WEBVTT 00:00.610 --> 00:03.710 The purpose of Tier 4 TCCC is to teach 00:03.710 --> 00:06.360 our provider level responders to be 00:06.360 --> 00:08.439 able to handle damage control 00:08.439 --> 00:10.909 resuscitation in a full deployed 00:10.909 --> 00:14.029 austere environment with very little 00:14.029 --> 00:16.719 supplies and in less than ideal 00:16.719 --> 00:17.719 conditions . 00:20.920 --> 00:23.600 Tier 4 builds on the content that tier 00:23.600 --> 00:25.639 3 presents , so it goes through the 00:25.639 --> 00:27.829 entire , uh , March pause algorithms , 00:27.840 --> 00:30.007 treating massive hemorrhage , airway , 00:30.007 --> 00:32.062 respiration , circulation , head and 00:32.062 --> 00:33.729 hypothermia , and then pain , 00:33.729 --> 00:35.784 antibiotics , wounds , and splints , 00:35.784 --> 00:37.840 but also builds on those concepts by 00:37.840 --> 00:39.896 adding more into . uh provider level 00:39.896 --> 00:41.896 skills that they could use in their 00:41.896 --> 00:44.194 tool kit as needed to treat patients , 00:44.744 --> 00:46.855 because a lot of people can come into 00:46.855 --> 00:48.855 this course and say , oh , well , I 00:48.855 --> 00:50.966 already know how to intubate . Well , 00:50.966 --> 00:53.188 do you know how to intubate somebody on 00:53.188 --> 00:55.411 the ground in a dark environment , uh , 00:55.411 --> 00:57.633 where the only thing that you have is a 00:57.633 --> 00:59.966 headlamp or , you know , low visibility . 00:59.966 --> 01:02.259 Most providers who practice emergency 01:02.259 --> 01:04.949 medicine do so in a very controlled , 01:05.480 --> 01:07.800 clean environment in a hospital . This 01:07.800 --> 01:10.022 is a controlled environment . However , 01:10.279 --> 01:12.589 we take the opportunity to introduce 01:12.589 --> 01:15.239 our students to a lot of stressful 01:15.239 --> 01:16.239 situations . 01:18.980 --> 01:22.790 Girl . And then we expect our 01:22.790 --> 01:26.269 students to perform various in-depth 01:26.269 --> 01:28.430 life-saving skills under those 01:28.430 --> 01:31.379 circumstances . 01:34.260 --> 01:37.750 Oh This will be a requirement , a 01:37.750 --> 01:39.583 pre-deployment requirement . All 01:39.583 --> 01:42.330 providers and you know IDCs , combat 01:42.330 --> 01:44.552 paramedics will have to go through this 01:44.552 --> 01:46.552 course . However , there are things 01:46.552 --> 01:49.040 that we do in our day to day life that 01:49.040 --> 01:51.096 we don't get to do all the time . We 01:51.096 --> 01:53.262 are stuck in the clinic doing clinical 01:53.262 --> 01:55.484 patient care . It's not very often that 01:55.484 --> 01:57.429 we get to , you know , come and do 01:57.429 --> 01:59.540 these essential drills that are going 01:59.540 --> 02:01.779 to reinforce essential emergency 02:01.779 --> 02:03.779 medicine skills that we're going to 02:03.779 --> 02:06.059 have to do before we're deployed . I am 02:06.360 --> 02:08.539 very excited to be a part of the first 02:08.539 --> 02:11.029 tier for TCC program for the Marine 02:11.029 --> 02:13.251 Corps , you know , making sure that the 02:13.251 --> 02:15.362 future generation of medical provider 02:15.362 --> 02:17.660 and corpsmen are well prepared for 02:17.990 --> 02:19.869 what's to come , to pass off the 02:19.869 --> 02:21.813 knowledge and the skills that I've 02:21.813 --> 02:24.960 learned throughout my 19 year career as 02:24.960 --> 02:27.238 a Navy corpsman to the next generation , 02:27.238 --> 02:29.830 and I couldn't think of anything else 02:29.830 --> 02:30.669 that I would rather do .