Tactical Combat Casualty Care - TCCC



Tactical Combat Casualty Care is the American course for a new standard of care in prehospital Battlefield Medicine in the USA. Previous medical training may not have contained the material presented in this course. Medical care in combat is significantly different than that provided on the streets of Anywhere, USA.

TCCC principles are now determined by physicians and combat medical personnel working as a team.  In the past, the failure of these two groups to communicate well slowed the implementation of critical trauma care measures.  Although TCCC started in Special Ops, it is now used by all services in the U.S. military, conventional as well as Special Ops.  It has proved dramatically successful in the Global War on Terrorism. TCCC has been a major factor in U.S. forces having the highest casualty survival rate in our history.

Tactical Combat Casualty Care (TCCC) principles have been credited with achieving the lowest death rate in recorded US military conflict. Though initially designed for military casualties, their use is appropriate for any traumatic casualty in a tactical or austere environment as would be seen by medical providers in support of law enforcement tactical teams.


The course covers the entire spectrum of Tactical Combat Casualty Care principles and will teach the tactical operator with medical training to perform appropriate medical care skills in hostile and austere conditions.

Topics will include, but are not limited too:

  • Wounding patterns seen in tactical operations

  • Care priorities during the care under fire, tactical field care, and casualty evacuation phases

  • Hemorrhage control options - tourniquets, wound packing, and Hemcon (chitosan) dressings

  • Airway management positioning, airway adjuncts (nasal pharyngeal, King LT), surgical airways

  • Management of penetrating chest trauma - needle decompression, occlusive dressings

  • Proper use of intravenous / intraosseous access, appropriate administration of Hextend and IV fluid

  • Casualty movement - manual carries, drags, evacuation with Talon II and Skedco litters

  • Role of pain management and antibiotics in a tactical environment


​Target Audience

Doctors, nurses, medics, PSD operators, close protection officers, police officers, fire fighters, ambulance staff or anyone who could potentially work in an austere environment.



The course is lasts for 4 days.​  ​Contact us for next available course dates.​​



​​​​​​​​​​Minimum of 8 and a maximum of 12 delegates for each practical element of the programme to run.



Individual course booking - £1000 per course (+VAT) Includes registration, examiner fees & certificates.​​