Tactical Combat Casualty Care

I have a valid excuse for not updating this Monday! I got (unexpectedly) enrolled in TCCC, which is apparently a mandatory class that all corpsmen have to take every three years. It’s basically FMTB (Field Medical Training Battalion, which is where corpsmen get sent to learn how to be Marines) Lite, cramming the months of training received at FMTB into one week, and it was more fun than I’ve had at work in a long, long time. We did three days of class room instruction, broken up with labs and practical applications (or prac apps), then took a written test and prepped for the FINEX (final exam). The didactic portion covered the basics of care under fire, tactical field care, and tactical evacuation care, while the prac apps were more “how to carry a Marine without hurting yourself or them” and how to run a rugged field IV. When the test-out day rolled around, I was slated to be one of the casualties. I spent three and a half hours being tourniquetted, soaked in fake blood, and man-handled before it was finally my turn to be the corpsman. We geared up – flak, Kevlar, “rifles” (duct taped and spray painted super soakers), and med bags – did a light PT, and then approached the kill house. We charged into the tunnel, dropped knees, and returned fire while having fake blood rained down on us from above to the tune of machine gun and AK fire and one of our HM2s yelling abuse at us. We then moved into the kill house, kicked doors in, and located our casualties. My patient was “unconscious,” so I dropped a tourniquet on her and grabbed her in a Hawes (or backpack) carry and charged out of the room and down the hall to adequate “cover and concealment.” From there, I did my full tactical field care trauma assessment, then hauled her outside and recited my 9Line, proving that I knew how to call for a tactical evacuation, should the situation arise.

My proctor, one of my favorite HM2s in the hospital, told me that I scored on the slow side of instructor times, and that he’d been particularly impressed with how quickly I’d secured my casualty’s airway. My absolute favorite HM2 in the hospital and former mentor had been shouting abuse at me during the entirety of my run-through, and he made a point of finding me outside after I was done and apologizing, hugging me, and telling me that he loved my face even if he’d been mean to me. To be perfectly honest, I don’t really remember half of what was said during my FINEX. All I really remember was that he did, at one point, yell at me for a mistake I’d made and follow it up with “oh, fuck, I forgot how to corpsman!” which I really found more humorous than anything else.

The class was amazing, and I almost didn’t want this week to end. But, unfortunately, woven in with the awesomeness that was TCCC, there was a lot of shitty stuff that went down, too. I failed my weigh-in for the PRT by a half inch, screwed up in my college class and lost a bunch of credit/got a few failing grades because I forgot about deadlines, and found out that my old clinic is trying to get my back from my current clinic, which is really not cool.

I actually took a minute out of my morning to talk to my therapist about it, because when I worked in my old clinic, I cried in the bathroom at work literally every single day and was depressed with suicidal ideation almost all the time. If my officers can’t succeed in keeping me in my current clinic, my therapist and my psychiatrist can weigh in and warn them about the potential dangers to my mental health, should I be forced to return to work in my old clinic. Hopefully all of this will work out, but it’s difficult to be optimistic when my old ALPO is already talking about it like it’s a done deal.

Not to mention that fact that I – still worn out from the FINEX, mind you – am on duty today, so I’m extra tired and oh-so-salty right now. I have a normal workday that I have to struggle through, and then I have over a week’s worth of homework to do, not to mention trying to bullshit my way through a 5-7 page paper, plus I need to find time to squeeze in a fam run, since that’s apparently something I have to do every single duty day now, which isn’t inconvenient or annoying at all, she said sarcastically. All this and the only thing I WANT to do is go home, crawl in bed, and stay there until Monday. Sigh.


Well, until next time, stay frosty, nerds!


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