In 1996, the Naval Special Warfare Command developed a new set of tactically appropriate battlefield trauma care guidelines named TCCC. The TCCC guidelines were adopted by the U.S. Special Operations Command (USSOCOM) and approved by the American college of surgeons (ACS) and the National Association of Emergency Medical Technicians. The committee on TCCC was established in 2001 and was directed to further develop the TCCC standards and guidelines. The committee on TCCC functions as a working group of the trauma and injury subcommittee of the Defense Health Board (DHB).
The full blown TCCC training initiative started in Operation Enduring Freedom and was implemented across all the service branches under the insistence and full support of the Secretary of Defense Robert Gates. In his words: "I am tired of writing letters to parents informing them of their children dying on the battlefield' The impact was immediate and adopted as the standard for all US forces.