CCP Operations

Here you will learn the 'ins-and-outs' of how to run a CCP...

Intro

CCP - Casualty Collection Point is an ad-hoc/glorified First Aid Station, often in a hostile environment and born out of a need to provide medical care to Soldiers on the battlefield before taking them to the next higher echelon of care



CCPs are usually platoon to company sized

A CCP is used for the assembly, triage (medical sorting in order of severity), medical stabilization and subsequent evacuation of casualties

2 types of CCPs exist:

• Hasty

• Deliberate

Hasty - are not planned ahead of time and are dictated by the circumstances

Deliberate - ALL planned operations should have CCPs and other medical preparations (AXP - Ambulance eXchange Point) incorporated into each phase of the operation

Shape

Traditionally, CCPs take a triangular form like so, especially in the field or open area:

Other shapes include:










Many times, the CCP location/shape/layout is dictated by the conditions on the ground

It is important to remain flexible to achieve MC

Locations

CCPs can be located almost anywhere, however the overall security of the patients is paramount in site selection

By nature, a CCP is highly vulnerable to Enemy action and so site location coupled with noise and light discipline is paramount while operating in contested territory

The most common site locations are:

• in a concealed field location

• in an abandoned house (UO - Urban Operations)

It is important to place the CCP along the natural 'drift of travel' of the fighting force. This will make it easier for patients to move to the CCP in case of need.

During classic operations such as a raid, the CCP can be placed at the ORP or closer to the ASSAULT positions, as they are more likely to sustain the majority of casualties

Main Components

All CCPs should have:

• 'choke' point

• triage area

• 3 levels of care (urgent/priority/routine)

• an evacuation point (HLZ/ground transport pick-up point)

• an area out-of-sight for KIA

• an area for 'walking wounded'

• an area for medical supplies/resupply

Critical Factors

These factors are critical to MC (Mission Complete):

• ***Security...Security...Security***

https://steamcommunity.com/sharedfiles/filedetails/?id=1408182908
Rule #32 - Professional soldiers are predictable but the world is full of amateurs
That is to say that CCPs should not be targeted by Enemy forces, but...amateur Soldiers don't follow the script ! !

• Establish and maintain C2 (Command & Control)

PLT CCP - PSG (Platoon Sergeant)
CP CCP - 1SG (First Sergeant)
PLT/CP Medic - Performs life saving treatments
RTO - Maintains radio communication with higher HQ/MEDEVAC
TCCC qualified Soldier - Triage incoming casualties

• Sustain life saving treatments

This is normally performed by the PLT/CP Medic and or TCCC qualified Soldiers

• Have 'positive control' over your supplies/equipment

Regardless of the rank of the individual patients, the CCP OIC/NCOIC are overall responsible. This includes medical supplies, patient equipment and KIA.
***Maintain positive control of casualties sensitive items (weapons; NVGs; GPS etc.)***

• ***Maintain Soldier accountability***

The CCP OIC/NCOIC MUST maintain a record of:
- NAME/RANK/UNIT
-Time received/time discharged/sent to MEDEVAC etc.
- A list of all injuries
- A list of all administered medicines
- A Battle Roster (BR) of all KIA
- An attached TC3 card/'Casualty Feeder' form

• Communications

Whether it be radio or messenger or other form, positive communication with higher HQ/MEDEVAC must be present

CCP Markings

When in the traditional triangle shape the following colors apply:

• Red - Immediate/Critical (Urgent & Urgent-Surgical)

• Green - Delayed/Priority

• BLUE - Expectant/Routine

• None - Walking wounded/Routine

Most times, 2 IR chemlights (tape/ties etc.) in the shape of a cross are used to signal the CCP location

If not, a yellow chemlight is used to mark the entrance or a cross is drawn using chalk

Triage Categories and Color Markings

Basic categories are:

• URGENT/Immediate (to save life, limb or eyesight)
  
  • Red

• PRIORITY/Delayed (up to 4 hrs survival)
  
  • Yellow

• ROUTINE/Minimal (up to 24 hrs survival)
  
  • Green

• ROUTINE/Expectant (moved as last group)
  
  • Blue

***As unfortunate as it is to say but 'expectant' Soldiers should only be made as comfortable as possible. Excess time/energy/resources should not be given to them as this will lessen the survival chances of other Soldiers***

Forms

There are 2 main CCP forms for field use:

• TC3 - Tactical Combat Casualty Care card

• Casualty Feeder form

EVERY Soldier must have TC3 cards on them in their First Aid pouch

When a Soldier is injured you must use their card...not yours

TC3 forms have an attached rubber band to secure to the Soldier

Have a wax pencil that is semi-permanent to write on the card(s)

Have a permanent marker to write on wounded Soldiers (T=tourniquet; M=morphine etc.)

Casualty Feeder forms are filled out by Medics/Leaders


TC3 Card - Lists the patient's name/rank/unit; administered drugs; treatment given; Mechanism Of Injury (MOI) such as GSW (Gun Shot Wound etc.); burn %; vital signs etc.

