What should be the priority during TCCC?

During Tactical Combat Casualty Care (TCCC), the priority is to control massive hemorrhage. This is crucial because uncontrolled bleeding can lead to rapid death, particularly in a combat scenario where time is of the essence. When a casualty is exposed to severe blood loss, it can result in hypovolemic shock, which can be fatal in a matter of minutes if not addressed immediately.

Controlling hemorrhage often involves applying direct pressure, using tourniquets, or other hemorrhage control methods. By focusing on this priority first, healthcare providers can stabilize the patient's condition before addressing other injuries or comfort measures. This approach aligns with the principles of triage and effective emergency care in high-stakes environments.

While treating fractures and providing comfort measures are important aspects of patient care, they come secondary to the urgent need to stop life-threatening bleeding. Prolonged transport of casualties is also not a priority, as immediate and effective treatment needs to occur ideally in a controlled environment, and units often have protocols to manage time-sensitive tasks effectively on the battlefield.