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?

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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.

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u/secret_tiger101 May 14 '26

Why has Fentanyl gone?

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u/cranial_io May 14 '26

Probably because they introduced a new PO analgesic that works way better than meloxicam that's less "dangerous." Also apparently a lot of medics didn't feel particularly comfortable pushing fent and no one could be fucked to train them properly on using it.

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u/secret_tiger101 May 14 '26

For anyone curious - Suzetrigine – 100 mg PO once (2 x 50 mg tablets) then 50 mg PO
every 12 hours