DAF Tactical Combat Casualty Care (TCCC) All Service Member (ASM) Implementation Training Plan signed 19 Feb 21.pdf

SECRETARY OF THE AIR FORCE

WASHINGTON

MEMORANDUM FOR ALMAJCOM-FLDCMD-FOA-DRU/CC

DISTRIBUTION C

1 9 FEB 2021

SUBJECT: Implementation of Tactical Combat Casualty Care All Service Members Training

Effective immediately, this memorandum establishes Tactical Combat Casualty Care (TCCC) training as the Department of the Air Force (OAF) standard of care for first responders (medical and non-medical). The Department of Defense Instruction (DoDI) 1322.24, Medical

Readiness Training, 16 March 2018 (Atch I), states the All Service Member TCCC course replaces Service trauma skills currently taught in first aid and self-aid and buddy care courses.

TCCC All Service Members (ASM) pertains to all Regular and Reserve Component Ainnen, Guardians, and DoD Expeditionary Civilians. Commanders will ensure their Airmen and Guardians complete mandatory training in accordance with the DAF TCCC ASM Implementation Training Plan (Atch 2).

Air Force Instruction (AFI) 36-2644, Self-Aid Buddy Care, 19 August 2014, will be revised with TCCC training once the curricula are complete. Until the AFI for TCCC training is published, commanders will proceed with the execution of the attached OAF TCCC ASM Implementation Training Plan.

While the effort to reduce requirements is intended to maximize unit effectiveness, commanders arc reminded intelligent, sensible training remains an indispensable responsibility of Air Force and Space Force commanders. Execution ofTCCC /\SM training supports one of the Squadron Revitalization Implementation Plan lines of effort, "focus on the mission," and enhances readiness and lethality.

Acting

2 Attachments:

I. DoDI I 322.24, Medical Readiness Trai11i11g, 16 March 2018

2. OAF TCCC ASM Implementation Training Plan

The Department of Air Force Tactical Combat Casualty Care (TCCC) All Service Members (ASM) Implementation Training Plan

1. MILESTONES

This Implementation Training Plan is in response to Department of Defense Instruction (DoDI) 1322.24, Medical Readiness Training, 16 March 2018, which states "the All Service Member TCCC course replaces Service trauma skills currently taught in first aid and self-aid and buddy care courses" (para 1.2.b) and "TCCC training will replace the core trauma skills currently taught in Service specific first aid and self-aid buddy care courses. Military Services may have additional non-trauma medical training requirements" (para 4.1 ). Do DI 1.322.31, Common Militwy Training, 20 February 2020, provides Military Depai1ments the flexibility to determine TCCC ASM training frequency. Assistant Secretary of Defense for Health Affairs (ASD HA) memorandum, Revised Timelinesfor lnstilutiona/izing Tactical Combat Casualty Care, 29 July 2020, granted Military Departments an extension to implement TCCC until 30 June 21.

2. OVERVIEW

DoDI 1322.24, Medical Readiness Training (MRT), mandates the following:

- TCCC training as the DoD standard of care for first responders (non-medical and medical) and replaces Service trauma skills currently taught in Self-Aid Buddy Care (SABC)

- Regular and Reserve Component Ainnen, Guardians, and some DoD Expeditionary Civilians receive role-based specific training via one of the four courses below:

- All Service Members (ASM)

- Combat Lifesaver

- Combat Medic/Corpsmen

- Combat Paramedic/Provider

- Regular and Reserve Component Airmen, Guardians, and some DoD Expeditionary Civilians will complete training within 12 months before deployment

- Services will program, budget, and account for the cost of implementing TCCC training

- Record TCCC certifications (initial and recertification) in DAF designated tracking system

3. TRAlNING CURRICULUM

TCCC ASM and train-the-trainer courses arc available on the Deployed Medicine platform (hltps://www.deplovcdmcdicinc.com/). Mobile applications (iOS, Android) are also available.

The course and performance skills take approximately 4-6 hours to execute:

- IO Terminal Leaming Objectives

- 37 Enabling Leaming Objectives

- 5 Skills assessments

Training will leverage additional duties on USAF MAJCOM and Wings as well as USSF Field Command and Delta/Garrison personnel:

- MAJCOM/Field Command or Wing/Delta/Garrison TCCC Advisors

- TCCC Trainers/Instructors

4. POLICY

AF/SG will revise Air Force instruction (AFI) 36-2644, Se(fAid Buddy Care, 19 August 2014, to incorporate TCCC training once the curricula for all four courses is complete.

S. IMPLEMENTATION PLAN

Frequency:

- Initial certification will occur upon initial entry (BMT, OTS, USAF A, and ROTC).

- All currently serving Regular and Reserve Component Ainnen and Guardians will complete TCCC ASM training certification no later than April 2023, as a one-time requirement.

- When tasked to deploy, all Airmen, Guardians, and DoD Expeditionary Civilians will complete TCCC ASM initial ccriification or recertification within 12 months before deployment.

Training:

There are two options to initiate the TCCC ASM program.

l . Current SABC Instructors will become TCCC ASM Trainers by completing both the online TCCC ASM course and the six (6) train-the-trainer videos available on https://www.dcployedmcdicinc.com.

2. USAF MAJCOMs and USSF Field Commands select, at a maximum, two personnel to attend and complete the Defense Medical Readiness Training Institute (DMRTl) in-resident TCCC ASM Master Trainer course. Master trainers will create USAF Wing and USSF Delta TCCC ASM Trainers.

To sustain a quality TCCC ASM program, Wing/Delta/Garrison/Installation/Host Commanders will appoint, as appropriate, a primary and alternate Wing/Delta/Garrison TCCC Advisor/Instructor. Wing/Delta/Garrison TCCC Advisors/Instructors will conduct TCCC Instructor Courses to train/qualify instructors base-wide.

Reporting: Record certification and recertification in one of the fo11owing: Advanced Distributed Learning Service {ADLS), Air Reserve Component Network (ARCNet), or Medical Readiness Decision Support System (MRDSS).

Sustainment: Sustained training will occur via OAF accessions programs and recertification within 12 months of deployment. The Defense Health Agency (DHA) will update curricula on the Deployed Medicine platfonn.

Impact: Acquisition of training materials and funding is the responsibility of the Wing/Delta/Installation/Host Commander. An additional duty and ancillary training course will be levied on MAJCOM/Field Command and Wing/Delta/Garrison personnel.

6. CONCLUSION

The DAF recognizes balancing risk, cost, and benefit is crucial to being good stewards of the resources at our disposal, to include the valuable time of Airmen and Guardians. To implement the intent of DoDI 1322.24, the risks have been evaluated and accepted. White the effort to reduce requirements is intended to maximize unit effectiveness, intelligent, sensible training remains an indispensable responsibility of Air Force and Space Force commanders.

Commanders have the discretion to train their Airmen and Guardians as they deem necessary when local conditions or mission requirements demand additional or enhanced training.

Execution of the TCCC ASM training supports one of the Squadron Revitalization Implementation Plan lines of effort - focus on the mission - and enhances readiness and lethality.