Monday, November 3, 2025  –  8am – 6pm  in Beaverton, Oregon

This interactive ten-hour course prepares for the first few minutes of casualty evaluation in a high-risk environment. This course is designed to give you a plan to identify and manage those immediately life-threatening injuries and the knowledge and skills to implement it, while you are still engaged in an ongoing tactical problem.

The class largely deals with the Care Under Fire – Direct Threat phase of an event, where any medical care is provided while the responder and casualty are in an ongoing situation that is a direct threat to life (active shooter, building collapse, fire, secondary explosives, etc). This phase requires efficient hemorrhage control, largely with tourniquets and patient movement.

This course is about 70% dynamic presentation, including photos, videos, and real-life examples, and 30% practical exercise, student hands-on: Students will take turns role-playing a casualty, having tourniquets applied, as well as being drug and lifted.

This class is consistent with current Tactical Combat Casualty Care guidelines as well as the guidelines for Tactical Emergency Casualty Care.

The course fee includes an additional 90 minutes of online pre-course work. Students will receive a link to the pre-course work and full course location details approximately two weeks before class start. Both sections of the course are approved for CAPCE credit, a total of 11.5 hours can be earned.

See the entire course description

Check out is via secure credit card processor Stripe. If this poses a problem, please contact us at 503/765-7615 or logistics@crisis-medicine.com.  If you do not have an account on our site, one will be made for you at the time of registration.

ALL IN-PERSON REGISTRATIONS ARE SUBJECT TO APPROVAL. YOU WILL BE NOTIFIED VIA EMAIL WHEN YOUR COURSE REGISTRATION IS CONFIRMED. IF YOU ARE NOT ADMITTED TO THE COURSE, YOU WILL RECEIVE A FULL REFUND.

No refunds will be made for student cancellations within 14-days of the course start date.