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  • Celebrating 20 Years of Training Excellence 2004-2024

  • Tactical Emergency Casualty Care


Our One Day Tactical Emergency Casualty Care course will give First responders, Security, and Executive Protection personnel the knowledge, skills, and most importantly confidence to recognize and treat potentially life threatening traumatic injuries. Students will receive practical and easy to understand instruction in recognizing potentially life threatening injuries.  We will explore basic anatomy and physiology concepts which help the learner understand why it is so vitally important to “stop the bleeding and keep them breathing.”  In addition to engaging lectures and facilitated discussions, students will experience hands-on practical skills exercises throughout the course.

Course Outline

Statement of Purpose

  • Students will become familiarized with methods for managing traumatic injuries in a tactical situation or environment.
  • Students will understand the effects of blood loss and shock and how to manage potential life threatening injuries.
  • Students will understand the effects of compromised airways and how to mitigate injuries that threaten adequate breathing.
  • Students will understand different methods of patient movement and rescue tactics in a direct threat environment.
  • Practical skills, tabletop exercises and small group discussions will allow students to internalize and contextualize concepts and be ready to put skills into practice.

Course Outline

I. Introduction to Tactical Emergency Casualty Care/Saving Our Own [60 minutes]
A. Background/History of Tactical Casualty Care
B. Describe key factors influencing tactical casualty care as related to self or “buddy” aid
C. Describe the phases of tactical casualty care

II. Hemorrhage Control and Hypothermia [120 minutes]
A. Hemorrhage Control Tactics Knowledge
1. Describe the need for weapon removal from casualties with altered mental status
2. Identify steps in the MARCH assessment
3. Understand the effects of blood loss and shock
4. Demonstrate the most appropriate hemorrhage control method based on physical assessment and resources
5. Demonstrate safe and effective application of hemorrhage control methods

B. Understand the negative impact of hypothermia to a trauma patient

C. Hemorrhage Control Tactics Practical Skills

III. Airway/Breathing [120 minutes]
A. Airway/Breathing Knowledge
1. Discuss airway management modifications
2. Manual repositioning
3. Use of airway adjuncts (NPA)
4. Recovery position
5. Review pediatric airway anatomy and management
6. Discuss chest (thoracic) trauma
7. Open chest injury (sucking chest wound)
8. Pneumothorax/Hemothorax
9. Tension Pneumothorax
10. Management of injuries

B. Airway/Breathing Practical Skills
1. Recovery Position
2. Chest Seals
3. Nasopharyngeal Airway (NPA)

IV. Rescue Tactics [60 min]
A. Rescue Tactics Lesson
1. Reaffirm getting off the “X”
2. Discuss the rationale for limited medical interventions during a direct threat
3. Identify drag and carry techniques
4. Discuss how mission tempo and skill sets impact provider action during the direct threat phase

B. Rescue Tactics Practical Skills
1. Lifts, drags, and carries
2. Cover and concealment

V. Tabletop Exercise & Scenario Discussion [90 min]
A. Small Group Breakouts
1. Discuss Scenarios
a) Motor Vehicle Crash
b) IED/Blast
c) Active Shooter
d) Partner Down
2. Discuss Treatment priorities
3. Discuss Evacuation plan

B. Large Group Reflection/Presentations
1. Small groups present findings to larger group
2. Identify Best Practices specific to the student’s context

C. Takeaways
1. Allow students to verbalize a key “takeaway” from the training session

  • Your training has made the greatest and most direct impact on my assignment of any training class that I've taken.

    —Ken Gelskey, National City Police Department
  • This was, by far and away the best training I have received in 15 plus years of Law Enforcement. The instructors are experienced, engaging, articulate, and very entertaining. I will be recommending this training to multiple agencies.

    —Mark Paynter, Oregon DOC
  • Your training gave me the confidence and tools to interview the suspect for over 5 hours and to bring a closure to the case.

    —Daniel Phelan, San Jose Police Department
  • Effective teaching teams! The presentation of the material was consistently interesting, and intelligent without being too intellectualized.

    —Michele Keller, Deputy Probation Officer, County of Alameda
  • This was, by far, one of the most useful training classes I've attended since becoming an investigator.

    —Steven Aiello, Antioch Police Department
  • This training provided the useful tools necessary for assessing the veracity of a suspected child abuser, which goes a long way in helping to protect children.

    —Sunny Burgan, MSSW, LCSW, Social Work Supervisor, Santa Clara County DFCS
  • I highly recommend this training for any Probation staff who have the necessity to interview/interrogate individuals for investigation purposes.

    —R. Bret Fidler, Santa Clara County Probation Department
  • Incredible training with amazing real world instruction. I have been taking law enforcement classes for over 30 years and by far this is the best presented and most useful.

    —Det. Brian Dale, Portland Police Bureau
  • This training by far has been the most informative and most effective I've attended. The instructors engaged the students in a manner that made me want to speak my opinion, ask questions, and participate.

    —Julio Ibarra, Merced County Sheriff’s Office
  • It not often that you go to a training that you really, really want to pay attention to. Because of the high quality information and style of presentation, I knew that if I looked away I was going to miss out.

    —Quinten Graves, Oregon State Police
  • I will continue to use and pass on this information because I really believe in the instructors and their approach.

    —Kimberly Meyer, Washoe County Sheriff's Department
  • The information presented was highly relevant to my job and was presented in a manner that was organized and very easy to digest.

    —Michael McGarvey, California State Prison, San Quentin
  • Instructional style is engaging and highly effective.

    —George Laing, Fire Prevention Captain, Investigator