Sample DD Form 1380 Tactical Combat Casualty Care (Tccc) Card

DD Form 1380 is a U.S. Department of Defense form also known as the "Tactical Combat Casualty Care (tccc) Card". The latest edition of the form was released in June 1, 2014 and is available for digital filing.

Download an up-to-date DD Form 1380 in PDF-format down below or look it up on the U.S. Department of Defense Forms website.

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TACTICAL COMBAT CASUALTY CARE (TCCC) CARD
BATTLE ROSTER #:
EVAC:
Urgent
Priority
Routine
NAME
LAST 4:
:
(Last, First)
DATE
TIME:
GENDER:
M
F
:
(DD-MMM-YY)
SERVICE:
UNIT:
ALLERGIES:
M
echanism of Injury:
(X all that apply)
Artillery
Blunt
Burn
Fall
Grenade
GSW
IED
Landmine
MVC
RPG
Other:
I
njury:
(Mark injuries with an X)
TQ: L Arm
TQ: R Arm
T
YPE:
T
IME:
T
IME:
TQ: L Leg
TQ: R Leg
T
YPE:
T
IME:
S
igns & Symptoms:
(Fill in the blank)
Time
Pulse
(Rate & Location)
Blood Pressure
/
/
/
/
Respiratory Rate
Pulse Ox % O2 Sat
AVPU
Pain Scale
(0-10)
DD Form 1380, JUN 2014
TCCC CARD
TACTICAL COMBAT CASUALTY CARE (TCCC) CARD
BATTLE ROSTER #:
EVAC:
Urgent
Priority
Routine
NAME
LAST 4:
:
(Last, First)
DATE
TIME:
GENDER:
M
F
:
(DD-MMM-YY)
SERVICE:
UNIT:
ALLERGIES:
M
echanism of Injury:
(X all that apply)
Artillery
Blunt
Burn
Fall
Grenade
GSW
IED
Landmine
MVC
RPG
Other:
I
njury:
(Mark injuries with an X)
TQ: L Arm
TQ: R Arm
T
YPE:
T
IME:
T
IME:
TQ: L Leg
TQ: R Leg
T
YPE:
T
IME:
S
igns & Symptoms:
(Fill in the blank)
Time
Pulse
(Rate & Location)
Blood Pressure
/
/
/
/
Respiratory Rate
Pulse Ox % O2 Sat
AVPU
Pain Scale
(0-10)
DD Form 1380, JUN 2014
TCCC CARD
BATTLE ROSTER #:
EVAC:
Urgent
Priority
Routine
T
Type
reatments:
(X all that apply, and fill in the blank)
C:
TQ-
Extremity
Junctional
Truncal
Dressing-
Hemostatic
Pressure
Other
A:
Intact
NPA
CRIC
ET-Tube
SGA
B:
O2
Needle-D
Chest-Tube
Chest-Seal
C:
Name
Volume
Route
Time
Fluid
Blood
Product
MEDS:
Name
Dose
Route
Time
Analgesic
(e.g., Ketamine,
Fentanyl,
Morphine)
Antibiotic
(e.g., Moxifloxacin,
Ertapenem)
Other
(e.g., TXA)
OTHER:
Combat-Pill-Pack
Eye-Shield
R
L)
Splint
(
Hypothermia-Prevention
Type:
N
OTES:
F
R
IRST
ESPONDER
N
L
4
AME
:
AST
:
(Last, First)
DD Form 1380, JUN 2014 (Back)
TCCC CARD

Download Sample DD Form 1380 Tactical Combat Casualty Care (Tccc) Card

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