The Tactical Combat Casualty Care (TCCC) Guidelines for medical personnel are the standard of medical care for the modern battlefield. Here are the current TCCC Guidelines updated in Nov 5, 2020 by The Joint Trauma System (JTS) and The Committee on Tactical Combat Casualty Care (CoTCCC) .

Recent changes include tranexamic acid administration, prevention of trauma induced hypothermia, fluid resuscitation, analgesia, abdominal evisceration, and separation of the TACEVAC guidelines.

In Section 7, Hypothermia Prevention is elaborated, including the use of a battery-powered warming device to deliver IV resuscitation fluids at flow rate up to 150 ml/min with a 38°C output temperature.

Please find the full guideline here.

RED text indicates new text in this year’s update to the TCCC Guidelines; BLUE text indicates text that did not change but was relocated within the guidelines.


The Joint Trauma System (JTS) is focused on the standard of care for prehospital battlefield medicine. The JTS is a Department of Defense, Center of Excellence for Trauma providing 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 Army. Navy, Air Force and Marines positioned under the JTS that establishes clinical practice guidelines for the delivery of tactical combat casualty care (TCCC) on the battlefield.



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).