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Crisis Medicine's Tactical Casualty Care course

This interactive ten-hour course prepares for the first few minutes of casualty evaluation in a high-risk environment. This course is designed to give you a plan to identify and manage those immediately life-threatening injuries and the knowledge and skills to implement it, while you are still engaged in an ongoing tactical problem.

The class largely deals with the Care Under Fire Direct Threat phase of an event, where any medical care is provided while the responder and casualty are in an ongoing situation that is a direct threat to life (active shooter, building collapse, fire, secondary explosives, etc). This phase requires efficient hemorrhage control (largely with tourniquets) and patient movement.

While most injuries are not immediately life threatening, there are some where death before the arrival of EMS is almost assured if not managed rapidly and correctly. EMS is usually delayed in these types of events due to security concerns. Instead, responding law enforcement and private citizens, either involved in the events themselves or nearby, provide most life-saving care in this phase.

This class is consistent with the Tactical Combat Casualty Care guidelines for all combatants, as well as the guidelines for Tactical Emergency Casualty Care for First Care Providers and Responders with a Duty to Act. The course also exceeds the Stop the Bleed curriculum.

Tactical Casualty Care Subjects Covered:
  • The nature and myths of gunshot wounds and realities of their medical management
  • How to rapidly evaluate injuries and how they affect your tactical treatment plan
  • The concept of "care under fire" and how it differs from a non-tactical medical situation
  • Assessment and management of penetrating, blunt, and blast injuries
  • Assessment and management of massive hemorrhage
  • The safe and efficient use of improvised and commercially available tourniquets
  • Basic airway and breathing assessment, as well as management within a high-risk environment
  • Clarifying the "sucking chest wound" and its actual significance
  • Techniques for moving casualties to a safer location
  • This course is about 70% dynamic presentation including photos, videos, and real-life examples and 30% practical exercise, student hands-on, and scenarios
Students take turns role-playing a casualty, having tourniquets applied, as well being dragged and lifted. As such, it is advisable to not wear your finest clothing to class.

No prior medical knowledge or training is necessary to attend. If you carry a firearm this is the minimum level of tactical medical training you should have. However, it would benefit every citizen.

Want to start now? Train online at
You may also register by calling [425] 827.2552 or by email



Required Equipment:

Expendable clothing that may be permanently stained with fake blood; Expendable running shorts / sports bra to wear under clothing when role playing the casualty

Dates & Locations

There are currently no scheduled dates for this course. Please contact us if you would like to schedule or host a class.

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