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deployment medicine international inc deployment medicine international inc welcome to dmi inc about dmi in the news oems courses mission performance at altitude practical tropical medicine ptm prolonged care procedures and concepts course advanced operators course subscribe to dmi newsletter certificate request contact us register and pay for courses welcome to dmi inc dmi is a team of professionals committed to providing unsurpassed operational medical training complemented by unmatched direct deployed medical support and mission oriented research updates cat generation 7 tourniquet released october 2016 optimizing the use of limb tourniquets in tactical combat casualty care tccc guidelines and skill set for all combatants current tccc guidelines the committee on tactical combat casualty care cotccc was established in 2002 by the us special operations command with support from the us navy bureau of medicine and surgery bumed this multi service committee is comprised of military and civilian trauma specialists operational physicians and combat medical personnel the cotccc is responsible for updating the guidelines based on current civilian and military trauma care medical research and combat doctrine