***TC3 Cards MUST remain attached to the patients***

Casualty Feeder Card


This card is used to inform higher HQ as to a Soldiers status

Common examples include:

• Deceased (KIA)

• NSI/SI/VSI (Not Seriously Injured/Seriously Injured/Very Seriously Injured)

• DUSTWUN (Duty Status Whereabouts Unknown) for MIAs

9-Line MEDEVAC

CCP TTPs

TTP - Tactics Techniques and Procedures

KIAs
- If possible, separate KIA from visual sight of other WIA. This can be achieved by placing them in a separate room or by using a poncho(s) to mask their sight
- KIAs should be place in a 'body bag'; covered by a poncho(s) or at the very least be hidden from sight

Urgent/priority placement
- The 'Urgent/priority' part of the CCP should be closest to the HLZ/AXP
- Use chemlights/chalk powder/colored cloth etc. to mark CCP categories (urgent/routine/minimal)

Platoon/Company training
- Practice CCP site selection/creation/manning/breakdown as a unit

CCP Manning

CCP are generally manned in the following manner:

Platoon/company sized element

• The PSG/1SG is the overall responsible for the CCP. They manage site location; local security; personnel/equipment/sensitive items accountability; HLZ/AXP set-up; communications with higher HQ

• Choke point/Triage is manned by a TC3 qualified Soldier that identifies the level of care needed

• The PLT/COY medic/senior medic treats the casualties in order of urgency (immediate/priority/routine/expectant)

• Other TC3 qualified Soldiers assist in Buddy Aid

• RTO handles communications with higher HQ and 'Dust-Off' (MEDEVAC)

• 2 Soldiers to clear an HLZ/AXP for MEDEVAC; act as ground guide and transport WIA/KIA

• A fire team/squad(s) to provide local security

• A Soldier to collect sensitive items/weapons/ammunition/equipment of WIA/KIA

For units larger than a platoon/company, the same principles apply but the scale of the CCP is enlarged

Task Organization

Scenario:
Platoon conducting a deliberate raid

3 line SQDs
1 WPN SQD (2 MGs)
1 HQ element (OIC/NCOIC/RTO/Medic)

Initial assault:
ASSLT section - 1st SQD plus OIC
SBF - WPN SQD plus NCOIC plus RTO
Security - 2nd SQD
Reserve - Alpha TM/3rd SQD
Medical/resupply - Bravo TM/3rd SQD plus medic

Actions On the OBJ (AOO):
ASSLT reaches its LOA
SBF relocates to its LOA
Security blocks off the OBJ
Reserve - transports injured to CCP and takes their place in combat
Medical/resupply - treats the injured at the CCP and resupplies as needed

The OBJ is secured and the unit exfiltrates:
Injured unit members meet at the CCP
MEDEVAC is requested
An HLZ/AXP is set up at the predetermined point
The unit CMs/RTB etc.
The unit moves/meets at the ORP
Reorganize/reconsolidate
CMs/RTB etc.

PSG - HLZ/AXP kit and CCP markings (chemlights/panels etc.)
Medic - Aid bag
TC3 - SQD aid bag/casualty equipment bag
RTO - radio/9-line MEDEVAC
Soldier - first aid pouch

***Actions to take before an operation:***

• Sufficient stretcher fabrication

• HLZ/AXP site selection/preparation

• CCP site selection/preparation

• Medical supply consolidation

CCP Related Equipment

Fabricate sufficient stretchers with just a standard poncho/BDUs or other basic materials

Folded tactical stretcher


SKEDCO portable litter


2X BDU with wooden poles



Tactical 'soft' stretcher - 1 per SQD


Body Bag - 1 per SQD

Casualty Equipment Bag - 1 per SQD


Medic Kit Bag for platoon medic only (advanced medical training)


Each SQD carries an aid bag for their TC3 qualified Soldier (CLS - Combat Life Saver)


Each Soldier carries a small and simple personal aid kit (IFAK - Individual First Aid Kit)

Medical Training

• Platoon Medic

"The combat medic specialist is primarily responsible for providing emergency medical treatment at point of wounding on the battlefield, limited primary care, and health protection and evacuation from a point of injury or illness"

Job duties:
- Administer emergency medical treatment to battlefield casualties
- Assist with outpatient and inpatient care and treatment
- Instruct Soldier's on Combat Lifesaver/First Responder training course
- Manage Soldier's medical readiness, medical supplies and equipment

Training:
4 months of specialized training
- Patient-care techniques
- Emergency medical techniques
- Advanced medical care
- Plaster-casting techniques

• TC3

"TCCC teaches first responders to treat casualties in the proper order,treating the most critical situations first. This is done using the acronyms MARCH and PAWS"


- MARCH

"Massive hemorrhage, Airway, Respirations, Circulation, Head injury/Hypothermia is an acronym used by TCCC-trained individuals to help remember the proper order of treatment"


- PAWS

"Pain, Antibiotics, Wounds, Splinting is an acronym used by TCCC trained individuals to help remember additional casualty care issues"

Conclusion

The use of a CCP greatly increases the survivability rate of Soldiers on the battlefield

Make sure to rehearse the creation/use/break down of a CCP

Platoon and Company sized elements are best to deploy a CCP

Know ahead of time what each Soldier is responsible for (triage/MEDEVAC/litter/etc.)

[Greybeard]

Thank you roosta' !

[Wolfgang]

textbook guide, field manual quality

[WotanKrieger]

free tibet

[Greybeard]

@LethalCynic https://steamcommunity.com/sharedfiles/filedetails/?id=2101400981

[Bitter Stares]

@CPL.Skee its a simulation you brainlet

[Goblin King]

FREE HONGKONG

[Cap]

Thank you, would love to see it!

[Greybeard]

I've definitely talked about them in other guides but not in a stand-alone guide so it'll be on my to-do-list !

[Cap]

Great guide bossman. Have you done a PCI & PCC guide yet?