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 six-day, advanced tactical medical (TCCC) course developed through a collaboration between Sabre Consultancies Ltd and Solent Medical Skills. The course comprises the 5-day Med zero course with Sabre helping deliver day 5 and an additional day 6. Together, Sabre brings expertise in hostile environment risk management, while we specialise in advanced clinical training. As a result, 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.
Duration
This TCCC course includes four days of our advanced instruction at the Territorial Army Centre premises in Southampton, followed by two days off site. During this second phase, participants experience immersive, realistic scenarios featuring simulated weapons fire, pyrotechnics, and live-action role players.
Your tutors
Former special operations personnel with operational experience in theatres such as Afghanistan, Ukraine, and across Africa teach this course. 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 instead 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.
£950 – 1200 per learner
MED ZERO COURSE CONTENT
This TCCC course is richer and more detailed than the basic course content list suggests below.
You will be taught solid underpinning knowledge that is missing on Level 2 and level 3 courses. Without these missing pieces you cannot consider yourself fully prepared for modern conflict medicine at a TCCC level. We will start you off gently, but before long, you will understand what is going on inside the patient and this will enable you to manage wounds properly and make the correct 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
• 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
• Burns
• Thoracic trauma, both non and penetrating injuries
• CPR in a warzone
• Bleed control, including: 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 effects on the poly-trauma patient
Other modules:
• ECG’s – monitoring may be available at stabilisation, so we will look at diagnosing trauma related problems to help us prioritise evacuation transfers
• Emergency donor panels
• Combat hygiene
• Infection management including sepsis recognition
Personal kit including immediate first aid kits (IFAK’s)
The course will sometimes challenge current peacetime thinking with how we understand the basics and the course will emphasise doing the basics very well.