TACTICAL CASUALTY CARE FOR HIGH RISK ENVIRONMENTS
ONLINE CLASSES: Begin Training Now
Where to start? Our classes don’t build on one another. Determine what your scope of practice and goals are and take the class that meets your needs. Check the Which Course is Right for Me? comparison page.
Courses are asynchronous and self-paced. See FAQs for more information. Start with our TC2 series, and move on to specialized classes in CBRN, Air Travel, K9s, and Improvised.
Timing is everything
In an active violent incident, law enforcement arrives on average 4 minutes after the first 911 call. EMS arrives 4 to 10 minutes later. In that window, any care a casualty receives comes from active bystanders and secondarily, by law enforcement. Without life-saving intervention, casualties can die in that timeframe.
High Risk
environment
Casualties occur in active shooter events, active violent incidents, unstable structures, and natural disasters. The environment is the variable. The medical principles are not. Crisis Medicine training is grounded in current medical literature and Special Operations Forces medicine. With tactically relevant training and a plan, you can provide this care.
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.
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Taught by Mike Shertz, MD-18D, a former Army Special Forces medic and practicing emergency medicine physician, Dr. Shertz combines the medicine and tactics together in an easy-to-watch course, which you can complete as you have time.
Grounded in Special Operations Forces medicine, tempered by Emergency Medicine and EMS best practices.
Courses are asynchronous and self-paced. See FAQs for more information.
TECC/TCCC Guidelines
We train TECC and TCCC guidelines together in each course. These courses use photographs of actual injuries, diagrams of wounds, and step-by-step demonstrations. The material is presented in an easy-to-understand, directly applicable way. Each of our courses utilizes and addresses both the TECC and TCCC guidelines.
M-A-R-C-H
MARCH — (Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia prevention) is the backbone of every Crisis Medicine course. The sequence is evidence-based and operationally tested. Every course uses MARCH through lectures, close-up detailed demonstrations, and scenarios applying the techniques. Online you have a better view than the back row of any classroom. Most students don’t watch it like a course, they watch it like something worth watching.
You can train
Crisis Medicine courses are built for anyone operating in or near high-risk environments: from private citizens to tactical medics and physicians. No prior medical background required for most courses. Every course is consistent with current TECC/TCCC guidelines, medical literature, and 30 years of operational experience. You leave with a tactically relevant plan and the skills to execute it.
Once you're trained in TECC/TCCC, there's more.
New to TECC / TCCC? Start here.
From our students...
Dr. Shertz’s course was some of the best training I’ve received. He manages to provide a solid foundation and practice combined with a good amount of exploration of the different options available as far as gear, which is important when you may not know what will be available or approved at different sites. His presentation style is engaging, without devolving into war stories. His SF background is invaluable, and his ER experience makes the information provided relatable and actionable for civilian and LEO EMS professionals who aren’t downrange. He covered everything that we covered during my initial TCCC training, but with updates and additions that helped me integrate the TECC principles to my everyday EMS and tactical practice.
I would recommend this online course to anyone.



