Committee for Tactical Emergency Casualty Care Updates Guidelines for 2024

EuroMedics alerted us that the Committee for Tactical Emergency Casualty Care issued updated protocols for BLS/ALS Clinicians in late November.

While there are numerous updates to the TECC guidelines, these standout.

MASSIVE BLEEDING

The section on hemorrhage control includes the direction to covert or relocate the TQ within 2 hours of application, which is consistent with current CoTCCC recommendations. The guidelines do not mention a time where conversion is no longer recommended.

AIRWAY MANAGEMENT

Here identified the most prominent choices that diverge from the TCCC guidelines. Apart from recommending the SGA as a viable option for Warm Zone Care, the guidelines also recommend oro- and nasotracheal intubation, which is an interesting choice.

MEDICATIONS

Another interesting aspect is the selection of NSAIDs, namely Celecoxib, which has a more GI-protective profile as well as a more pronounced COX-2 preference than Meloxicam which is recommended in the TCCC guidelines.

Also intersting is the lack of recommendations on antibiotic choices, whereas the TCCC guidelines recommend 2 options for POI antibiosis.

There are numerous orher changes in the guidelines so we encourage you to have look and familiarize yourself with them!

There are a lot of links to older versions out there but here are the latest guidelines as of this publication.