National Association of EMT’s (NAEMT) Tactical Combat Casualty Care (TCCC)

Our instructors from various SOF backgrounds have incorporated senarios that will push students both mentally and physically while under direct enemy fire.

National Association of EMT’s (NAEMT) Tactical Casualty Care Course (TCCC)

Created in the mid-1990’s by US Military Medical Special Operation members; the National Association of EMTs (NAEMT) Tactical Combat Casualty Care Course (TCCC), is the only nationally recognized course of this type to prepare individuals for facing a unique tactical environment. Due to global changes, the tactical environment is not limited to the battlefield but is also found in Law Enforcement Operations.

The TCCC course is essential to aid law enforcement and military personnel in acquiring and refining skills needed to increase the survival rate of team members and civilians alike.

Course Topics:

  • Care under Fire
  • Tactical Field Care
  • Casualty Evacuation Care (CASEVAC)
  • This class will involve strenuous activity in austere conditions; low light, confined spaces, wet, dirt.

Upon successful completion students will be issued a NAEMT TCCC Provider card and CE certificate.

College Credits are also available and the course is AZ post approved.


Note: This class will involve strenuous activity in austere conditions (low light, confined spaces, wet, dirt). You will need carbines and ammunition carriers or mag pouches to accommodate at least three magazines.​ Carbines are available to rent if needed (Please ensure you reserve these prior to the class).​ Bring as many magazines as possible with the minimum being seven.​ The estimated round count should be 700rds of 5.56.​

Prerequisites: None

Cost: $1,100 For current Military, Law Enforcement, or DoD w/ valid ID: $950.00

Course Dates: Check our Calendar for available dates

Any Questions? Please read our FAQ section to find your answer.

Register Online Download Registration Form here





The Committee for Tactical Emergency Casualty Care used the military battlefield guidelines of Tactical Combat Casualty Care (TCCC) as an evidenced based starting point in the development of a civilian specific medical guide for high threat operations.




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Each phase and medical recommendation of the military TCCC guidelines were examined and discussed by the Committee. It was then was re-written to create a civilian specific and appropriate guide. Additionally, the Committee added and/or putting specific emphasis on several medical recommendations not included in TCCC to address high threat operational aspects unique to civilian operations.

The first phase is “Direct Threat Care (DTC).” Emphasis is on mitigating the threat, moving the wounded to cover or an area of relative safety, and managing massive hemorrhage utilizing tourniquets. Additionally, emphasis is placed on the importance of various rescue and patient movement techniques, as well as rapid positional airway management if operationally feasible. Treatment and operational requirements are the same for all levels of providers during this phase of care.Boston-Bombing


The second phase is “Indirect Threat Care.” Indirect Threat Care phase can be initiated once the casualty is in relative safety, such as one with proper cover or one that has been cleared but not secured where there is less of chance of rescuers being injured or patients sustaining additional injuries. Similar to TCCC, assessment and treatment priorities in this phase focus on the preventable causes of death as defined by military medical evidence: Major Hemorrhage, Airway, Breathing/Respirations, Circulation, Head & Hypothermia, and Everything Else (MARCHE). Four different levels of providers were assigned to scope of practice and skill sets based on level of training and certification.




The final phase of care is called “Evacuation Care.” During this phase of care, an effort is being made to move the casualty toward a definitive treatment facility. Most additional interventions during this phase of care are similar to those performed during normal EMS operations.  However, major emphasis is placed on reassessment of interventions and hypothermia management.


Prerequisites: None

Cost: $1,100 For current Military, Law Enforcement, or DoD w/ valid ID: $950.00

Course Dates: Check our Calendar for available dates

Any Questions? Please read our FAQ section to find your answer.

Register Online Download Registration Form here