The Airway is managed by rapid and aggressive opening of the airway to include cricothyroidotomy for difficult airways.Massive hemorrhage is managed through the use of tourniquets, hemostatic dressings, junctional devices, and pressure dressings.TFC is focused on assessment and management using the MARCH acronym. TFC is care rendered by first responders or prehospital medical personnel (primarily medics, corpsman, and pararescuemen) while still in the tactical environment. The TCCC Working Group is larger group operating in conjunction with the CoTCCC consisting of non-voting members from throughout the DoD, US government agencies, civilian medical professionals, and partner nations. The CoTCCC has 42 voting members, who are specialized physicians, providers, and enlisted medical specialties from the U.S Army, U.S. The CoTCCC now operates as a component of the Defense Committees on Trauma (DCoT). In August 2018, the JTS along with CoTCCC were realigned as a directorate of the Defense Health Agency (DHA). In 2012, the CoTCCC was moved to the DoD Joint Trauma System (JTS).
The CoTCCC was shifted again in 2007 as a standing subcommittee of the Defense Health Board (DHB). The Committee on Tactical Combat Casualty Care (CoTCCC) was originally established by the US Special Operations Command in 2002 before shifting to the Naval Medical Education & Training Command in 2004.