Tactical combat casualty care (TCCC)

under fire

Students will learn the most current and effective methods for treating gunshot wounds and a multitude of life threating injuries that one might encounter in a gunfight or any other high-risk scenario. These techniques have been continually used and proven effective by police officers, military and first responders alike. Students will get hands-on experience throughout the class as they will practice these techniques at a number of workstations and through numerous scenarios.

Put simply, TCCC teaches students life saving interventions that will buy valuable time until further trauma care can be provided. Take the responsibility to learn how to save someone else’s life or your own in even the most dire of circumstances!

The guidelines cover: Care Under Fire (CUF), Tactical Field Care (TFC), Tactical Evacuation Care


The overall objective of TCCC is to teach service members how to effectively treat combat casualties while preventing additional casualties and completing the mission at hand. The three phases of TCCC include care under fire, tactical field care and tactical evacuation care.

* Care Under Fire (CUF) outlines strategies using limited medical equipment to render care at the point of injury while the first responder and the casualty are still under hostile fire.

* Tactical Field Care (TFC) provides casualty care guidelines once the first responder and the injured combatant are no longer under hostile fire.

* The Tactical Evacuation Care (TACEVAC) phase begins once the casualty has been transferred to a transport aircraft or vehicle. During this phase additional medical personnel and equipment may be available to provide augmented casualty care.

TCCC has been shown to be very effective in saving lives on the battlefield. For this reason in 2005, the United States Special Operations Command required TCCC training for all deploying combatants and not just medical personnel. The conflicts in Iraq and Afghanistan have enabled the US Military to make numerous advances in battlefield care. This module will explain what TCCC is and why you need to learn about it. Our military presently has the best casualty treatment and evacuation system in history. TCCC is what will keep you alive long enough to benefit from it.

The key elements of TCCC include:

  •   Aggressive use of tourniquets

  •   Hemostatic dressings

  •   Aggressive needle thoracostomy

  •   Airway positioning

  •   Surgical airways for maxillofacial trauma

  •   Tactically appropriate fluid resuscitation

  •   IVs only when needed/IO access if required

  •   Improved battlefield triple-option analgesia

  •   Battlefield antibiotics

  •   Hypothermia prevention

  •   Combine good tactics and good medicine

  •   Scenario-based training

  •   Combat medic input to guidelines

NOTE: You need to bring your own firearms (Pistol/Rifle) and ammo


Ernesto Torres

Ernesto was a Navy Corpsman Veteran who Served during Operation Enduring Freedom in support of the Global War against terrorism.

Ernesto was in charge of special operations and RHIB operations in Drug Enforcement and Anti-Pirate Maritime Security Operations (MSO) in Somalia. As a Combat Medic/Corpsman Ernesto was in charge of first aid, self-aid, buddy aid, tactical care under fire and tactical field care training for RHIB crew/support crew operators.


Vincent Lopez

Vincent started his career in the US Army with the 10th Mountain Division, spending most of his service as a scout/sniper and being deployed to Southwest Asia and the Balkans in support of operations such as Desert Fox, Task Force Eagle and Operation Joint Guard.

  • NRA Certified Instructor

  • NRA Certified Chief Range Safety Officer


Jeremy Pellé

Jeremy started his career in the French Army with the 21st Marine Infantry Regiment, where he learned the values of integrity, loyalty, professionalism, also many ways and tactics used in warfare, especially in the African continent where he was deployed to maintain peace.