As of 15 December 2021, an updated version of the Tactical Combat Casualty Care (TCCC) Guidelines, the standard of care for the modern battlefield, has been released. The guidelines cover: Care Under Fire (CUF), Tactical Field Care (TFC) and Tactical Evacuation Care (TACEVAC).

Updates in the sections Eviscerations and Hypothermia Prevention emphasize the importance of medical personnel having access to a portable and efficient blood and fluid warming device:

“Use a battery-powered warming device to deliver IV resuscitation fluids, in accordance with current CoTCCC guidelines, at flow rate up to 150 ml/min with a 38°C output temperature.” (1)

In addition, updates in the section Fluid Resuscitation means that cold-stored low-titer O Whole Blood now is the number one fluid of choice.

To see all updates and download the full guideline, please click here

What are the TCCC Guidelines?

The TCCC Guidelines are published by The Joint Trauma System (JTS) under the Department of Defense in the United States, that provides clinical practice guidelines and performance improvement for all levels of military trauma care. The Committee on Tactical Combat Casualty Care (CoTCCC) is a committee of representatives from across the US Army that establishes clinical practice guidelines for the delivery of tactical combat casualty care (TCCC) on the battlefield. 

1) TCCC Guidelines 2021, Joint Trauma System, 15 December 2021,


The ˚M Warmer System

The ˚M Warmer is a portable blood and IV fluid warming device optimal for both prehospital and hospital use as it is small, simple to use and has extremely efficient warming capabilities (150 ml/min).