CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine. 74-Teaching TCCC in Kenya with Brian Foy
Jan 19, 2024
Brian Foy, a former Marine Recon and paramedic, shares his journey of teaching Tactical Combat Casualty Care (TCCC) in Kenya. He discusses the challenges of bridging the gap between tactical teams and EMS, while developing local training programs. Brian highlights his innovative four-week advanced care course, community outreach initiatives, and the importance of improvisation in resource-limited settings. He also emphasizes the transformative impact of training on local healthcare outcomes and the future of EMS in Kenya.
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From Recon Marine To Paramedic Instructor
- Brian Foy trained as an EMT and paramedic while serving in the Marines by using weekend classes and hospital rotations.
- He used those skills to teach fellow Marines and transition into EMS and austere medicine work after retirement.
Build A Tiered Tactical Medical System
- Train non-medical personnel in TECC/TCCC-based TACMED to create immediate lifesaving capability.
- Build a tiered model: basic TACMED for all, combat lifesavers in platoons, and a few advanced care providers per unit.
Handover Gaps Reveal Systemic Need
- Poor handover between tactical teams and local EMS revealed a system gap during FTXs.
- Teaching TACMED created both immediate on-scene benefit and highlighted the need for formal pre-hospital integration.