COURSE INFO

Day 2

Unique to the International School of Tactical Medicine (ISTM) is the instruction and training of the basic weapons systems: the Tactical Pistol and the Colt M4. The morning of Day 2 takes place at the range with instruction and training on firearms safety, weapons handling, mindset, and marksmanship of the Tactical Pistol.

After a lunch break the course resumes in the afternoon of Day 2 with didactic lectures and practical exercises involving the use, deployment and Medical Aspects of Chemical Agents and Distraction Devices. The next block of material covers the Medical Management of K-9 Emergencies. As more tactical teams utilize K-9 units it is necessary for the tactical medical provider to be able to recognize and treat canine injuries. The final classroom portion of the day is Forensics and Evidence Preservation. Tactical medical providers must know and learn the skills necessary to prevent destroying or disturbing a crime scene in the performance of their duties.

Day 3

This is followed by classroom work covering Operational Casualty Care Care and the Fundamentals and Medical Aspects of Wound Ballistics. Next didactic material block addresses options for field hemorrhage control. Hemostatic Techniques, Dressings, and Tourniquet applications are demonstrated and discussed as well as the pros and cons of the many types of hemorrhage control bandages now currently on the market. The final morning session is completed with lectures and discussions on the principles of Team Health Management.

After the lunch break, the remainder of the afternoon is devoted to learning and practicing the fundamentals and techniques of dynamic building clearing.

Day 4

The morning of Day 4 is devoted to range training exercises with the Colt M4 (LE6920). Students learn the operational use of the Colt M4 (LE6920) weapon system, including nomenclature, stance, carry positions, trigger control and shooting positions while engaging targets. The weapons supplied by the school are Colt M4 (LE6920).

Before the lunch break students gather for the the traditional class photo. After lunch, Special Operations Aeromedical Evacuation is addressed. A working knowledge of air medical and transport procedures and flight physiology is essential for the tactical medical provider.

Next up is a hands-on training session covering disguised weapons and street survival for medical personnel. In this portion of the course students receive hands-on exposure to disguised and concealed weapons, edged weapons, pocket pistols and other unconventional weapons, as well as a medical threat assessment unit.

Day 5

On the morning of day five, before suiting up for the Tactical Medical Scenarios, there is a one hour written examination. This multiple choice examination fulfills requirements for the State of California EMSA, POST, and ACEP continuing medical education (CME) and self-assessment. In our Tactical Medical Scenarios, students are critiqued by the instructors on both medical and tactical decision making, field triage, and the assessment and treatment of victims.

Each Tactical-Medical Scenario lasts approximately 30 minutes with students rotating in as tactical and then medical personnel. Simunitions and Airsoft are utilized during some of the training scenarios to enhance the force on force learning experience. Upon completion of the tactical exercises the students return to the classroom for equipment return, debriefing, closing remarks and graduation.

Each school session historically fills about 90 days before class dates. Interested agencies and individuals are urged to contact the International School of Tactical Medicine administrative office early to secure a seat in a class.

Day 2

The morning on Day 2 is at the range with Advanced Tactical Pistol and Colt M4 (LE6920) CQB Gun instruction. Students practice shooting on the move, barricade shooting and engaging multiple targets. Students are expected to demonstrate gun handling and proficiency as well as marksmanship skills. There is a high expectation by the range instructors for surgical precision shooting by all students. Nothing but your best will be accepted here.

After a lunch break, the afternoon didactic material begins with an introduction to Bio-Terrorism with Biological Weapons Part I and Biological Weapons Part II. Students will learn how to clinically recognize the signs and symptoms of the more common potential biological agents and will learn and become comfortable with the current treatment modalities.
This block of instructional material is focused on precisely what a tactical medical officer needs to know to care for members of the tactical team should they become involved in a criminal act act of bio-terrorism.

Day 3

The program resumes with Tactical Deployment of Less Lethal Weapons. Students learn the capabilities, limitations and the injury patterns associated with their use. Advanced Airway Management is next with didactic material in the classroom followed by a three hour Airway Management Workshop. Having the skills to establish an airway under austere conditions is paramount. Students receive in depth hands on training in the skills needed for advanced airway management skills and techniques in the tactical environment.

Students have the opportunity to rotate skills stations and practice surgical airway techniques using swine tracheas and become familiar with other options including retrograde intubation, fiber optic, ViewMax and orotracheal intubation techniques. The Combitube, Lighted Stylet, Laryngeal Mask Airway (LMA), King and Intubating LMA are also demonstrated and practiced. The program resumes in the afternoon on Day 3 to allow time for nightfall with preparations for low light and night operations later in the evening.

As nightfall begins the students suit up for the Low Light Tactics and Team Movement training. For the next four hours students participate in multiple Tactical Medical Scenarios under low light and conditions of darkness. Many tactical operations occur at night and the tactical medical provider must develop the skills to provide medical assessment and care under darkness and low light stressful conditions.

To increase the realism of point of contact wounding, Module B incorporates the use of SKEDCO’s Field Expedient Bleeding Simulation System (FEBSS), allowing students to experience lifelike external hemorrhage on live and mannequin simulated casualties. The FEBSS is a proven tool used by U.S. Army Combat Medics and Navy Corpsmen enhancing muscle memory in hemorrhage control skills unmatched by any other technique or training system. Care under fire training sustains an intensified realism as wounds cease to bleed upon correct treatments including pressure dressing application, wound packing, and tourniquet application.

Day 4

The entire morning of Day 4 consists of Advanced Colt M4 (LE6920) CQB Gun Tactical field exercises. Here students gain more experience using the Tactical Pistol and the Colt M4 (LE6920) through extensive field exercises.
Police tactical teams are likely to be one of the first law-enforcement units responding to a Weapons of Mass Destruction (WMD) event. The afternoon of day 4 begins with classroom material addressing weapons of mass destruction specifically Chemical Weapons and Nerve Agents as well as Nuclear & Radiation Injuries.

The Tactical Medicine Module B Course does not focus on mass casualty management but instead addresses those important WMD issues specific to law enforcement tactical operations. Special operations teams are sometimes deployed in remote areas and the teams are at risk for Environmental Injuries. The remainder of the afternoon is devoted to the many issues surrounding Environmental Injuries in the tactical environment and how to avoid, prevent, and effectively treat these types of injuries.

Day 5

On the morning of day five and before getting suited up for the final day of Tactical Medical Scenarios students must take a one hour multiple choice written examination. The examination fulfills requirements for the State of California EMSA, POST, and ACEP continuing medical education (CME) and self-assessment.

The Tactical Medical Scenarios each last approximately 30 minutes. Simunitions and Airsoft are also utilized during some of the training scenarios to enhance the force on force learning experience. Upon completion of the tactical exercises the students return to the classroom for equipment return, debriefing, graduation and closing remarks.