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Tactical Combat Casualty Care

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Tactical Combat Casualty Care ( TCCC or TC3 ), formerly known as Self Aid Buddy Care, is a set of guidelines for trauma life support in prehospital combat medicine published by the United States Defense Health Agency . They are designed to reduce preventable deaths while maintaining operational success. The TCCC guidelines are routinely updated and published by the Committee on Tactical Combat Casualty Care (CoTCCC), which is part of the Defense Committees on Trauma (DCoT) division of the Defense Health Agency (DHA). TCCC was designed in the 1990s for the Special Operations Command medical community. Originally a joint Naval Special Warfare Command and Special Operations Medical Research & Development initiative, CoTCCC developed combat-appropriate and evidence-based trauma care based on injury patterns of previous conflicts. The original TCCC corpus was published in a Military Medicine supplement in 1996. TCCC has since become a Department of Defense (DoD) course, conducted by National Association of Emergency Medical Technicians .

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82-760: The CoTCCC was originally established by the United States Special Operations Command in 2002 before moving to the Naval Medical Education & Training Command in 2004. The CoTCCC was moved again in 2007 as a standing subcommittee of the Defense Health Board (DHB). In 2012, the CoTCCC was once again moved to the domain of the JTS. In August 2018, the JTS along with CoTCCC were realigned as a directorate of

164-614: A status quo antebellum. Two weeks after a treaty was signed (but not ratified), Andrew Jackson defeated the British in the Battle of New Orleans and siege of Fort St. Philip with an army dominated by militia and volunteers, and became a national hero. U.S. troops and sailors captured HMS Cyane , Levant and Penguin in the final engagements of the war. Per the treaty, both sides (the United States and Great Britain) returned to

246-490: A casualty for evacuation and then evacuating by available air, ground, or maritime assets. TACEVAC care encompasses the same assessment and management included in TFC with additional focus on advanced procedures that can be initiated when en route to a medical treatment facility. The caveat of TACEVAC is the evacuation means and care may or may not be dedicated medical platforms such as a MEDEVAC helicopter. TACEVAC can also include

328-651: A few months. The war remains the deadliest conflict in U.S. history, resulting in the deaths of 620,000 men on both sides. Based on 1860 census figures, 8% of all white males aged 13 to 43 died in the war, including 6.4% in the North and 18% in the South . Following the Civil War, the U.S. Army had the mission of containing western tribes of Native Americans on the Indian reservations . They set up many forts, and engaged in

410-534: A functional area. However, officers continue to wear the branch insignia of their former branch in most cases, as functional areas do not generally have discrete insignia. Some branches, such as Special Forces , operate similarly to functional areas in that individuals may not join their ranks until having served in another Army branch. Careers in the Army can extend into cross-functional areas for officers, warrant officers, enlisted, and civilian personnel. Before 1933,

492-406: A large concentration of largely untrained and irregularly armed populace used in frontal assaults to current employment of combined arms concepts with highly trained regular troops using a wide variety of organisational, weapon and information systems, and employing a variety of strategic, operational and tactical doctrines. Although land combat in the past was conducted by the combat arms of

574-726: A month – known as battle assemblies or unit training assemblies (UTAs) – and conduct two to three weeks of annual training each year. Both the Regular Army and the Army Reserve are organized under Title 10 of the United States Code , while the National Guard is organized under Title 32 . While the Army National Guard is organized, trained, and equipped as a component of the U.S. Army, when it

656-487: A new Army Command (ACOM) in 2018. The Army Futures Command (AFC), is a peer of FORSCOM, TRADOC, and AMC, the other ACOMs. AFC's mission is modernization reform: to design hardware, as well as to work within the acquisition process which defines materiel for AMC. TRADOC's mission is to define the architecture and organization of the Army, and to train and supply soldiers to FORSCOM. AFC's cross-functional teams (CFTs) are Futures Command's vehicle for sustainable reform of

