BY ORDER OF THE COMMANDER AIR FORCE …

1 BY ORDER OF THE COMMANDER AIR FORCE SPECIAL OPERATIONS. AIR FORCE SPECIAL OPERATIONS COMMAND PAMPHLET 48-2. COMMAND. 6 AUGUST 2015. Aerospace Medicine tactical combat casualty care . (TCCC) TRAINING PROGRAM. COMPLIANCE WITH THIS PUBLICATION IS MANDATORY. ACCESSIBILITY: Publications and forms are available downloading or ordering on the e-Publishing web site at RELEASABILITY: There are no releasability restrictions on this publication. OPR: AFSOC/SGXT Certified by: HQ AFSOC/SGX. (Major Gabriel Dinofrio). Pages: 16. This pamphlet outlines requirements for Air FORCE Special Operations Command (AFSOC). tactical combat casualty care (TCCC) training and establishes training objectives, implementing AFTTP , USAF Medical Support for Special Operations Forces (SOF), and AFPD 48-1, Aerospace Medicine Enterprise. This pamphlet provides guidance for the command's TCCC program designed for all military (enlisted and officer) personnel and designated civilians.

2 This pamphlet applies to AFSOC operational medical personnel and AFSOC Special Tactics medical and pararescue personnel. AFSOC operational medical personnel are defined as those assigned to AFSOC medical unit type codes (UTCs), as outlined in this pamphlet, paragraph , as well as other specific medical personnel assigned to Special Operations Forces (SOF) line units and Air FORCE Special Operations Air Warfare Center (AFSOAWC), to include AFSOC-gained Air National Guard (ANG) and Air FORCE Reserve Command (AFRC) units. All records created as a result of processes prescribed in this publication are to be maintained in accordance with Air FORCE Manual (AFMAN) 33-363, Management of Records, and disposed of in accordance with the Air FORCE Records Information Management System (AFRIMS) Records Disposition Schedule (RDS). Refer recommended changes and questions regarding this publication to the Office of Primary Responsibility (OPR).

3 Using AF Form 847, Recommendation for Change of Publication, and route AF Form 847s from the field through the appropriate functional chain of command. 2 AFSOCPAM48-2 6 AUGUST 2015. 1. 1. Objectives. Training Objectives. One of United States Special Operations Command's (USSOCOM) priorities is eliminating preventable loss of life on the battlefield. National Association of Emergency Medical Technicians (NAEMT) tactical combat casualty care (TCCC) guidelines were developed to ensure Special Operations Forces (SOF) units suffering casualties on the battlefield are able to respond with actions that provide the best possible medical care and tactics consistent with the battlefield environment. TCCC. provides evidence-based advances in pre-hospital medicine to preserve life, limb, and eyesight in a deployed environment or during contingency operations. Note: IAW AFI. 36-2644, Self-Aid and Buddy care Training, 19 Aug 14, paragraph , states that the AFSOC TCCC training course fulfills both TCCC and SABCCBT/Skills.

4 Responsibilities. Headquarters Air FORCE Special Operations Command (HQ AFSOC). AFSOC/SG. Establishes, reviews, and approves AFSOC's TCCC policy and objectives for all AFSOC units. AFSOC/SGX. Provides professional and technical guidance on AFSOC TCCC. programs and approves implementation of programs and distribution of products based on current TCCC guidelines. Assists with the development of objectives, course curriculum, and lesson plans as directed by AFSOC/SG. Appoints AFSOC TCCC advisor for training and administrative management. Certifies AFSOC TCCC instructors. AFSOC TCCC Advisor. TCCC advisor will ensure personnel use the approved AFSOC TCCC. training course (NAEMT/AF SABC components) throughout the command. Provide consultation and coordination for base/geographically- separated unit (GSU) level TCCC Advisors. Maintain roster of AFSOC/SG approved TCCC instructors and monitors. Maintain roster of all personnel who have successfully completed TCCC.

5 Develop objectives, course curriculum, and lesson plans as directed by AFSOC/SG and ensures dissemination to the unit levels. Base/ Geographically-Separated Unit (GSU)/Unit-Level Responsibilities. Base/GSU (Group). Base/GSU Commanders with a required TCCC program (IAW. United States Special Operations Command (USSOCOM) message DTG: AFSOCPAM48-2 6 AUGUST 2015 3. 222016Z Mar 05; Requires the completion of tactical combat casualty care within 6 months of deployment), will ensure sufficient training materials are present to conduct required TCCC training. AFRC and ANG units retain responsibility for their personnel even when co-located with active duty units. AFRC and/or ANG units may attend and/or consolidate TCCC training with other (AF, AFRC and/or ANG). units for program efficiency. Consolidated training programs should be clearly defined in an agreement outlining each unit's TCCC training program roles and responsibilities.

