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Tactical Combat Casualty Care (TCCC or TC3), formerly known as Self Aid Buddy Care, [1] is a set of guidelines for trauma life support in prehospital combat medicine published by the United States Defense Health Agency. They are designed to reduce preventable deaths while maintaining operational success.
Wound, ostomy, and continence nursing is a nursing specialty involved with the treatment of patients with acute and chronic wounds, patients with an ostomy (those who have had some kind of bowel or bladder diversion), and patients with incontinence conditions (those with issues of bladder control, bowel control, and associated skin care).
The tactical field care phase enables the provision of more comprehensive care according to care providers' levels of training, tactical considerations, and available resources. [30] Major tasks that are to be completed in the tactical field care phase include the rapid trauma survey, the triage of all casualties, and the transport decision.
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Open drains are commonly used for superficial wounds and drain into dressings or a stoma bag. Closed drains are tubes or other channel-like structures that are connected to a container, thereby creating a closed system. External drains go from inside the body to outside the body and can be seen, while internal drains are completely inside the body.
The Association for the Advancement of Wound Care (AAWC) is a non-profit organization that takes a multi-disciplinary approach to the care of wounds. Their official journal is the Ostomy Wound Management .
A wound is any disruption of or damage to living tissue, such as skin, mucous membranes, or organs. [1] [2] Wounds can either be the sudden result of direct trauma (mechanical, thermal, chemical), or can develop slowly over time due to underlying disease processes such as diabetes mellitus, venous/arterial insufficiency, or immunologic disease. [3]
Wound bed, wound edge and periwound skin should be examined before the initial treatment plan is devised. It should also be re-assessed at each visit or each dressing change. For wound bed, the following parameters are assessed: Tissue type; presence and percentage of non-viable tissue covering the wound bed; Level of exudate; Presence of infection