Tactical Medics have the primary responsibility of providing medical care for special operations police teams, but their duties extend far beyond that task.  Providers operate in a specialized and highly discriminating endeavor that requires intensive training, discipline, and a unique relationship with law enforcement and military units. 

High profile shootings such as Columbine High School, Virginia Tech, Aurora Movie Theater, and countless other incidents have shifted how law enforcement agencies operate and respond.  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 Police Contact Teams that focus on aggressively pursuing active shooters with the initial arriving assets on hand, instead of waiting for a SWAT team.  The second change was to recognize the need for point of injury treatment and an emergency medical response protocol. This includes training officers/agents in “self-aid” and “buddy aid” with the focus on bleeding control.  Rescue Task Force Operational Concepts get First Responders into the Warm Zone to mitigate Life Threats utilizing basic Life Saving Interventions.  Law enforcement K9 team handlers not only need to be able to provide immediate Life Saving Interventions for themselves, their partners, but for their K9 partner.  Pre-Hospital Providers also need to understand how to medically treat K9s if the need arises. 

Another aspect of this shift is the inclusion of organic assets, SWAT teams are now increasingly implementing a dedicated tactical medical component as part of their configuration; and involving, or at least notifying local EMS and hospitals, about law enforcement operations that have a high risk for injuries. 

 In the ever-changing world of Tactical Medicine, Education, Skills and Training Experiences have to change with it.  VAMS strives to ensure our courses not only meet but exceed current standards.  Our staff has the capability to adapt courses to the skills, knowledge and needs of our students.  Ready to get started? Find a class

 

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:

  • MARCH-E assessment algorithm

  • 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:

  • MARCH-E assessment

  • 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)

 

Basic tactical medic Provider course (BTMPC)

The 5 day Basic Tactical Medic Provider 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 Basic Tactical Medic Provider Course is designed to provide the medic with the core fundamental educational and skills necessary to support a tactical law enforcement team during tactical operations as well as in the support role.  As the violence associated with drug activity and terrorism continues to increase, the ability to have TMPs who are 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

  • Tourniquets

  • Hemostatic Agents

  • Pressure Dressings

  • Airway Management

  • Breathing Management

  • Systematic Tactical Patient Assessment

  • Operating in the Tactical Environment

  • Minimizing Mortality & Morbidity of Personnel

  • Maintaining Operational Capabilities of Tactical Units

  • Extrication

  • Three Phases of Care in the Tactical Operation

Course prerequisite:

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

Certification achieved:

  • VAMS Tactical Medic Certificate

  • NAEMT TCCC Certificate

Course cost: 

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

 

Advanced Tactical Medic Provider Course (ATMPC)

The Advanced Tactical Medic Provider Course is a continuation from our BTMP Course designed for a TMP to progress in solving  more complex tactical medical problems that maybe encountered both by  military combat medic or TMPs supporting SWAT operations.  This 8 day course will build on the basic fundamentals of Tactical Medicine and provide participants the education,skills and training experience  to critically think and apply advanced medical interventions, treatment modalities, along with extrication techniques that can make the difference in a life. This is completed by building on the medic's core fundamentals of education and experience, allowing for the student to expand their medical capabilities in support of their mission profiles.  The Advance Tactical Medic Provider Course continues the paradigm of Life Saving Interventions as well as Operational Medicine base on evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield.     

Topics include:

  • Operational Medicine

  • Officer / Soldier Down Techniques

  • Hemostasis

  • Tourniquets

  • Direct Pressure

  • Bandaging

  • Combat Gauze

  • Pressure Dressing

  • Wound Management

  • 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

  • Fracture Management

  • Burn Management

  • 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 Self Care & Buddy Aid Course (SCBA)

The Self Care Buddy Aid Course teaches public safety first responders including police, other law enforcement officers, firefighters, and other first responders the basic Life Saving Interventions(LSI) 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 SCBA course is designed utilizing the best practices supported by the CoTCCC, NAEMT TECC , and NAEMT’s PreHospital Trauma Life Support (PHTLS) Committee. We instruct public safety first responders how to recognize Life Threats, Systematic Trauma Assessment, and basic Life Saving Interventions while incorporating Individual First Aid Kits (IFAK) that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene. 

