The Soteria Group’s Tactical Combat Casualty Care (TCCC) course is a two-day (16-hour), NAEMT-certifiedprogramme designed for personnel operating in military, security, and high-risk tactical environments where medical care must be delivered under direct threat.

This course is delivered by instructors with extensive operational experience in tactical medicine, austere environments, and high-consequence casualty management. Training is rooted in the realities of combat and tactical operations, limited equipment, degraded evacuation timelines, contested environments, and the need to balance mission, force protection, and casualty care simultaneously.

TCCC focuses on the prevention of preventable battlefield deaths, using evidence-based principles developed by the Committee on Tactical Combat Casualty Care. The course ensures medical care is aligned with contemporary combat trauma data and lessons learned from recent conflicts.

Core Clinical Framework

Care is structured around the MARCH/PAWS algorithm, providing a simple, prioritised approach to catastrophic haemorrhage control, airway and breathing management, circulation, hypothermia prevention, pain management, antibiotics, and preparation for prolonged evacuation.

Key skills include tourniquet and pressure haemorrhage control, advanced airway techniques appropriate to the tactical context, chest seal application and needle decompression, hypothermia management, casualty movement, and care under fire considerations.

Who It’s For

This course is designed for military personnel, medics, specialist units, security professionals, and others operating in combat or combat-like environments where access to conventional medical support may be delayed or denied.

Experience-Driven Delivery

The Soteria Group’s TCCC training goes beyond rote protocol delivery. Scenarios are immersive, physically and cognitively demanding, and deliberately designed to reflect the complexity of real operations. Instruction emphasises decision-making under fire, casualty triage, medical care integrated with tactics, and effective team communication in high-threat environments.

Human factors, fatigue, stress inoculation, and operational constraint are deliberately incorporated, reflecting the conditions under which TCCC skills are most likely to be required.

Phases of Tactical Care

• Care Under Fire: Immediate life-saving actions while actively engaged with the threat

• Tactical Field Care: Continued assessment and treatment once relative cover and control are achieved

• Tactical Evacuation Care: Ongoing care during casualty movement to higher medical capability

Recognition & Certification

TCCC certification is typically valid for four years and is internationally recognised within military and tactical medical communities. The course aligns with current CoTCCC guidelines and reflects best practice in modern combat casualty care.

This programme embodies The Soteria Group’s operational heritage, where medicine is delivered in parallel with tactics, and where clinical excellence must withstand uncertainty, pressure, and consequence.