Teaching and Training Tactical Casualty Care
Grounded in SOF medicine tempered by Emergency Medicine and EMS best practices.
We train private citizens, first responders including Law enforcement, Fire, and EMS from the Basic, Paramedic, and physician levels in the management of injured and wounded patients in high-risk environments.
Timing is Everything
In any event, law enforcement arrives on average 4 minutes after the first 911 call; EMS arrives 4-10 minutes later. This means that in the first 10 minutes, any care a casualty receives is either performed by private citizen bystanders (First Care Provider) or others involved in the event and secondarily, law enforcement. Many casualties can die within this time frame without life-saving intervention.
Wounded can occur from: Active shooter events; active violent incidents (think Boston 2013); unstable buildings due to collapse, bombing, or fires; or natural disasters; all of which are high-risk environments.
Priorities of Care
Traditional EMS priorities of the ABC model (airway, breathing, circulation) misses the point that the whole purpose behind an open airway is to oxygenate the blood, which is best kept in the body. Controlling massive hemorrhage is the first priority in saving trauma patients and avoiding unnecessary deaths.
Utilizing the military model of MARCH (Massive hemorrhage, Airway, Respiration, Circulation, and Hypothermia prevention), Crisis Medicine uses a fast-paced, dynamic, hands-on, skills station heavy, and scenario-based approach to teaching life-saving techniques and interventions.