We have 4 Tactical Medical programmes that we usually offer closely based on the Tactical Combat Casualty Care (TCCC) programme on Tac Med I to III and is slight adjusted for the specialist groups such as Military, or Police or Close Protection Medics, etc.
We require proof of background and suitability to attend this course. Automatic acceptance from badged Police, Peace Officers, City EMS / Ambulance, badged Fire and Rescue and the military. Likely acceptance from other first responders and such as security and SAR such as ERT Search and Rescue and other bone fide agencies. (Regretably, we may have to decline applications from certain individuals who cannot prove reasonable need to learn these tactics and medical interventions as they were designed for certain restricted occupations and environments.)
Tac Med I
Care Under Fire / Medical Aid for the Combat / Patrol Officer
Usually two days
Care Under Fire is rendered at the scene of the injury while you and the casualty are still under effective hostile fire (in the "Hot Zone" AKA "On the X" and access to medical resources are limited to what you carried with you and not usually much. The risk of additional injuries at any moment is extremely high for both the casualty and the rescuer.
The major considerations during this phase of care are the following:
Suppression of hostile fire.
Moving the casualty to a safe position.
Treatment of immediate life-threatening hemorrhage.
U.S. Military TCCC CUF Actions
1. Medical decisions are limited.
2. Move to cover/return fire as required/directed.
a. Keep yourself from being shot.
b. Casualty should also return fire if able.
c. Try to keep casualty from sustaining additional wounds.
3. Casualty should attempt self-care if possible.
4. Stop major life-threatening bleeding.
a. Extremity: tourniquet
b. Nonextremity: pressure dressing
c. Ignore non-life-threatening bleeding
5. Defer airway management until the TFC stage.
6. Reassure the casualty.
Our training program focuses on filling in the details in these areas.
We also address the active shooter scenarios, and the proven issues that have been found in the 'hot-zone'
(aka "On the "X"").
Tac Med II
Tactical Field Care
Usually two days
Tactical Field Care: Rendered once the casualty is no longer under hostile fire. Medical equipment is still limited to that carried into the field by mission personnel. Time prior to evacuation may range from a few minutes to many hours
Tac Med III
Tactical Combat Casualty Care (TCCC)
Usually 2 to 5 days
Includes Level I and II and also Tactical Evacuation Care (TACEVAC): Rendered while the casualty is evacuated to a higher echelon of care. Any additional personnel and medical equipment pre-staged in these assets will be available during this phase.
Tac Med IV
Tactical Medic / Assault Combat Medical Tech.
Varies up to 4 weeks
Includes all previous 3 levels and included some Tactical Training as well as more advanced medical field adjuncts.