DD Form 1380 Tactical Combat Casualty Care (Tccc) Card

DD Form 1380 or the "Tactical Combat Casualty Care (tccc) Card" is a form issued by the U.S. Department of Defense.

A PDF of the latest DD Form 1380 can be downloaded below or found on the U.S. Department of Defense Forms and Publications website.

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EVAC CATEGORY: ______________________ BATTLE ROSTER #
BATTLE ROSTER #: ____________
T
A
C
T
I
C
A
L
C
O
M
B
A
T
C
A
S
U
A
L
T
Y
C
A
R
E
(
T
C
C
C
C
)
C
A
R
D
T
A
C
T
I
C
A
L
C
O
M
B
A
T
C
A
S
U
A
L
T
Y
C
A
R
E
(
T
C
C
C
C
)
C
A
R
D
_________________________
___________
NAME
:
LAST 4:
LAST 4:
(Last, First)
_____________________________
DATE
TIME: ________________
________________
(DD-MMM-YY):
U
_________________________________ A
_______________
_______________
NIT:
LLERGIES:
M
M
e
c
h
a
n
i
s
m
o
f
I
n
j
u
r
y :
e
c
h
a
n
i
s
m
o
f
I
n
j
u
r
y
(X all that apply)
Artillery
Burn
Fall
Grenade
GSW
GSW
IED
Landmine
MVC
RPG
Other: _____________________
_____________________
I
I
n
j
u
r
y :
n
j
u
r
y
(Mark injuries with an X)
TQ: R Arm
TQ: L Arm
T
: ________
T
: ________
YPE
YPE
T
: ________
T
: ________
IME
IME
TQ: R Leg
TQ: L Leg
T
: ________
T
: ________
YPE
YPE
T
: ________
T
: ________
IME
IME
S
S
i
g
n
s
&
S
y
m
p
t
o
m
s :
i
g
n
s
&
S
y
m
p
t
o
m
s
(Fill in the blank)
Time
Pulse
(Rate & Location)
Blood Pressure
Respiratory Rate
Pulse Ox % O2 Sat
AVPU
Pain Scale
(0-10)
DD FORM (NUM), (DATE)
DD FORM (NUM), (DATE)
Page 1 of 2
EVAC CATEGORY: ______________________ BATTLE ROSTER #
BATTLE ROSTER #: ____________
T
A
C
T
I
C
A
L
C
O
M
B
A
T
C
A
S
U
A
L
T
Y
C
A
R
E
(
T
C
C
C
C
)
C
A
R
D
T
A
C
T
I
C
A
L
C
O
M
B
A
T
C
A
S
U
A
L
T
Y
C
A
R
E
(
T
C
C
C
C
)
C
A
R
D
_________________________
___________
NAME
:
LAST 4:
LAST 4:
(Last, First)
_____________________________
DATE
TIME: ________________
________________
(DD-MMM-YY):
U
_________________________________ A
_______________
_______________
NIT:
LLERGIES:
M
M
e
c
h
a
n
i
s
m
o
f
I
n
j
u
r
y :
e
c
h
a
n
i
s
m
o
f
I
n
j
u
r
y
(X all that apply)
Artillery
Burn
Fall
Grenade
GSW
GSW
IED
Landmine
MVC
RPG
Other: _____________________
_____________________
I
I
n
j
u
r
y :
n
j
u
r
y
(Mark injuries with an X)
TQ: R Arm
TQ: L Arm
T
: ________
T
: ________
YPE
YPE
T
: ________
T
: ________
IME
IME
TQ: R Leg
TQ: L Leg
T
: ________
T
: ________
YPE
YPE
T
: ________
T
: ________
IME
IME
S
S
i
g
n
s
&
S
y
m
p
t
o
m
s :
i
g
n
s
&
S
y
m
p
t
o
m
s
(Fill in the blank)
Time
Pulse
(Rate & Location)
Blood Pressure
Respiratory Rate
Pulse Ox % O2 Sat
AVPU
Pain Scale
(0-10)
DD FORM (NUM), (DATE)
DD FORM (NUM), (DATE)
Page 1 of 2
EVAC CATEGORY: ______________________ BATTLE ROSTER #: ____________
T
T
r
e
a
t
m
e
n
t
s :
r
e
a
t
m
e
n
t
s
(X all that apply, and fill in the blank)
C:
Extremity-TQ
Junctional-TQ
Pressure-Dressing
Hemostatic-Dressing
_______________________________
Type:
A:
Intact
NPA
CRIC
ET-Tube
SGA
__________
Type:
B:
O2
Needle-D
Chest-Tube
Chest-Seal
_________
Type:
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
:
N
O
T
E
S
_________________________________________________
O
T
E
S
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
F
R
IRST
ESPONDER
N
: ____________________________ L
4: ________
AME
AST
(Last, First)
DD FORM (NUM), (DATE)
Page 2 of 2

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