738-480: A predominantly combat support role. The army converted to an all-volunteer force with greater emphasis on training to specific performance standards driven by the reforms of General William E. DePuy , the first commander of United States Army Training and Doctrine Command . Following the Camp David Accords that was signed by Egypt, Israel that was brokered by president Jimmy Carter in 1978, as part of

820-618: A role in the invasions of Grenada in 1983 ( Operation Urgent Fury ) and Panama in 1989 ( Operation Just Cause ). By 1989 Germany was nearing reunification and the Cold War was coming to a close. Army leadership reacted by starting to plan for a reduction in strength. By November 1989 Pentagon briefers were laying out plans to reduce army end strength by 23%, from 750,000 to 580,000. A number of incentives such as early retirement were used. In 1990, Iraq invaded its smaller neighbor, Kuwait , and U.S. land forces quickly deployed to assure

902-700: A set of evidence-based best practice guidelines for battlefield trauma care that have been developed over more than 18 years of war. Oversight of the TCCC guidelines is provided by the CoTCCC, which continually update them. Current guidelines are available online through the Deployed Medicine site, or through the Joint Trauma System site. They are also reproduced by the National Association of Emergency Medical Technicians websites,

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984-738: A strategy of seizing the coastline, blockading the ports, and taking control of the river systems. By 1863, the Confederacy was being strangled. Its eastern armies fought well, but the western armies were defeated one after another until the Union forces captured New Orleans in 1862 along with the Tennessee River. In the Vicksburg Campaign of 1862–1863, General Ulysses Grant seized the Mississippi River and cut off

1066-408: A surgeon. As most pre-medical treatment facility (pre-MTF) deaths are nonsurvivable, mitigation strategies to impact outcomes in this population need to be directed toward injury prevention. To significantly impact the outcome of combat casualties with potentially survivable (PS) injury, strategies must be developed to mitigate hemorrhage and optimize airway management or reduce the time interval between

1148-533: Is not in federal service it is under the command of individual state and territorial governors. However, the District of Columbia National Guard reports to the U.S. president, not the district's mayor , even when not federalized. Any or all of the National Guard can be federalized by presidential order and against the governor's wishes. The U.S. Army is led by a civilian secretary of the Army , who has

1230-670: Is that each brigade will be modular, i.e., all brigades of the same type will be exactly the same and thus any brigade can be commanded by any division. As specified before the 2013 end-strength re-definitions, the three major types of brigade combat teams are: In addition, there are combat support and service support modular brigades. Combat support brigades include aviation (CAB) brigades, which will come in heavy and light varieties, fires (artillery) brigades (now transforms to division artillery) and expeditionary military intelligence brigades . Combat service support brigades include sustainment brigades and come in several varieties and serve

1312-630: Is the land service branch of the United States Armed Forces . It is one of the eight U.S. uniformed services , and is designated as the Army of the United States in the U.S. Constitution . The Army is the oldest branch of the U.S. military and the most senior in order of precedence. It has its roots in the Continental Army , which was formed on 14 June 1775 to fight against the British for independence during

1394-820: The American Revolutionary War (1775–1783). After the Revolutionary War, the Congress of the Confederation created the United States Army on 3 June 1784 to replace the disbanded Continental Army. The United States Army considers itself a continuation of the Continental Army, and thus considers its institutional inception to be the origin of that armed force in 1775. The U.S. Army is a uniformed service of

1476-949: The Army Strategy 2018 articulated an eight-point addendum to the Army Vision for 2028. While the Army Mission remains constant, the Army Strategy builds upon the Army's Brigade Modernization by adding focus to corps and division -level echelons. The Army Futures Command oversees reforms geared toward conventional warfare . The Army's current reorganization plan is due to be completed by 2028. The Army's five core competencies are prompt and sustained land combat, combined arms operations (to include combined arms maneuver and wide–area security, armored and mechanized operations and airborne and air assault operations ), special operations forces , to set and sustain