6 Must appoint a primary and alternate Wing TCCC Advisor to manage the TCCC program. Wing CCs may delegate appointing authority to other wing staff. For installations with more than one wing, the host wing may provide a centralized installation Wing TCCC Advisor position. Other tenant/co-located wings then appoint Unit TCCC Monitor(s) to support the host installation's Wing TCCC Advisor. A centralized installation advisor position with supporting monitors creates a streamlined structure for program execution and/or inspection. Unit Commanders. Unit Commanders with a required TCCC program (IAW. USSOCOM message DTG: 222016Z Mar 05; Requires the completion of tactical combat casualty care within 6 months of deployment), will ensure sufficient training materials are present to conduct required TCCC training. Ensures personnel requiring TCCC training receive training and maintain their certification. Unit commanders will appoint a unit TCCC monitor to manage the unit's TCCC program.

7 Appoints unit TCCC instructors. Unit TCCC Monitors. Monitor must be certified to teach TCCC. Conduct evaluations on unit TCCC instructors every 24 months for proficiency. Forward copy of monitor and instructor appointment letters to AFSOC TCCC advisor. Assist commanders with selection of unit personnel for TCCC. instructor training courses. Selection of instructors will consider the need for flexibility in training schedules and continuity when instructors leave the unit. Report quarterly statistical data to AFSOC TCCC Advisor. Reports must include but are not limited to student names, unit, date of course completion, and percentage of unit trained. Maintain TCCC instructor folders which include TCCC instructor 4 AFSOCPAM48-2 6 AUGUST 2015. certification, class rosters and instructor evaluations. Monitors will perform yearly self inspections on programs and forward results to AFSOC TCCC Advisor. TCCC Instructors.

8 Successfully complete the TCCC instructor course. Provide TCCC training. Adhere to all TCCC directives and ensure pre and post tests are accomplished. Report individuals who successfully complete TCCC initial/refresher training to the unit TCCC monitor. Instructor to student ratio will not exceed 1 instructor to every 5. students (1:5). Requirements. Personnel Who Receive TCCC Training. TCCC training will include all current updates and guidelines that can be found at: (AFSOC/SG share-point). All members fulfilling SOCOM taskings must complete appropriate level as outlined in Attachment 2 as directed in SOCOM message, dated 222016Z Mar 05, tactical combat casualty care Training and Equipment. All high risk personnel whose duties involve working outside of the wire such as; but not limited to: aircrew, security forces, special tactics, and medical personnel in line units are required to receive TCCC training at no less than the combat Life Saver (CLS) level as outlined in Attachment 4.

9 All AFSOC 4N0X1Cs and 1T2X1s require training at no less than medic/pararescue (PJ) level as outlined in Attachment 4. Other personnel identified by the unit COMMANDER . Training Programs. Initial Training. Initial TCCC training will remain current for 24 months. Training for non-medical personnel and medical providers not in direct patient care must consist of a minimum of four hours of didactics and four hours of hands on training. Training for medical personnel that provide direct patient care must comprise five hours of didactics and three hours of hands on. Hands on training will cover the specific course level skills as outlined in Attachment 4, TCCC Skills List. Since TCCC regularly updates practices and procedures, please refer to the most current training found at AFSOCPAM48-2 6 AUGUST 2015 5. (AFSOC/SG. share-point SABC/TCCC Tab/Shared documents/04_Naemt TCCC folder). Refresher Training. Refresher training consists of completion of minimum of a two day, eight hour TCCC course that covers the major skills listed in Attachment 4 and the additional Self-Aid Buddy care (SABC) items covered in the AFSOC TCCC slides (environmental emergencies, traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).)

10 Initial is good for four years. Refresher training will be completed every two years after initial four years certification or as USSOCOM Directive 350- 29, Training, and states (Attachment 2), within 60days of a USSOCOM overseas deployment. Training Materials. Only use approved HQ AFSOC/SG lesson plans. Approved lesson plans can be found at (AFSOC/SG. share-point SABC/TCCC Tab/Shared documents/04_Naemt TCCC folder). Instructor Training. TCCC instructors must: Be a minimum of an EMT-B or higher IAW NAEMT guidelines (IDMT, 5/7 level Aerospace Medical Service technician, Emergency Medical Technician, Physician, Physician Assistant, PJ, Nurse, Medical Instructors), and successfully complete the NAEMT TCCC Instructor course or IAW USSOCOM. Directive 350-29 being a current ATP card holder. Students demonstrating TCCC. instructor potential during course should be identified and recommended as potential TCCC instructors at the unit level.