Complete Tactical Casualty Care course

This dynamic and practical course covers the complete evaluation and treatment of the tactical casualty during both the Care Under Fire / Direct Threat, Tactical Field Care / Indirect Threat phases, and solid preparation of the casualty for the evacuation phase to increase survivability. This stand-alone course covers all the materials presented in the Advanced Tactical Casualty Care course and builds upon those skills with more detailed airway interventions, surgical airways, intraosseous (and to a lesser extent intravenous) access, fluid resuscitation, TCCC / TECC relevant medications, as well as dedicated litters.

This class is consistent with current Tactical Combat Casualty Care Guidelines for Medical Providers as well as the Guidelines for Tactical Emergency Casualty Care. If topics are presented in the TCCC guidelines, they’re presented in this course.

Want to see an example of the course?

You can see the teaching lecture and skills station for the Foley Catheter Wound Packing technique on the Bonus Content page. This material is excerpted from the Junctional Hemorrhage and Hemostatic lecture and skills stations.

The Complete TC2 course covers everything in the Advanced TC2:

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

Choosing appropriate medical care for each treatment phase

Assessment and management of penetrating, blunt, and blast injuriesAssessment and management of massive hemorrhage including extensive practical exercises managing all types of hemorrhage, including junctional hemorrhage, effectively packing wounds, and hemostatic agents

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

Nasal pharyngeal airways and airway positioning

In-depth discussion of thoracic trauma (chest injuries), chest seals, recognition of tension pneumothorax and its decompression

Appropriate treatment of casualties with abdominal injuries or head injuries

Casualty hypothermia prevention

Techniques for moving casualties to a safer location, with detailed training and practice moving casualties efficiently

Triage of multiple casualties and setting up a Casualty Collection Point

Tactical casualty care concepts and their application

And the Complete TC2 Course adds the following topics and skills:

Airway management using nasal pharyngeal airways, airway positioning and surgical airways

Appropriate treatment of casualties with ocular injuries, as well as burns, fractures, and mine injuries

The reality of fluid resuscitation

Intraosseous access, and to a lesser extent intravenous access of the casualty

Using the Hypothermia Prevention and Management Kit (HPMK) and the Blizzard Bag

Proper litter use, including Skedco, Talon, non-rigid, and improvised

This course was designed for the pre-hospital provider or dedicated medic in mind. Skills taught in this course include higher level, paramedic level skills and others may find some taught skills are beyond their scope of practice. Many students have attended with no prior medical knowledge or training, but the course is designed for a student with at least an Emergency Medical Responder background. This course is ideal for the tactical medic, whether in support of military operations, SOF, or tactical law enforcement operations.