1558-537: The Battle of 73 Easting were tank battles of historical significance. After Operation Desert Storm, the army did not see major combat operations for the remainder of the 1990s but did participate in a number of peacekeeping activities. In 1990 the Department of Defense issued guidance for "rebalancing" after a review of the Total Force Policy, but in 2004, USAF Air War College scholars concluded

1640-707: The Netherlands and the United Kingdom , until the 1990s in anticipation of a possible Soviet attack. During the Cold War, U.S. troops and their allies fought communist forces in Korea and Vietnam . The Korean War began in June 1950, when the Soviets walked out of a UN Security Council meeting, removing their possible veto. Under a United Nations umbrella, hundreds of thousands of U.S. troops fought to prevent

1722-466: The armed forces , since World War II it has largely involved three distinct types of combat units: infantry , armour , and artillery . These arms, since the Age of Sail , have used amphibious warfare concepts and methods to project power from the seas and oceans , and since the wide introduction of military transport aircraft and helicopters have used airborne forces and vertical envelopment to

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1804-572: The fiscal year 2022, the projected end strength for the Regular Army (USA) was 480,893 soldiers; the Army National Guard (ARNG) had 336,129 soldiers and the U.S. Army Reserve (USAR) had 188,703 soldiers; the combined-component strength of the U.S. Army was 1,005,725 soldiers. As a branch of the armed forces, the mission of the U.S. Army is "to fight and win our Nation's wars, by providing prompt, sustained land dominance, across

1886-562: The guerrilla hit and run tactics of the communist Viet Cong and the People's Army Of Vietnam (NVA) . During the 1960s, the Department of Defense continued to scrutinize the reserve forces and to question the number of divisions and brigades as well as the redundancy of maintaining two reserve components, the Army National Guard and the Army Reserve . In 1967, Secretary of Defense Robert McNamara decided that 15 combat divisions in

1968-555: The planet . Land warfare is categorized by the use of large numbers of combat personnel employing a diverse set of combat skills, methods and a wide variety of weapon systems and equipment, conducted in diverse terrains and weather environments. Land warfare, by virtue of being conducted in defence of urban and rural population areas, dominates the study of war , and is a focus for most national defence policy planning and financial considerations. Land warfare in history has undergone several distinct transitions in conduct from

2050-460: The Army (HQDA): See Structure of the United States Army for a detailed treatment of the history , components , administrative and operational structure and the branches and functional areas of the Army. The U.S. Army is made up of three components: the active component, the Regular Army; and two reserve components, the Army National Guard and the Army Reserve. Both reserve components are primarily composed of part-time soldiers who train once

2132-472: The Army National Guard members were considered state militia until they were mobilized into the U.S. Army, typically at the onset of war. Since the 1933 amendment to the National Defense Act of 1916 , all Army National Guard soldiers have held dual status. They serve as National Guardsmen under the authority of the governor of their state or territory and as reserve members of the U.S. Army under

2214-411: The Army National Guard were unnecessary and cut the number to eight divisions (one mechanized infantry, two armored, and five infantry), but increased the number of brigades from seven to 18 (one airborne, one armored, two mechanized infantry and 14 infantry). The loss of the divisions did not sit well with the states. Their objections included the inadequate maneuver element mix for those that remained and

2296-570: The British were weakest to wear down their forces. Washington led victories against the British at Trenton and Princeton , but lost a series of battles in the New York and New Jersey campaign in 1776 and the Philadelphia campaign in 1777. With a decisive victory at Yorktown and the help of the French, the Continental Army prevailed against the British. After the war, the Continental Army

2378-461: The Canadian province of Upper Canada, British troops who had dubbed the U.S. Army "Regulars, by God!", were able to capture and burn Washington , which was defended by militia, in 1814. The regular army, however, proved they were professional and capable of defeating the British army during the invasions of Plattsburgh and Baltimore , prompting British agreement on the previously rejected terms of

