Level 4 MED ZERO™ Tactical Combat Casualty Care (TCCC+)
Accredited by Highfield
Highfield Accredited TCCC Course – Tactical Combat Casualty Care Training for Professionals in High Threat Environments
What is Med Zero
Med Zero is an accredited course that Solent Medical Skills has developed. It uses knowledge gained by ourselves and our colleagues in the red zones of Ukraine to determine which learning outcomes are vital in addressing the unique pressures of a modern battle space. The course equips professionals to operate effectively in high-threat environments where teams often face evacuation delays and have limited access to medical reach-back.
Med Zero is ideal for serving and ex-serving military, close protection, security, NGO’s, press and anyone operating in remote and hostile environments.
Duration
This TCCC course runs for 5 days at the Army Reserves Centre in Southampton.
Your tutors
Former special operations personnel with relevant operational experience. Med Zero blends tactical and clinical training to prepare you for the realities of modern conflict medicine. We know TCCC inside out!
Anything new?
This training challenges conventional battlefield medicine, focusing on greater relevant underpinning clinical knowledge. You will be taught the latest wound management and thinking coming out of Ukraine. It also covers resource-limited decision-making and mass casualty management in resource poor situations. This will prepare you to deliver effective care whilst working in small teams.
Course prerequisites
Please purchase the paperback book or e-book called Ambulance Care Essentials and read it before joining the course. This will give those that have had little clinical experience a heads up. the reading will help make the course content more easily understood. If you have previous FREC 3 or higher, BATLS, CMT-1, Patrol Medic etc. this reading is discretionary but still recommended.
£725 – £795 per learner
MED ZERO COURSE CONTENT
Med Zero is a 5-day TCCC course that is ideal for the pressures of modern drone dominated conflict. It aims to up-skill soldiers and medics to work more effectively where clinical reach-back is limited and multi-location concealment during extraction is anticipated
You will be taught solid underpinning knowledge that is usually absent on Level 2 and level 3 courses. Without these missing elements, you cannot consider yourself fully prepared for modern conflict TCCC. You will learn to understand what is going on inside the patient and this will enable you to manage wounds properly and make the correct management and care pathway choices.
Tactical Combat Casualty Care – what is it?
• Care under fire
• Tactical field care
• Stabilisation points
Medical modules:
• ABC’s with considerations for hostile environments (MARCH updated to MhARCH)
• Wound trends
• Eye injuries
• Traumatic brain injuries (TBI’s)
• Blast wave injuries, including blast lung, limb, head, pelvis etc.
• The effects and how to manage thermobaric munition injuries
• The effects and how to manage white phosphorous injuries
• Nerve agents (including their management in the absence of antidotes)
• Burns
• Thoracic trauma, both penetrating and non-penetrating injuries (when and when not to use a chest seal/patient positioning with these injuries)
• CPR in a warzone
• Bleed control, including: effective improvised junctional tourniquets, CAT tourniquets and tourniquet conversion, haemostats, heavy dressings and other techniques and devices
• Intubation
• I-Gels
• Airway adjuncts
• Penthrox analgesia
• Intra-osseous bone drilling
• IV access
• IM injections
• Needle chest decompression
• Tactical primary and secondary surveys
• Hypo and hyperthermia and their all important effects on the poly-trauma patient
Other modules:
• Awareness of emergency donor panels
Personal kit including immediate first aid kits (IFAK’s)
We can also offer a seperate prolonged field care module that includes amongst other things:
- Foley catheterization – insertion/daily hygiene
- Measuring urine intake and output
- Wound care including dressing management/hygeine
- Deep vein thrombosis risk management and signs and symptoms of a pulmonary thrombosis and sepsis
- Nutrition and hydration in both conscious and unconscious patients (including use of non-potable water)
- Patient assessment when there are few or now assessment tools available
- Reducing pain when there are no drugs available
- Conditions that are slow to manifest
- Oral hygiene with I-Gels or intubation
- Hygiene in prolonged concealement
- Patient personal protection during concealment or extrication
- Understanding which patients are viable and which need extrication first
The course will sometimes challenge current peacetime thinking with how we understand the basics and the course will emphasise doing the basics very well.