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MARADMIN 421/22

Tactical Combat Casualty Care-Combat Lifesaver (TCCC-CLS) Implementation

This MARADMIN directs the Marine Corps-wide implementation of Tactical Combat Casualty Care-Combat Lifesaver (TCCC-CLS) training and certification beginning in 1st quarter FY 2023, replacing the legacy Combat Lifesaver program. Operational commanders must ensure at least two Marines per Corpsman are trained and certified in TCCC-CLS to provide lifesaving medical treatment in the absence of a Corpsman.

Issued: August 18, 2022
1.  This message directs the Service-wide implementation of Tactical Combat Casualty Care Combat Lifesavers (TCCC-CLS) training and certification beginning in 1st quarter (QTR), fiscal year (FY) 2023.<br>
2.  TCCC-CLS is a joint standardized certification being implemented within the Marine Corps to provide non-medical personnel with the medical skills necessary to ensure lifesaving treatment can be rendered in the absence of a Corpsman and improve the survivability of those wounded or injured in combat.  This training is to replace the legacy Combat Lifesaver program.<br>
3.  Operational commanders will ensure at least two Marines per Corpsmen on the unit table of organization are trained and certified in TCCC-CLS.  Furthermore, battalion/squadron commanders will be responsible for completing the training and certification of the required number of CLS Marines starting 1st QTR, FY 2023. <br>
4.  Requirement for certification of TCCC-CLS is every three years or within 12 months prior to deployment per reference ref (a).  Operational commanders are responsible for sustainment, tri-annual, and pre-deployment re-certification of TCCC-CLS.<br>
5.  Battalion / squadron commanders will designate unit medical personnel for training and certification as the units' TCCC-CLS  trainers.  While there is no minimum requirement, student-to-instructor ratios should be maintained per ref (b). Commanders and TCCC-CLS trainers will utilize the standardized and approved curriculum and are responsible for procuring training aids and resources at the DHA-sponsored deployed medicine website at ref (b):  https:(slant)(slant)www.deployedmedicine.com.  Additional resources including training events, skill sets (terminal and  enabling learning objectives), and skills assessments checklists are also available for download at Ref (b).<br>
6.  TCCC course completion will be entered into the Marine Corps Training Information Management System with the below local school  codes; the below codes will also be used to document  sustainment and recertification training as required.<br>
SCHOOL      COURSE NAME           CODE<br>
TCCC        TIER 2 CLS            TIER 2 CLS<br>
TCCC        TIER 2 CLS TRAINER    TIER 2 CLS TRAINER<br>
TCCC        TIER 1 ASM            TCCC TIER 1<br>
TCCC        TIER 1 ASM TRAINER    TIER 1 ASM TRAINER<br>
*Locations for all codes are the same – I, II, III Marine Expeditionary Force, or Marine Force Regiment.<br>
7.  TCCC-CLS is on the Inspector General, Marine Corps Health  Services Functional Area Checklist as an inspection item, (Health  Service Support 6000).<br>
8.  This MARADMIN serves as interim guidance to the Fleet and will be incorporated into a future Marine Corps Bulletin and/or Marine Corps Order.<br>
9.  Release authorized by Lieutenant General Kevin M. Iiams, Commanding General, Training and Education Command.