Leadership lessons learned in tactical combat casualty care.

The US Military has achieved remarkable success in improving survival for our nation's combat wounded throughout the 14 years of conflict in Iraq and Afghanistan. For the prehospital phase of care, where most combat fatalities occur, these advances have been embodied in Tactical Combat Casualty Care (TCCC.) TCCC is a set of evidence-based, best-practice, prehospital trauma care guidelines that are customized for use on the battlefield. The TCCC Guidelines have been updated on an ongoing basis over the last 15 years through the work of the Committee on TCCC and the TCCC Working Group. The process of developing improvements in battlefield trauma care and advocating for them to be implemented throughout the US Military was lengthy, challenging, and evolutionary. This paper describes the major leadership lessons learned in the TCCC effort during the 20 years from its inception to the present. (C) 2017 Lippincott Williams & Wilkins, Inc.

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