Tactical medicine is a specialized and highly discriminating endeavor that requires intensive training, discipline, and a unique relationship with law enforcement. Tactical medics have the primary responsibility of providing medical care to a special operations police team, but their duties extend far beyond that task.  Tactical medicine has become a discipline and specialty within law enforcement circles. High profile shootings such as Columbine high school, Virginia Tech, Aurora Movie Theater, and countless other incidents have shifted the way law enforcement agencies operate.  There have been two major shifts in the dogma related to SWAT and law enforcement operations over the last 10 years. The first change was focused on aggressively pursuing active shooters with any assets are on hand, as opposed to waiting for a SWAT team.  The second change has been to recognize the need for an emergency medical protocol. This includes training officers/agents in the basics of “self-aid” and “buddy aid” with the focus on bleeding control.  Another aspect of this shift is the inclusion of organic assets (the tactical medic), and involving, or at least notifying local EMS and hospitals, about law enforcement operations that have a high risk for injuries.  SWAT teams are now increasingly implementing a dedicated tactical medical component as part of their configuration.

our courses:

Tactical Emergency Casualty Care (TECC)

Developed by the National Association of Emergency Medical Technician'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 3 day 24-hour course covers topics designed to decrease preventable death in the tactical situation.  

Topics include:

  • Hemorrhage Control
  • Surgical Airway Control & Needle Decompression
  • Strategies for Treating Wounded Responders in Threatening Environments
  • Pediatric Patients
  • Techniques for Dragging/Carrying Victims 

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 - rendered while under attack or in adverse conditions.

  • Indirect Threat Care - 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.

Certification achieved:

  • NAEMT Tactical Emergency Casualty Care Certificate

Course cost: 

  • $375.00 per student (all reading materials and required equipment are included)

 

Tactical combat casualty care course (TCCC)

TCCC has become the standard of care for the tactical management of combat casualties within the Department of Defense and is the sole standard of care dually endorsed by both the American College of Surgeons and the NAEMT for casualty management in tactical environments. The focus of the instruction is to give the operator the ability to recognize, evaluate and control life threatening wounds, airway compromise and chest trauma, that present during a tactical mission by using an IFAK (individual first aid kit) and aid bag.  Combat medical personnel and non-medical combatants in the U.S. and most coalition militaries are now being trained to manage combat trauma on the battlefield in accordance with TCCC Guidelines.  This 3 day 24-hour course covers topics designed to decrease preventable death in tactical situations.

Topics include:

  • Hemorrhage Control
  • Surgical Airway Control & Needle Decompression
  • Treating Wounded Responders in Threatening Environments
  • Pediatric Patients
  • Dragging & Carrying Victims 

Certification achieved:

  • NAEMT Tactical Combat Casualty Care Certificate

Course cost: 

  • $375.00 per student (all reading materials and required equipment are included)

 

tactical medic course

The 5 day 52-hour Tactical Medic Course is designed to introduce emergency medical technicians to the dynamic world of tactical medicine.  Through years of experience working with both law enforcement special operations and military combat operations, we offer a physically, as well as mentally, challenging course.  This course provides the medic with the basic fundamentals of TCCC and TECC required to support, and operate, as a medic on a Specialized Police Response team or in supporting operations in the tactical arena.  The Tactical Medic Course is designed to provide the medic with the skills necessary to support a tactical law enforcement team.  as the violence associated with drug activity and terrorism continues to increase, the ability to have medics trained, qualified, and skilled with this specialized talent is becoming a standard among tactical law enforcement teams. 

Topics include:

  • Introduction to Tactical Medicine
  • Tactical First Aid Kits
  • Patient Assessment
  • Operating in the Tactical Environment 
  • Minimizing Mortality & Morbidity of Personnel 
  • Maintaining Operational Capabilities of Tactical Units  

Course prerequisite:

  • Current NREMT EMT-I/AEMT/EMT-P certification

Certification achieved:

  • VAMS Tactical Medic Certificate

Course cost: 

  • $825.00 per student (all reading materials and required equipment are included)

 

combat Medic Course

The Combat Medic Course is designed for the military medic that has completed his or her initial medic training and is ready to take the next step in understanding and applying the basic skills. This 10 day 100-HOUR course will apply advanced interventions and  treatment modalities, along with extrication techniques.  We also give the medic the core fundamentals of being able to expand the medical capabilities of their team by teaching others life saving techniques every operator needs.  The combat medic course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield.  VAMS conducts the Combat Medic Course under the auspices of the NREMT PHTLS program, the recognized leader in prehospital trauma education.    

Topics include:

  • Overview of Combat Medicine        
  • Hemostasis
  • Tourniquets     
  • Direct Pressure
  • Bandaging
  • Combat Gauze
  • Pressure Dressing
  • Casualty Movement Techniques
  • Drags
  • Carries
  • Litters
  • Airway Interventions
  • Breathing Interventions
  • Chest Wounds
  • Hemorrhagic Shock
  • Assessment for Shock
  • Hypothermia
  • HPMK
  • Penetrating Eye Injuries
  • Oral and Intramuscular Medications
  • Antibiotics
  • Analgesia (non-narcotic)
  • Fracture Management
  • Splinting
  • Management of Burns
  • Stopping the Burning Process
  • Covering the Burned Areas
  • Documentation

Certification achieved: 

  • VAMS Combat Medic Certificate 

Course Cost: 

  • $1550.00 per student (all reading materials and required equipment are included)

 

Law Enforcement & First Response Tactical Casualty Care (LEFR-TCC)

The LEFR-TCC Course 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.

The LEFR-TCC course 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 1 day 8-hour 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.

Certification achieved:

  • NAEMT Law Enforcement & First Response Tactical Casualty Care Certificate

Course cost: 

  • $115.00 per student (all reading materials and required equipment are included)

* post certification credit hours available