DA Form 7595-5-2 "Initiate a Tactical Combat Casualty Care Card"

What Is DA Form 7595-5-2?

This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2014. The form, often mistakenly referred to as the DD Form 7595-5-2, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 7595-5-2 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

ADVERTISEMENT
ADVERTISEMENT

Download DA Form 7595-5-2 "Initiate a Tactical Combat Casualty Care Card"

985 times
Rate (4.5 / 5) 149 votes
INITIATE A TACTICAL COMBAT CASUALTY CARE CARD
For use of this form see TC 8-800; the proponent agency is TRADOC.
TABLE:
V
STP 8-68W13-SM-TG, Task: 081-833-0001, Initiate a Tactical Combat
REFERENCE:
Casualty Care Card
PRIVACY ACT STATEMENT
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and
AUTHORITY:
S
Development.
PRINCIPAL PURPOSE:
To ensure that accomplishment of training is properly credited to the correct individual for NREMT
certification IAW AR 40-68, AR 220-1 and AR 350-1.
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of
ROUTINE USES:
the Army's compilation of system of records notices may apply to this system.
DISCLOSURE:
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error
in processing applicable favorable personnel actions. For Official Use Only.
1. Soldier (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
While responding to an emergency call, you encounter PFC James Fitzgerald, 888-54-6879, an alert 22 year old male relating a chief complaint of
external bleeding from a gunshot wound to the right thigh. He says that he is in the Infantry, MOS 11B, with no religious preference, and was in a
firefight. When the firefight was over, he noticed his leg was bleeding. His airway is open; his respirations are 20 and strong. He has a radial pulse of
110, and his blood pressure is 130 over 86. You have applied a field dressing to the wound to control the bleeding; no medication was given. Using DD
Form 1380 [Tactical Combat Casualty Care (TCCC) Card], record the appropriate information.
GRADING SHEET
TASK
COMPLETED
1ST
2ND
3RD
3. Performance Measures
P
F
P
F
P
F
a. Removed the Tactical Combat Casualty Care (TC3) card from the patient's individual first aid kit.
b. Completed all areas on the card.
c. Attached the TC3 card to the patient's belt loop or inserted it in a cargo pocket.
d. Did not attach the TC3 card to the patient's body armor.
4. Demonstrated Proficiency
Yes
No
5. Start Time
6. Stop Time
7. Initial Evaluator
8. Start Time
9. Stop Time
10. Retest Evaluator
12. Stop Time
13. Final Evaluator
11. Start Time
14. Evaluator's Comments
This form was prepared by U.S. Government employees for use in the 68W MOS. Although it contains, in part, copyrighted material from National
Registry of Emergency Medical Technicians, Inc. (NREMT), skill sheets ©2011, this form has neither been prepared nor approved by NREMT.
Use is restricted to guidelines contained in the Preface to TC 8-800.
DA FORM 7595-5-2, MAR 2014
APD LC v1.01
INITIATE A TACTICAL COMBAT CASUALTY CARE CARD
For use of this form see TC 8-800; the proponent agency is TRADOC.
TABLE:
V
STP 8-68W13-SM-TG, Task: 081-833-0001, Initiate a Tactical Combat
REFERENCE:
Casualty Care Card
PRIVACY ACT STATEMENT
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and
AUTHORITY:
S
Development.
PRINCIPAL PURPOSE:
To ensure that accomplishment of training is properly credited to the correct individual for NREMT
certification IAW AR 40-68, AR 220-1 and AR 350-1.
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of
ROUTINE USES:
the Army's compilation of system of records notices may apply to this system.
DISCLOSURE:
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error
in processing applicable favorable personnel actions. For Official Use Only.
1. Soldier (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
While responding to an emergency call, you encounter PFC James Fitzgerald, 888-54-6879, an alert 22 year old male relating a chief complaint of
external bleeding from a gunshot wound to the right thigh. He says that he is in the Infantry, MOS 11B, with no religious preference, and was in a
firefight. When the firefight was over, he noticed his leg was bleeding. His airway is open; his respirations are 20 and strong. He has a radial pulse of
110, and his blood pressure is 130 over 86. You have applied a field dressing to the wound to control the bleeding; no medication was given. Using DD
Form 1380 [Tactical Combat Casualty Care (TCCC) Card], record the appropriate information.
GRADING SHEET
TASK
COMPLETED
1ST
2ND
3RD
3. Performance Measures
P
F
P
F
P
F
a. Removed the Tactical Combat Casualty Care (TC3) card from the patient's individual first aid kit.
b. Completed all areas on the card.
c. Attached the TC3 card to the patient's belt loop or inserted it in a cargo pocket.
d. Did not attach the TC3 card to the patient's body armor.
4. Demonstrated Proficiency
Yes
No
5. Start Time
6. Stop Time
7. Initial Evaluator
8. Start Time
9. Stop Time
10. Retest Evaluator
12. Stop Time
13. Final Evaluator
11. Start Time
14. Evaluator's Comments
This form was prepared by U.S. Government employees for use in the 68W MOS. Although it contains, in part, copyrighted material from National
Registry of Emergency Medical Technicians, Inc. (NREMT), skill sheets ©2011, this form has neither been prepared nor approved by NREMT.
Use is restricted to guidelines contained in the Preface to TC 8-800.
DA FORM 7595-5-2, MAR 2014
APD LC v1.01