TACTICAL CASUALTY CARE FOR HIGH RISK ENVIRONMENTS
ONLINE CLASSES: Begin Training Now
Where to start? Our classes don’t build on one another. Determine what your scope of practice and goals are and take the class that meets your needs. Check the Which Course is Right for Me? comparison page.
Courses are asynchronous and self-paced. See FAQs for more information. Start with our TC2 series, and move on to specialized classes in CBRN, Air Travel, K9s, and Improvised.
Timing is everything
In an active violent incident, law enforcement arrives on average 4 minutes after the first 911 call. EMS arrives 4 to 10 minutes later. In that window, any care a casualty receives comes from active bystanders and secondarily, by law enforcement. Without life-saving intervention, casualties can die in that timeframe.
High Risk
environment
Casualties occur in active shooter events, active violent incidents, unstable structures, and natural disasters. The environment is the variable. The medical principles are not. Crisis Medicine training is grounded in current medical literature and Special Operations Forces medicine. With tactically relevant training and a plan, you can provide this care.
Priorities of Care
Traditional EMS priorities of the ABC model (airway, breathing, circulation) misses the point that the whole purpose behind an open airway is to oxygenate the blood, which is best kept in the body. Controlling massive hemorrhage is the first priority in saving trauma patients and avoiding unnecessary deaths.
New Articles
Improvised Litters
Why did the TCCC Committee Change Antibiotic Recommendations in 2025?
WWII Most Combat Proven Tourniquet
Taught by Mike Shertz, MD-18D, a former Army Special Forces medic and practicing emergency medicine physician, Dr. Shertz combines the medicine and tactics together in an easy-to-watch course, which you can complete as you have time.
Grounded in Special Operations Forces medicine, tempered by Emergency Medicine and EMS best practices.
Courses are asynchronous and self-paced. See FAQs for more information.
TECC/TCCC Guidelines
We train TECC and TCCC guidelines together in each course. These courses use photographs of actual injuries, diagrams of wounds, and step-by-step demonstrations. The material is presented in an easy-to-understand, directly applicable way. Each of our courses utilizes and addresses both the TECC and TCCC guidelines.
M-A-R-C-H
MARCH — (Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia prevention) is the backbone of every Crisis Medicine course. The sequence is evidence-based and operationally tested. Every course uses MARCH through lectures, close-up detailed demonstrations, and scenarios applying the techniques. Online you have a better view than the back row of any classroom. Most students don’t watch it like a course, they watch it like something worth watching.
You can train
Crisis Medicine courses are built for anyone operating in or near high-risk environments: from private citizens to tactical medics and physicians. No prior medical background required for most courses. Every course is consistent with current TECC/TCCC guidelines, medical literature, and 30 years of operational experience. You leave with a tactically relevant plan and the skills to execute it.
Once you're trained in TECC/TCCC, there's more.
New to TECC / TCCC? Start here.
Tactical Emergency Casualty Care
Tactical Combat Casualty Care
Special Forces Qualified
CAPCE Accredited
ASIS Preferred CPE Provider
From our students...
This course is outstanding. Mike is a phenomenal instructor. He keeps you engaged and has set the course up to it is easy to follow. Whether you are new to first aid or a doctor, I promise you will find the course informative and entertaining. I love that his experience and training is reflected in the course as well. It is also great that he backs up everything with medical literature and research, and when he disagrees or has an opinion he clearly tells you it is his opinion and supports it with rational and solid reasoning. He is also quite witty and funny at times. Cannot wait to take the next course!
Brad Kirby
I'd give the course 5,000 stars...
I have 11 years of experience as a street, SAR, SWAT, and now an industrial medic at remote sites. I’ve taken countless tactical trainings/inservices.
Dr. Shertz’s course was some of the best training I’ve received. He provides a solid foundation and practice combined with exploration of the different gear options available, which is important when you may not know what will be at different sites. His presentation is engaging, without devolving into war stories. His SF background is invaluable, and his ER experience makes the information provided relatable and actionable for civilian and LEO EMS professionals who aren’t downrange. He covered everything from initial TCCC training, but with updates and additions that helped me integrate the TECC principles to my everyday EMS and tactical practice.
Benjamin Hustis
Top-notch information combined with dynamic presentation
Informative, concise, and an excellent teaching method. Being an ex-military type myself, I very much appreciated the simple, clear verbiage as well as the subtle military sense of humor that comes through in all the lessons. I would certainly recommend this course to anybody who has an interest in tactical or emergency care. I have done many courses in my time and as online courses go, this was certainly one of (if not) the best. Bravo!