2460-717: The DHA. The CoTCCC now operates as a component of the DCoT. The CoTCCC has 42 voting members, who are specialized physicians, providers, and enlisted medical specialties from the United States Army , Navy , Air Force , Marine Corps , and Coast Guard . The TCCC Working Group is a larger group operating in conjunction with the CoTCCC consisting of non-voting members from throughout the DoD, US government agencies, civilian medical professionals, and partner nations. The TCCC guidelines are

2542-589: The Journal of Special Operations Medicine, and the Special Operations Medical Association. The three objectives of TCCC are to provide lifesaving care to the injured combatant, to limit the risk of further casualties, and to help the unit achieve mission success. In TCCC prehospital battlefield care is divided into 3 phases: CUF is characterized as the care rendered to a casualty while still under effective fire. In this case,

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2624-545: The National Guard, while all states maintain regulations for state militias . State militias are both "organized", meaning that they are armed forces usually part of the state defense forces, or "unorganized" simply meaning that all able-bodied males may be eligible to be called into military service. The U.S. Army is also divided into several branches and functional areas . Branches include officers, warrant officers, and enlisted Soldiers while functional areas consist of officers who are reclassified from their former branch into

2706-585: The ORC and ERC were combined into the United States Army Reserve . The Army of the United States was re-established for the Korean War and Vietnam War and was demobilized upon the suspension of the draft . Currently, the Army is divided into the Regular Army , the Army Reserve, and the Army National Guard . Some states further maintain state defense forces , as a type of reserve to

2788-458: The Revolutionary War progressed, French aid, resources, and military thinking helped shape the new army. A number of European soldiers came on their own to help, such as Friedrich Wilhelm von Steuben , who taught Prussian Army tactics and organizational skills. The Army fought numerous pitched battles, and sometimes used Fabian strategy and hit-and-run tactics in the South in 1780 and 1781; under Major General Nathanael Greene , it hit where

2870-663: The Southwest. Grant took command of Union forces in 1864 and after a series of battles with very heavy casualties, he had General Robert E. Lee under siege in Richmond as General William T. Sherman captured Atlanta and marched through Georgia and the Carolinas . The Confederate capital was abandoned in April 1865 and Lee subsequently surrendered his army at Appomattox Court House. All other Confederate armies surrendered within

2952-538: The United States and is part of the Department of the Army , which is one of the three military departments of the Department of Defense . The U.S. Army is headed by a civilian senior appointed civil servant, the secretary of the Army (SECARMY), and by a chief military officer , the chief of staff of the Army (CSA) who is also a member of the Joint Chiefs of Staff . It is the largest military branch, and in

3034-540: The United States (the "Union" or "the North") formed the Union Army , consisting of a small body of regular army units and a large body of volunteer units raised from every state, north and south, except South Carolina . For the first two years, Confederate forces did well in set battles but lost control of the border states. The Confederates had the advantage of defending a large territory in an area where disease caused twice as many deaths as combat. The Union pursued

3116-405: The United States Army was maintained as a small peacetime force to man permanent forts and perform other non-wartime duties such as engineering and construction works. During times of war, the U.S. Army was augmented by the much larger United States Volunteers which were raised independently by various state governments. States also maintained full-time militias which could also be called into

3198-423: The acquisition process for the future. In order to support the Army's modernization priorities, its FY2020 budget allocated $ 30 billion for the top six modernization priorities over the next five years. The $ 30 billion came from $ 8 billion in cost avoidance and $ 22 billion in terminations. The task of organizing the U.S. Army commenced in 1775. In the first one hundred years of its existence,

3280-491: The agreement, both the United States and Egypt agreed that there would be a joint military training led by both countries that would usually take place every 2 years, that exercise is known as Exercise Bright Star . The 1980s was mostly a decade of reorganization. The Goldwater-Nichols Act of 1986 created unified combatant commands bringing the army together with the other four military services under unified, geographically organized command structures. The army also played

