In which phase of care do you start documentation on the DD Form 1380?

Documentation on the DD Form 1380, often referred to as the TCCC (Tactical Combat Casualty Care) card, begins during the Tactical Field Care phase. This phase occurs after the initial immediate care has been provided during the Care Under Fire phase, where the focus is primarily on controlling the threat and ensuring safety for both the casualty and the provider.

In Tactical Field Care, medical providers assess the casualty's condition more thoroughly, initiate treatment for injuries, and begin critical documentation. The DD Form 1380 is essential as it captures vital information about the patient's medical status and the care provided, which is crucial for continuity of care as the casualty is evacuated or transferred to higher levels of care. Starting documentation at this phase ensures that all relevant information is recorded while the patient is still under care, making it easier for subsequent medical teams to understand the interventions already performed.

The absence of addressing documentation during the earlier phases is crucial; Care Under Fire is focused on immediate threats, while Combat Casualty Evacuation and Patient Transfer are more about logistics and moving the patient, where the emphasis may shift from treatment to transport. Therefore, the Tactical Field Care phase is the appropriate moment to begin this essential documentation.