Tactical Medic Instructors


Tactical Medic Instructors

This a Knowledge sharing area for the Warrior Class of EMS.

Location: world wide
Members: 35
Latest Activity: Jun 27, 2016

EMS Discussion Forum

CCP Security 2 Replies

Interested in thoughts and practices on CCP Security. How are you integrating search, secure and sort into your SRU training? Or are you?

Last reply by Brian Foy May 25, 2016.

Threat Stress

I placed a paper I wrote a while back and I can tell you that being able to reconize and respond to the side effects of the hormone dump is critical for our students to understand Continue

Started by Paul Garcia Dec 18, 2010.

Chemical Weapons

 The history of chemical and biological weapons is a reminder of the physical and mental anguish that was felt when these weapons were deployed. When the first chemical attack took place, there was…Continue

Started by Paul Garcia Dec 18, 2010.

Comment Wall


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Comment by Paul Garcia on May 8, 2011 at 11:34am

This International, 81 hour, 6 day total immersion course in tactical operational medical support is open to the EMT Basic and above to prepare and train them to operate within a tactical environment.


Tactical Medic Course

Comment by Paul Garcia on April 29, 2011 at 7:31am
Thanks for the post TJ. I agree and you brought up some good points. I actually file my cric hooks and take the edge off them. I received a message the stated that a king LT was inserted in the Pts neck. So it's a good thing you guys are doing labs. I believe in LTT labs 100 percent. We need to own these skills in the mid brain.
Comment by T. J. Bishop on April 27, 2011 at 1:03pm
I have performed 2 of them in my 15 years of clinical experience with success.  I, like you, was initially trained in the Army, so I keep the procedure simple.  I use only a 6 cuffed ETT & scalpel.  I use my little finger to maintain hole placement.  I then use the handle of the scalpel to bore the hole open.  I also coil the ETT in my hand prior to mold it to make the proper curvature.  You can then trim the length of the ETT prior or during transport, as needed.  If there's any other equipment I feel may be helpful is a Trusseau dilator.  I find the hook cuts the tissue and creates more bleeding.  I am not a big fan of the Melker/Cook devices.  More steps in an adrenaline-filled, high risk, low frequency procedures asks for errors.  We also hold surgical airway labs twice a year in my agency.  Just my .02...
Comment by Paul Garcia on April 27, 2011 at 8:09am
There have been some recent reports of Crics done incorrectly. The issues were land marks and tube size. I don't endorse products but my preference is the NARP cric set . It has everything you need and you don't have to worry about the tube right stemming. What are your thoughts. Also I am a fan of the cric hook it took me a while to get used to it. What are your thoughts? And what do you use to train Crics.
Comment by Paul Garcia on April 11, 2011 at 8:21pm

Good Day, 

I know that there were limited seats in the TCCC course at the 68W Conference so go to the web site and there are several courses available if you would like to attend this training click on this link and it will take you to the list of courses available around the US


Comment by David Crowley on March 7, 2011 at 12:01pm
We will be offering the NAEMT Tactical Combat Casualty Care course at Fort Dix, NJ, if you have any interest email me at crowleyd@davisdefense.com
Comment by T. J. Bishop on March 2, 2011 at 6:55pm
I am our team's training officer and seeking protocols from any TEMS agency willing to share them.  I will be happy to send you any of our material, as well.  Please email me at t.bishop@northcountryems.org.  Thanks!  TJ
Comment by Paul Garcia on January 19, 2011 at 9:32pm
TCCC Instructor went good. One point that was discussed in todays course was the SNS stimulation that could cause medics to fail when caring for patients in high stess operations. How do you add stress to your training?Tomorrow is the Provider course; the Lead instructor is a 20+ year SF Operator. It is going to be a great course.
Comment by Paul Garcia on January 18, 2011 at 7:37pm
Sorry I have not got to send the items I am in the middle of moving offices and the DOD is a bit slow getting my data moved to my new office. I will get it out to you and post some new research papers tomorrow.
Comment by Paul Garcia on January 11, 2011 at 1:25am

Great Americans and Friends,

I am all about surgical airways but I know that some Medical Directors frown on these procedures. The TCCC guide lines recently romoved the Combi Tube and King LT from the airway sections so what are some of the protocols out there. I know there are some people that use needle crics but what about the SALT, glide scopes or air traqs? I spoke to the Glide Scope military vender and he informed me that they were coming out with an IR version so I can not wait to get my hands on that baby. My school already has three of them so getting more is going to be hard.(well may be). I will get the pubs in your mail boxes in the am and I will also post some different kit for airways in the tactical setting. If you are able to do crics what kit do you use I train the NARP Cric hook but there are tons of different ways to cric a cat.


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