DD Form 1380 Tactical Combat Casualty Care (Tccc) Card

What Is DD Form 1380?

DD Form 1380, Tactical Combat Casualty Care (TCCC) Card is a document used to record basic patient identification information and to outline the problem that needs medical assistance and care provided. The latest version of the form was issued by the Department of Defense (DoD) in June 2014 with all previous editions obsolete. The original DoD-issued form has a SAMPLE watermark across both pages.

A generic printable DD Form 1380 is available for download below.

The TCCC card is often confused with the DA Form 1380, Record of Individual Performance of Reserve Duty Training. This form is an integral part of first aid kits, and tactical evacuation personnel along with combat medics are required to carry multiple blank versions of the document. The field medical card records pre-medical treatment facility care in case of both battle and non-battle injuries. Most commonly it is focused on injuries and threats encountered in combat and on a limited range of interventions directed at the most urgent and serious of these injuries.

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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

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

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DD Form 1380 Instructions

In combat or training all personnel, not only soldiers and combat medics, are in danger of becoming casualties and of being first responders. Almost all combat fatalities occur before the casualty is able to reach a medical treatment facility, so performing trauma care and recording it properly has saved hundreds of lives. Documentation of medical interventions at the point of injury is crucial to ensuring continuity of medical care and providing meaningful data of medical techniques, tactics, and procedures applied. It is paramount to optimize trauma care delivery and its documentation to save lives on and off the battlefield.

The DoD provides official instructions explaining how to fill out DD Form 1380. Filing procedures are as follows:

  1. Choose the casualty's evacuation precedence/priority (urgent - within 2 hours, priority - within 4 hours, or routine - within 24 hours);
  2. State the battle roster number using the first letters of the casualty's first and last name, and the last four numbers of the Social Security Number (SSN). For example, John Winston 123-45-7891 is battle roster number «JW7891»;
  3. Write down the casualty's full name, last four digits of the SSN, the date and time of injury, the unit name and casualty's known drug allergies;
  4. Select the mechanism of injury - choose all causes that apply;
  5. Mark an «X» to show the location of the injury on the body picture. If tourniquets are applied to arms and legs, write the type of the tourniquet used and the time of its application;
  6. Record vital signs and symptoms. Provide information on the pulse rate and location, blood pressure, respiratory rate, oxygen saturation, the level of consciousness, and the level of pain;
  7. State the type of treatment that applies. «A» means Airway interventions, «B» describes Breathing interventions, and «C» stands for Circulation hemorrhage control interventions;
  8. Write down the name, the volume, the route, and the time of any fluids or blood products are given;
  9. Describe any analgesics, antibiotics, and other medications used;
  10. Use free space to mention any other pertinent information or to clarify statements;
  11. Write down the first responder name in print and state last four digits of the first responder's SSN;
  12. All the items on the DD 1380 must be filled out clearly, using a marker or non-smearing pen.
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