Tactical Medicine

As we have learned from combat casualty from conflicts ranging from the Great War to the streets of Baghdad, there are 3 possible outcomes if you are wounded in battle.  You may suffer an injury that is fatal and no intervention can change the outcome.  You can suffer an injury that is minor- in other words you are going to survive irrespective of whether further intervention or care is delivered.  Then there is the third group, an injury that can be fatal, but survivable if some treatment is rendered.  That is what our training will focus upon.  Our training is based on the most recent lessons from the battlefields and the Tactical Combat Casualty Care Courses and the TCCC guidelines adapted for civilian use.

There are 3 injuries that form the basis of our curriculum.  The first is uncontrolled bleeding from an extremity.  Conventional medicine frowns upon the use of tourniquets, however in a tactical setting, they can be life saving.  The second is sucking chest wound and tension pneumothoraxes.   Finally, there is airway management.  We will teach you 3 simple skills to care for these life threatening conditions and much, much more.

During your Tier 4 training, you learn vital gun handling skills such as emergency/empty gun reloads, quickly clearing malfunctions and one handed shooting.  We will now teach these life saving skills integrated into our Tier 4 combative firearms training.  Through Distributed Security, Inc. we also offer a wide selection of tactical medical training.  We offer course from civilian non-medical personnel to health care providers to combatants.

The ‘Stop the Bleed‘ campaign was initiated by a federal interagency work group convened by the National Security Council Staff, The White House. The purpose of the campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters. Advances made by military medicine and research in hemorrhage control during the wars in Afghanistan and Iraq have informed the work of this initiative which exemplifies translation of knowledge back to the homeland to the benefit of the general public.

This course was formerly under the auspices of NAEMT and referred to as “B-CON” or Bleeding Control.  Pulse Ohio and DSI offer this course as a standalone class augmented by additional lifesaving skills.  We also include this training into all of our combative firearms training.

The Department of the Defense owns the ‘Stop the Bleed’ logo and phrase – trademark pending.

Tactical Emergency Casualty Care (TECC)

The Tactical Emergency Casualty Care (TECC) program is based on the principles of Tactical Combat Casualty Care (TCCC) and meets the guidelines established by the Committee on Tactical Emergency Casualty Care (Co-TECC). The course teaches civilian tactical EMS; any EMS practitioner called upon to respond to a mass casualty or active shooter event.

Developed by NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee, the TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC) and the Tactical Combat Casualty Care (TCCC) program. TECC uses lessons learned from our military and applies them to the civilian world of tactical medicine.

This 16-hour course covers topics designed to decrease preventable death in the tactical situation.  Topics include: Hemorrhage control; surgical airway control and needle decompression; strategies for treating wounded responders in threatening environments; caring for pediatric patients; and techniques for dragging and carrying victims to safety.

At the core of the TECC program are three distinct phases that have been well-proven by TCCC-trained personnel in the war against terrorism in Iraq and Afghanistan. The phases are as follows:

  • Direct Threat Care
    Care that is rendered while under attack or in adverse conditions.
  • Indirect Threat Care
    Care that is rendered while the threat has been suppressed, but may resurface at any point.
  • Evacuation
    Care that is rendered while the casualty is being evacuated from the incident site.

TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.

Law Enforcement and First Response: Tactical Casualty Care

LEFR-TCC teaches public safety first responders including police, other law enforcement officers, firefighters, and other first responders the basic medical care interventions that will help save an injured responder’s life until EMS practitioners can safely enter a tactical scene. It combines the principles of PHTLS and TCCC, and meets the recommendations of the Hartford Consensus document and TECC guidelines.

Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC), is continuing education offered through NAEMT’s PHTLS program. This new course was developed in collaboration with the Denver Health Department of EMS Education and the Denver Police Department Metro/SWAT unit, and NAEMT’s PreHospital Trauma Life Support (PHTLS) Committee. It teaches public safety first responders (police, law enforcement officers, firefighters, and other first responders) the basic medical care interventions that will help save an injured responder’s life until EMS practitioners can safely enter a tactical scene.

The course combines the principles of PHTLS and Tactical Combat Casualty Care (TCCC), with the training provided to military medics by all branches of our Armed Services. It is consistent with the Tactical Emergency Casualty Care (TECC) guidelines, and meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events.

Course participants will learn life-saving medical actions such as bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe.

Upon completion of the course participants will:

  • Understand the rationale for immediate steps for hemorrhage control (including external hemorrhage control, direct pressure and wound packing, early use of tourniquet for severe hemorrhage, internal hemorrhage control by rapid evacuation, and transportation to major hospital/trauma center.
  • Demonstrate the appropriate application of a tourniquet to the arm and leg.
  • Describe the progressive strategy for controlling hemorrhage.
  • Describe appropriate airway control techniques and devices.
  • Demonstrate the correct application of a topical hemostatic dressing (combat gauze).
  • Recognize the tactically relevant indicators of shock.

Tactical Combat Casualty Care (TCCC or TC3)

The U.S. Department of Defense’s Tactical Combat Casualty Care course, conducted by NAEMT, introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT’s TCCC course is the only TCCC course endorsed by the American College of Surgeons.

The Tactical Combat Casualty Care (TCCC) course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield.  DSI conducts the NAEMT TCCC courses under the auspices of NAEMT’s PHTLS program, the recognized world leader in prehospital trauma education.

DSI’s NAEMT TCCC courses use the PHTLS Military textbook and are fully compliant with the Department of Defense’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. It is the only TCCC course endorsed by the American College of Surgeons.

The TCCC-MP (TCCC for Medical Personnel) course is a 2 day course designed for combat EMS/military personnel, including medics, corpsmen, and pararescue personnel deploying in support of combat operations. NAEMT also offers Tactical Emergency Casualty Care (TECC) for civilian tactical EMS.  The TCCC-AC (TCCC for All Combatants) course is a 1 day course designed for non-medical military personnel and includes first responder skills appropriate for soldiers, sailors, airmen and marines.

DSI’s NAEMT TCCC course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and recognized by the National Registry of EMTs (NREMT).

Maximize your training with Distributed Security, Inc. and Pulse Ohio:

There are many organizations and agencies that offer TCCC instructions.  DSI’s TCCC courses are taught by a network of experienced, well trained instructors with real world, operational experience.  This course can be packaged with DSI’s Tier 3 Individual Tactics course the involves intense combative firearms training employing Ultimate Training Munitions with reality based training.  All of our instructors also have extensive experience teaching students these skills employing the latest research into learning and the most recent neurophysiology and psychological research on learning to maximize your experience.  Our course of instruction is designed to make sure that you can apply your skills when you need them most.

Our complete training schedule can be found on our DSI O2DA Defense Academy site.