3362-650: The army began acquiring fixed-wing aircraft . In 1910, during the Mexican Revolution , the army was deployed to U.S. towns near the border to ensure the safety of lives and property. In 1916, Pancho Villa , a major rebel leader, attacked Columbus, New Mexico , prompting a U.S. intervention in Mexico until 7 February 1917. They fought the rebels and the Mexican federal troops until 1918. The United States joined World War I as an "Associated Power" in 1917 on

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3444-619: The authority of the president, in the Army National Guard of the United States. Since the adoption of the total force policy, in the aftermath of the Vietnam War, reserve component soldiers have taken a more active role in U.S. military operations. For example, Reserve and Guard units took part in the Gulf War , peacekeeping in Kosovo , Afghanistan, and the 2003 invasion of Iraq . [REDACTED] Headquarters, United States Department of

3526-491: The battlefield point of injury and surgical intervention. A command-directed casualty response system that trains ALL personnel in Tactical Combat Casualty Care resulted in unprecedented reduction of killed-in-action deaths, casualties who died of wounds, and preventable combat death. There are key components of a prehospital casualty response system, emphasize the importance of leadership, underscore

3608-662: The building, as part of the September 11 attacks . In response to the 11 September attacks and as part of the Global War on Terror , U.S. and NATO forces invaded Afghanistan in October 2001, displacing the Taliban government. The U.S. Army also led the combined U.S. and allied invasion of Iraq in 2003; it served as the primary source for ground forces with its ability to sustain short and long-term deployment operations. In

3690-627: The casualty can be moved to a more secure and covered position and transitioned to tactical field care. TFC is care rendered by first responders or prehospital medical personnel (primarily medics, corpsman, and pararescuemen) while still in the tactical environment. TFC is focused on assessment and management using the MARCH acronym. Continued assessment and management in TFC includes treating penetrating eye trauma, assessing for traumatic brain injury or head injuries, treating burns, splinting fractures, and dressing non-life-threatening wounds. TCCC promotes

3772-466: The combatant commanders for use as directed by the secretary of defense. By 2013, the army shifted to six geographical commands that align with the six geographical unified combatant commands (CCMD): The army also transformed its base unit from divisions to brigades . Division lineage will be retained, but the divisional headquarters will be able to command any brigade, not just brigades that carry their divisional lineage. The central part of this plan

3854-522: The discharge of projectiles during the war. The term also describes ground-based troops, who primarily manned such weapons. The word is derived from the Old French verb attilier, meaning "to equip". This term includes coastal artillery which traditionally defended coastal areas against seaborne attack and controlled the passage of ships using their ability to deny access through the threat of coastal fire. It also includes land-based field artillery. With

3936-494: The early and aggressive use of analgesia (pain management) on the battlefield through the administration of Ketamine and/or Oral Tranmuccossal Fentanyl for casualties with moderate to severe pain. TCCC also promotes the early administration of oral and intravenous or intramuscular antibiotics. The remainder of TFC is dedicated is reassessment of injuries and interventions, documentation of care, communicating with tactical leadership and evacuation assets. TFC culminates with packaging

4018-631: The end of FY2017. From 2016 to 2017, the Army retired hundreds of OH-58 Kiowa Warrior observation helicopters, while retaining its Apache gunships. The 2015 expenditure for Army research, development and acquisition changed from $ 32 billion projected in 2012 for FY15 to $ 21 billion for FY15 expected in 2014. By 2017, a task force was formed to address Army modernization, which triggered shifts of units: CCDC , and ARCIC , from within Army Materiel Command (AMC), and Army Training and Doctrine Command (TRADOC), respectively, to

4100-439: The end to the practice of rotating divisional commands among the states that supported them. Under the proposal, the remaining division commanders were to reside in the state of the division base. However, no reduction in total Army National Guard strength was to take place, which convinced the governors to accept the plan. The states reorganized their forces accordingly between 1 December 1967 and 1 May 1968. The Total Force Policy

