Casualty After Action Report Submission

All prehospital medics, corpsman, technicians, physician assistants, and physicians are to complete a DD1380 TCCC Card on every casualty and/or a TCCC After Action Report and submit to the Joint Trauma System (JTS)

Tactical and Pre-Hospital documentation of medical interventions by Role I medical personnel is critical to ensuring continuity of care and providing meaningful analyses of medical interventions, techniques, tactics, and procedures rendered during transport.

As medical providers, it is critically important to document patient care for follow on providers in order to achieve the best patient outcomes. Additionally, well documented care can improve not only individual care, but as part of a Process Improvement system, good documentation can identify places where casualty care can be improved on a system-wide level.

Use of the TCCC After Action Report (AAR) will allow for individual care improvement as well as a method for process improvement and quality assurance for Role I medical providers. It is designed specifically for use by tactical medical personnel in order to document all evaluation and care provided for casualties.

The information and data points collected will guide the future and help determine performance improvement requirements for casualty and medical tactics, techniques, procedures, and equipment for SOF medics and units.

The Department of Defense has long recognized the need to better document and study medical care in a theater of operations. It is critical within the continuity of patient care that appropriate documentation is completed on every patient prior to hand-off to the next level of care. Proper documentation of a patient?s treatment history is the standard of care and is critical in every level of care from point-of-injury through stabilization, rehabilitation, and long-term evaluations of further service or veterans? benefits. The study of care rendered by medics in the tactical and prehospital setting will better define requirements in training, equipment, and procedures for the future. All acquired information and data will be entered into the DoD Joint Trauma Registry for further study and reference.

#### Criteria for Reporting

Combat Casualties: Any injury (service member or military working dog) that occurs during infiltration, actions on the objective, consolidation, relief-in-place, defense and/or exfiltration that requires any prehospital care including killed-in-action (KIA) and died of wounds (DOW). A combat casualty is further clarified as any casualty awarded a Purple Heart or meeting Purple Heart criteria regardless of declared level of hostilities.

Non-Battle Injuries (NBI): Any non-battle injuries involving trauma where POI care is provided and requires patient evacuation or degrades the individual?s ability to perform their mission.

Disease non-battle injury (DNBI) that requires evacuation or extensive field medical care normally conducted in a hospital setting. Criterion includes any significant ailment or disease that would require hospitalization or specialty provider consultation under normal circumstances.

#### SUBMISSION OPTION #1 (DIGITAL)

Download the TCCC AAR Form

Open in Adobe or pdf editor

Save the file as new name using casualty?s name or battle roster number.

Complete the form using form filler software. Complete the form with as much information as possible.

Save file (ensure file name saved as casualty name or battle roster)

Attach completed AAR and e-mail to: usarmy.jbsa.medcom-aisr.list.jts-prehospital@mail.mil

Repeat procedure for additional casualty AARs.

#### Download the TCCC AAR Form Print in Adobe or pdf printable software Complete the form using legibly using dark pen or pencil. Complete the form with as much information as possible. Scan the AAR. Attach scanned AAR and e-mail to: usarmy.jbsa.medcom-aisr.list.jts-prehospital@mail.mil Repeat procedure for additional casualty AARs.

Download the TCCC AAR Form

Print in Adobe or pdf printable software

Complete the form using legibly using dark pen or pencil. Complete the form with as much information as possible.

Scan the AAR.

Attach scanned AAR and e-mail to: usarmy.jbsa.medcom-aisr.list.jts-prehospital@mail.mil

Repeat procedure for additional casualty AARs.