Tactical Combat Casualty Care Handbook - Version 5 Produced by the Center For Army Lessons Learned (CALL). Includes 15 December 2021 UPDATE Tactical Combat Casualty Care (TCCC) Guidelines for Medical Personnel (2021 Update starts on Page 125) SUMMARY OF 2021 CHANGES: 3. Massive Hemorrhage b. “CoTCCC - Recommended” is removed from junctional tourniquets. No specific products are recommended by the CoTCCC. End users should select any FDA approved device that is indicated for junctional hemorrhage control. 4. Airway Management d. Removes Cric-Key technique as preferred option for surgical cricothyroidotomy and remove “least desirable option” from the standard open surgical technique. Units and end users should use the technique they are best trained to execute. Airway Notes: Removes iGel as the preferred extraglottic airway. Units may still use iGel if mission are at high elevation or evacuation is at high altitudes. 6. Analgesia – adjust Ketamine IV/IO dosing to 20-30 mg (or 0.2 – 0.3 mg/kg) 12. Inspect and dress known wounds b. Adds the preference of cleaning abdominal evisceration with clean and warm water if possible; clarifies guidance on conditions to attempt reduction of abdominal contents; that patient should remain NPO and NOT be administered oral medicals (Combat Wound Medication pack) and removes prolonged care considerations (now covered in separate PCC guidelines). Why buy a book you can download? We print the book so you don’t have to. We print this FULL SIZE 8 1/2 by 11 inches and enlarged the photographs and diagrams. We also include a Table of Contents on the back cover for quick reference.