4182-468: The evacuation of casualties on available non-medical assets and the provision of care in such circumstances, which is also referred to as CASEVAC or casualty evacuation. This is typically a non-medically designated vehicle. A significant amount of medical literature attests that TCCC is the most viable and reliable methodology to prepare for and manage casualties on the modern battlefield. Most battlefield casualties died of their injuries before ever reaching

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4264-520: The first action is to return fire and take cover, and should include the casualty remaining engaged if able. As an enemy is suppressed, casualties can move or be moved to more secure positions. The only medical treatment rendered in CUF is stopping life-threatening hemorrhaging (bleeding). TCCC actively endorses and recommends the early and immediate use of tourniquets to control massive external hemorrhaging of limbs. All other treatment should be delayed until

4346-580: The following years, the mission changed from conflict between regular militaries to counterinsurgency , resulting in the deaths of more than 4,000 U.S. service members (as of March 2008) and injuries to thousands more. 23,813 insurgents were killed in Iraq between 2003 and 2011. Until 2009, the army's chief modernization plan, its most ambitious since World War II, was the Future Combat Systems program. In 2009, many systems were canceled, and

4428-587: The forces that landed in French North Africa and took Tunisia and then moved on to Sicily and later fought in Italy . In the June 1944 landings in northern France and in the subsequent liberation of Europe and defeat of Nazi Germany , millions of U.S. Army troops played a central role. In 1947, the number of soldiers in the US Army had decreased from eight million in 1945 to 684,000 soldiers and

4510-420: The full range of military operations and the spectrum of conflict, in support of combatant commanders ". The branch participates in conflicts worldwide and is the major ground-based offensive and defensive force of the United States of America.‌ The United States Army serves as the land-based branch of the U.S. Armed Forces . Section 7062 of Title 10, U.S. Code defines the purpose of the army as: In 2018,

4592-685: The geographical status quo. Both navies kept the warships they had seized during the conflict. The army's major campaign against the Indians was fought in Florida against Seminoles . It took long wars (1818–1858) to finally defeat the Seminoles and move them to Oklahoma. The usual strategy in Indian wars was to seize control of the Indians' winter food supply, but that was no use in Florida where there

4674-415: The guidance would reverse the Total Force Policy which is an "essential ingredient to the successful application of military force". On 11 September 2001, 53 Army civilians (47 employees and six contractors) and 22 soldiers were among the 125 victims killed in the Pentagon in a terrorist attack when American Airlines Flight 77 commandeered by five Al-Qaeda hijackers slammed into the western side of

4756-404: The last of the American Indian Wars . U.S. Army troops also occupied several Southern states during the Reconstruction Era to protect freedmen . The key battles of the Spanish–American War of 1898 were fought by the Navy. Using mostly new volunteers , the U.S. forces defeated Spain in land campaigns in Cuba and played the central role in the Philippine–American War . Starting in 1910,

4838-463: The means to mobilize heavy firepower to engage opposing forces including other combat vehicles. Combat vehicles are usually equipped to drive in rugged terrain . They are usually protected against other common threats with armor and other countermeasures . Examples of combat vehicles include main battle tanks , infantry fighting vehicles , and self-propelled artillery . Historically, artillery (from French artillerie) refers to any engine used for

4920-436: The protection of Saudi Arabia . In January 1991 Operation Desert Storm commenced, a U.S.-led coalition which deployed over 500,000 troops, the bulk of them from U.S. Army formations, to drive out Iraqi forces . The campaign ended in total victory, as Western coalition forces routed the Iraqi Army . Some of the largest tank battles in history were fought during the Gulf war. The Battle of Medina Ridge , Battle of Norfolk and

5002-412: The remaining were swept into the BCT modernization program . By 2017, the Brigade Modernization project was completed and its headquarters, the Brigade Modernization Command, was renamed the Joint Modernization Command, or JMC. In response to Budget sequestration in 2013 , Army plans were to shrink to 1940 levels, although actual Active-Army end-strengths were projected to fall to some 450,000 troops by

