Abstract

GONZALEZ-REYES, J. Disputed legal issues about the techniques of the «Tactical Combat Casualty Care» in current spanish legislation. Sanid. Mil. [online]. 2021, vol.77, n.1, pp.35-39.  Epub June 07, 2021. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712021000100006.

The new TCCC concept («Tactical Combat Casualty Care») has revolutionized the pre-hospital tactical environment, exponentially improving the survival chances of the casualty in combat. Such understanding in the care of war trauma has led to the definitive acceptance of the priority and preferential use of tourniquets for the extremities and trunks, the application of hemostatic products capable of coercing massive hemorrhages, and different recommendations and improvements in pre-hospital health care updated with the best scientific evidence available and adapted to the environment, mission and circumstances in which care is provided in the tactical environment.

The adaptation of the military trained in said TCCC environment to the legal system is not exempt from certain complexity with respect to some issues such as legitimation and performance techniques that they can carry out because they are areas, traditionally, reserved for medical personnel, especially in relation to to invasive techniques such as peripheral access cannulation (IV / IO), cricothyroid puncture or direct administration of medication.

Keywords : TCCC; sanitary intrusion; exempt; state of need justification.

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