Documents
Forms & After Action Report Submission
Note: Some of the fillable forms below may need to be downloaded first in order to work properly.
COVID-19
Tactical Combat Casualty Care (TCCC) Forms
Tactical Evacuation (TACEVAC)
- TACEVAC AAR & PCR
- TACEVAC AAR & PCR Instructions
- Complete the MERCuRY worksheet in conjunction with the DA 4700 before submitting to the Joint Trauma System.
Military Enroute Care Registry (MERCuRY) Performance Improvement Worksheet
Resuscitation Forms
- Resuscitation Record Form
- Resuscitation Record Form Instructions
- Mass Casualty (MASCAL)/Austere Team Resuscitation Record
- Mass Casualty (MASCAL)/Austere Team Resuscitation Record Instructions
Performance Improvement
CENTCOM Vampire
- Urgent Resuscitation Using Blood Products During Tactical Evacuation from Point of Injury
- Urgent Resuscitation Using Blood Products During Tactical Evac - Appendix A
- Appendices B to G
- A ETP to Recondition Blood Product Storage Containers for TACEVAC - Appendix A
- A ETP to Recondition Blood Product Storage Containers for TACEVAC - Appendix B and C
Whole Blood Transfusion
- 145 Infectious Disease Testing for Blood Donation
- 147 Eldon Card ABO/Rh Typing Record
- 148 Pre-screen Whole Blood Sample Shipping Manifest
- 150A Emergency Release Letter of Understanding (tested)
- 150B Emergency Release Letter of Understanding (untested)
- 151 Whole Blood Transfusion Checklist
- 518 Blood or Blood Component Transfusion Record ASBP
- 572 Emergency Whole Blood Donation Record
- AABB Medications Deferral List
- DHQ Medication Deferral List
CPG Forms
AAR Submission
E-mail TCCC/POI AARE-mail TACEVAC AAR & PCR
Secure E-mails via: usarmy.jbsa.medcom.list.joint-trauma-system-prehospital@mail.smil.mil
Training Use Only
Performance Improvement TCCCData Worksheet Training
Training TCCC AAR Form
Submit training forms here:
dha.jbsa.healthcare-ops.list.jts-training@health.mil
dha.jbsa.healthcare-ops.list.jts-training@health.mil
Burn CPG
- JTS Burn Resuscitation Worksheet
- JTS Burn Resuscitation Flow Chart
- Lund Browder Burn Estimate Diagram - Adult & Pediatric
- Infant Burn Estimate - Diagram
- Physician's Order Form
Prolonged Field Care
- Prolonged Field Care Casualty Card - Worksheet (PDF 299KB)
- Click to download Excel version of Prolonged Field Care Card - Worksheet (XLS 184KB)
Military Working Dog
Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing.
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Last Modified Date: 02/16/2023