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5084-403: The service chiefs from each of the four military services belonging to the Department of Defense who advise the president of the United States , the secretary of defense and the National Security Council on operational military matters, under the guidance of the chairman and vice chairman of the Joint Chiefs of Staff . In 1986, the Goldwater–Nichols Act mandated that operational control of

5166-413: The service of the army. By the twentieth century, the U.S. Army had mobilized the U.S. Volunteers on four occasions during each of the major wars of the nineteenth century. During World War I, the " National Army " was organized to fight the conflict, replacing the concept of U.S. Volunteers. It was demobilized at the end of World War I and was replaced by the Regular Army, the Organized Reserve Corps, and

5248-456: The services follows a chain of command from the president to the secretary of defense directly to the unified combatant commanders , who have control of all armed forces units in their geographic or function area of responsibility, thus the secretaries of the military departments (and their respective service chiefs underneath them) only have the responsibility to organize, train and equip their service components. The army provides trained forces to

5330-415: The side of Britain , France , Russia , Italy and the other Allies . U.S. troops were sent to the Western Front and were involved in the last offensives that ended the war. With the armistice in November 1918, the army once again decreased its forces. In 1939, estimates of the Army's strength ranged between 174,000 and 200,000 soldiers, smaller than that of Portugal 's, which ranked it 17th or 19th in

5412-427: The standard support role in an army. The U.S. Army's conventional combat capability currently consists of 11 active divisions and 1 deployable division headquarters (7th Infantry Division) as well as several independent maneuver units. Land warfare Land warfare or ground warfare is the process of military operations eventuating in combat that takes place predominantly on the battlespace land surface of

5494-443: The state militias. In the 1920s and 1930s, the "career" soldiers were known as the " Regular Army " with the "Enlisted Reserve Corps" and "Officer Reserve Corps" augmented to fill vacancies when needed. In 1941, the " Army of the United States " was founded to fight World War II. The Regular Army, Army of the United States, the National Guard, and Officer/Enlisted Reserve Corps (ORC and ERC) existed simultaneously. After World War II,

5576-402: The states of California , Nevada , Utah , Colorado , Arizona , Wyoming and New Mexico . The American Civil War was the costliest war for the U.S. in terms of casualties. After most slave states , located in the southern U.S., formed the Confederate States , the Confederate States Army , led by former U.S. Army officers, mobilized a large fraction of Southern white manpower. Forces of

5658-412: The statutory authority to conduct all the affairs of the army under the authority, direction, and control of the secretary of defense . The chief of staff of the Army , who is the highest-ranked military officer in the army, serves as the principal military adviser and executive agent for the secretary of the Army, i.e., its service chief; and as a member of the Joint Chiefs of Staff , a body composed of

5740-443: The synergy achieved through collaboration between medical and nonmedical leaders, and provide an example to other organizations and communities striving to achieve success in trauma as measured through improved casualty survival. The success of the medical improvements during the wars in Iraq and Afghanistan have served to maintain the lowest case fatality rate on record. United States Army The United States Army ( USA )

5822-400: The takeover of South Korea by North Korea and later to invade the northern nation. After repeated advances and retreats by both sides and the Chinese People's Volunteer Army 's entry into the war, the Korean Armistice Agreement returned the peninsula to the status quo in July 1953. The Vietnam War is often regarded as a low point for the U.S. Army due to the use of drafted personnel ,

5904-603: The theater for the joint force, and to integrate national, multinational, and joint power on land. The Continental Army was created on 14 June 1775 by the Second Continental Congress as a unified army for the colonies to fight Great Britain , with George Washington appointed as its commander. The army was initially led by men who had served in the British Army or colonial militias and who brought much of British military heritage with them. As

