC certification courses, trainers, and instructors are certified and approved in accordance with Service-specific policy set by the Secretaries of the Military Departments in coordination with the Director, DHA. At a minimum, all TCCC trainers or instructors will be certified in TCCC and complete the appropriate JTS-developed “train the trainer” course every three years. The Military Departments may establish additional training requirements for TCCC trainers or instructors. Standardization of TCCC training throughout the DoD enables the Military Departments to recognize TCCC certifications awarded to their Service members or DoD-EC regardless of the DoD Component conducting the training.

Training Frequency

Training frequency for Service members and DoD-EC completing the TCCC All Service Member course is at the discretion of the Military Service, with the stipulation that certification be completed prior to deployment. Training frequency for Service members and DoD-EC completing the TCCC combat lifesaver, TCCC combat medic/hospital corpsman/aerospace medicine technician, or TCCC combat paramedic/provider course follows these guidelines:

(1) All active Component Service members and some DoD-EC personnel as defined by job or unit, will complete TCCC recertification at least every three years following initial certification. Military Services should consider implementing the triennial certification requirement for RC Service members assigned to rapidly deployable units.

(2) Service members and DoD-EC will certify in TCCC within 12 months of deployment. For personnel who deploy more than once during a 12-month period, certification in TCCC remains current if completed within 12 months of the most recent deployment date.