This 1 day  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:

  • VAMS  Certificate of Completion

  • POST Credit

Course cost: 

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

* post certification credit hours available

 

Tactical Medicine K9 Handler Course

Historically , Law Enforcement and Military K9s are being deployed more frequently during tactical operations.  This evidence is clear as we continue to gather statics and lessons learned during these missions.  With operational tempos increasing, Law Enforcement, Military and Search & Rescue K9 handlers are being injured or wounded more frequently during tactical operations. 

VAMS 24 hour Tactical Medicine K9 Handler Course is designed to meet the tactical medical pre-vet and pre-hospital needs of operational K9 handlers.  This three day comprehensive course is designed to provide the K9 handler with the tactical medical education, skills and tools required to increase survivability in the event that either are injured or wounded.  It is imperative that the handler knows how to Stop Major Bleeding, Manage Airways and Respiratory Compromise during their mission in order to prevent shock and death.

Education, skills and practical scenario training provides our students with the essential trauma and medical first responder fundamentals required to provide immediate Life Saving Interventions during tactical operations.  During our course, students will learn the critical thinking skills, tools and treatments required to perform systematic trauma victim assessments and manage a sick or trauma patient utilizing the M.A.R.C.H.E. treatment protocol recommended by the Tactical Combat Casualty Care Committee.  Students learn this approach and practice managing their own, partners or K9 injuries using Individual First Aid Kits, M.A.R.C.H.E. protocols and gaining experience providing this essential medical care during tactical operational scenario practicals.

Survivability during tactical and operational deployments are not a given, education and training are instrumental when Law Enforcement and Military K9 handlers find themselves wounded or injured which is imperative for the best chance of survival when combating the Triad of Death.

Topics Include:

  • Three Phases of Tactical Combat Casualty Care

  • Point of Injury Statistics

  • IFAK and Medical Equipment for K9 and Humans

  • M.A.R.C.H.E. Treatment Protocols

  • Hemorrhage Control

  • Airway Management

  • Respiratory Management

  • Prevention & Treatment of Shock

  • Wound Mangement

  • Casualty Movement Techniques

  • Hypothermia & Hyperthermia

  • Burns

  • Snake Bites

  • Poisoning

  • Bloat

  • Fracture and joint injuries

  • Documentation

Certification Achieved:

VAMS Certificate of completion

21Georgia Post Credit Hours

Course Costs: 

$475.00 per student (all reading materials and required equipment are included)

 

Advance Provider Tactical Medicine K9 Course

VAMS Advance Provider Tactical Medicine K9 Course is designed to meet the needs of pre-hospital providers supporting K9 operations, or providers serving in an area with the potential for an encounter with a sick or wounded K9.  This course also supports the educational needs of providers that provided direct care to operational K9s in support of SAR and USAR operations  

As K9 operations increase, the probability that Pre-Hosptial Providers may encounter a K9 patient has grown expediently over the past decade.  providers today need to understand the importance of having the ability manage a sick or a traumatically injured K9.

VAMS students will participate in training that encompasses the 3 phases of Tactical Combat Casualty care  recommend by the Co TCCC for operating and supporting K9 tactical operations.  Students will learn many of the same topics and  concepts as our TMK9 course and in addition K9 pathophysiology and appropriate medical treatment modalities that support our efforts to save a dogs life. With basic and advance medical education, skills and training experience, the chances of a sick or wounded K9 survival is greatly improved as it is with humans. 

Topics Include:

 

  • Three Phase of Tactical Casualty Care

  • Point of Wounding Studies and Statics

  • Hemorrhage Control

  • Hemostatic Agents & Wound Packing

  • Casualty Movement Techniques

  • Airway Interventions

  • Endotracheal Intubation

  • Surgical Criq

  • Breathing Management

  • Chest Seals

  • Needle Decompression

  • Hemorrhagic Shock

  • IV & IO Access

  • Fluids

  • Assessment for Shock

  • Hypothermia

  • Hyperthermia

  • Penetrating Eye Injuries

  • Oral and Intramuscular Medications

  • Antibiotics

  • Analgesia

  • Fracture Management

  • Splinting

  • Management of Burns

  • Medical Threat Assessment

  • Documentation

    Certification Achieved:

    VAMS Certificate of completion

    21Georgia Post Credit Hours

    Course Costs: 

    $500.00 per student (all reading materials and required equipment are included)

 

 

 

 

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