5986-718: The total number of active divisions had dropped from 89 to 12. The leaders of the Army saw this demobilization as a success. In the Pacific War , U.S. Army soldiers participated alongside the United States Marine Corps in capturing the Pacific Islands from Japanese control. Following the Axis surrenders in May (Germany) and August (Japan) of 1945, army troops were deployed to Japan and Germany to occupy

6068-1147: The two defeated nations. Two years after World War II, the Army Air Forces separated from the army to become the United States Air Force in September 1947. In 1948, the army was desegregated by order 9981 of President Harry S. Truman . The end of World War II set the stage for the East–West confrontation known as the Cold War . With the outbreak of the Korean War , concerns over the defense of Western Europe rose. Two corps, V and VII , were reactivated under Seventh United States Army in 1950 and U.S. strength in Europe rose from one division to four. Hundreds of thousands of U.S. troops remained stationed in West Germany, with others in Belgium ,

6150-620: The unpopularity of the war with the U.S. public and frustrating restrictions placed on the military by U.S. political leaders. While U.S. forces had been stationed in South Vietnam since 1959, in intelligence and advising/training roles, they were not deployed in large numbers until 1965, after the Gulf of Tonkin Incident . U.S. forces effectively established and maintained control of the "traditional" battlefield, but they struggled to counter

6232-464: The variety of doctrines used to prosecute warfare on land. Land forces include personnel , weapons platforms , vehicles , and support elements operating on land to accomplish assigned missions and tasks. Infantry are soldiers who fight primarily on foot with small arms in organized military units . However, they may be transported to the battlefield by ships , automobiles , skis , cargo planes, or other means. Combat vehicles provide

6314-583: The world in size. General George C. Marshall became Army chief of staff in September 1939 and set about expanding and modernizing the Army in preparation for war. The United States joined World War II in December 1941 after the Japanese attack on Pearl Harbor . Some 11 million Americans were to serve in various Army operations. On the European front , U.S. Army troops formed a significant portion of

6396-523: Was adopted by Chief of Staff of the Army General Creighton Abrams in the aftermath of the Vietnam War and involved treating the three components of the army – the Regular Army , the Army National Guard and the Army Reserve as a single force. General Abrams' intertwining of the three components of the army effectively made extended operations impossible without the involvement of both the Army National Guard and Army Reserve in

6478-876: Was at first very small and after General St. Clair's defeat at the Battle of the Wabash, where more than 800 soldiers were killed, the Regular Army was reorganized as the Legion of the United States , established in 1791 and renamed the United States Army in 1796. In 1798, during the Quasi-War with France, the U.S. Congress established a three-year " Provisional Army " of 10,000 men, consisting of twelve regiments of infantry and six troops of light dragoons . In March 1799, Congress created an "Eventual Army" of 30,000 men, including three regiments of cavalry . Both "armies" existed only on paper, but equipment for 3,000 men and horses

6560-498: Was no winter. The second strategy was to form alliances with other Indian tribes, but that too was useless because the Seminoles had destroyed all the other Indians when they entered Florida in the late eighteenth century. The U.S. Army fought and won the Mexican–American War (1846–1848), which was a defining event for both countries. The U.S. victory resulted in acquisition of territory that eventually became all or parts of

6642-590: Was procured and stored. The War of 1812 , the second and last war between the United States and Great Britain, had mixed results. The U.S. Army did not conquer Canada but it did destroy Native American resistance to expansion in the Old Northwest and stopped two major British invasions in 1814 and 1815. After taking control of Lake Erie in 1813, the U.S. Army seized parts of western Upper Canada, burned York and defeated Tecumseh , which caused his Western Confederacy to collapse. Following U.S. victories in

6724-505: Was quickly given land certificates and disbanded in a reflection of the republican distrust of standing armies. State militias became the new nation's sole ground army, except a regiment to guard the Western Frontier and one battery of artillery guarding West Point 's arsenal. However, because of continuing conflict with Native Americans , it was soon considered necessary to field a trained standing army. The Regular Army

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