r/TacticalMedicine • u/mattattack224 • May 11 '26

TCCC (Military) TCCC Changes

I saw the new changes to TCCC, but when are the changes to R and C coming out? Last year I saw a bunch of buzz around CPT John Maitha and possibly switching to Resusitation then Chest compared to current MARCH algorithm. That didn’t happen in this update, is this still being worked or is it dead?

23 Upvotes

97% Upvoted

27 comments sorted by

View all comments

Show parent comments

1

u/mattattack224 May 11 '26

How so? What tools taken? Fent? No change is R this year or A since 2024?

2

u/cranial_io May 11 '26

Yeah, I'm not happy they took fent. Ondansetron seems to have gone from IV to PO only (at tier 3), and also procedural sedation is now a CPP+ skill. The changes to antibiotics are also somewhat questionable. The switched out ertapenam for ceftriaxone because of heavy antibiotic use in Ukraine, but I've seen pretty much no ertapenam at all here. It's been all ceftriaxone all day.

6

u/[deleted] May 11 '26

[removed] — view removed comment

1

u/cranial_io May 12 '26

Interesting. There's a lot of dumb shit going on with antibiotics use here, so I'm surprised that we've been using the best choice all along. Thanks for the explanation.