Circulation Management Essentials in TCCC – Tier 1 – You are in a SAFE and SECURE location – The primary learning objective is to describe, review, and practice the Circulation phase of care in the M A R C H algorithm: evaluating the patient’s heart rate (basic vital sign) and assessing for evidence of shock. Subsequent scenarios will allow you to practice evaluating patients for shock. The estimated time to complete this scenario is 8 minutes. This is your first time taking care of this casualty. The casualty was near a drone explosion that occurred 10 minutes ago. The massive hemorrhage, airway, and respiratory phases of care have been completed, and the patient has no massive bleeding, airway obstruction, or respiratory injuries. You already have personal protective equipment (gloves) on. No other interventions have been performed. This scenario occurs in the Tactical Field Care Phase and covers the MAR[C]H portion(s) of care. Equipment Available: Individualized First Aid Kit (IFAK) U.S Version (x2). Evacuation/Disposition is possible through the tablet. Selecting the patient’s disposition will end the exercise. (This is Scenario 018).
Dynamic Physiology Disclaimer:
To obtain the most accurate and effective training experience, we recommend completing each scenario in one uninterrupted session. The virtual patients used in this training are powered by highly realistic physiological models that continuously adjust vital signs and overall condition. The scenarios have been modified to give you time to review instructional materials, and you will not lose points for delays in scenarios with instructional content. However, it is still possible that, depending on your completion pace, the scenario may not progress in perfect alignment with the guided prompts, and for critically injured patients, even moderate delays may result in deterioration or death before the scenario concludes. This is not meant to indicate you did not perform well; rather, it is because of how the high-fidelity engine performs.
Ongoing Development Disclaimer: In this package wording has not been updated to reflect new functionality to time and date tourniquets or for the non-adhesive burn bandage functionality. Additionally, it is possible other small updates or changes are not reflected in the wording. All grading is set to the current standard described in this package.