911 Tactical Medicine has the latest in Tactical Paramedic Courses & TP-C Review. Upon completion of the course, you will be able to sit before the Tactical Paramedic Certification Test by the BBTPC www.ibscertifications.org/roles/tactical-paramedic .

TP-C:

​Areas covered will be are found in the BBCCTPC-TP-C Candidate Handbook below:

BBCCTPC-TP-C Candidate Handbook

The Certified Tactical Paramedic (TP-C) Examination consists of 125 questions and 10 unscored items. The candidate is provided 2.5 hours to complete the examination. The certification process is focused on the knowledge level of accomplished, tactical paramedics in hostile and austere environments. The questions on the examination are based in sound paramedicine and tactical principles. The candidate is expected to maintain a significant knowledge of current ACLS, ITLS/PHTLS, TCCC and TECC standards.

TR-C:

The Certified Tactical Responder (TR-C) was developed in response to the law enforcement TEMS community input that non-paramedic functioning in tactical environment would benefit from a similar certification process to the Certified Tactical Paramedic (TP-C). The expectation for the TR-C exam candidate is competency in casualty assessment, stabilization, and evacuation in hostile and austere environments in a non-paramedic function; as well as thorough familiarity with tactical principles, triage, and operational medicine. TR-C candidates are operators functioning within a team and commonly have a primary law enforcement role with a secondary medical role. The certification process is focused on decreasing preventable deaths at the point of wounding and is aligned with the three definitive phases of TECC/TCCC care.

TR-C POPULATION BEING CERTIFIED:

The Certified Tactical Responder (TR-C) exam candidate is at minimum an Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) or Law Enforcement Officer (LEO) currently providing medical care in austere and care-under-fire environments. The expectation for the TR-C examination candidate is knowledge in casualty assessment, stabilization, and evacuation in hostile and austere environments, as well as thorough familiarity with tactical principles, triage, and operational medicine. Candidates should have significant knowledge of the Committee on Tactical Combat Casualty Care and the Committee for Tactical Emergency Casualty Care guidelines, management of the full tactical injury spectrum (from less-than-lethal to CBRNE), force health protection, and medico-legal aspects of Tactical Emergency Medical Services. This certification examination is intended to evaluate mastery-level knowledge of a nonparamedic's skills and knowledge of the patient requiring tactical care intervention during the various aspects of providing care in the tactical or austere environment. The target audience for the Certified Tactical Responder (TR-C) certification examination is any licensed or certified LEO, EMR, EMT or AEMT functioning in an austere and care-under-fire environment. The broader audience includes the following:

TP-C Exam Requirements and Study RecommendationsEligibility Requirements

1. NRP or state equivalent

Study RecommendationsThe exam is based on the 17 critical domains of the National TEMS Initiative and Council (NTIC). The following textbooks are recommended:

1. Paramedic Practice Today-Above and Beyond, (Vol 2) by Barbara Aehlert. Published by Jones & Bartlett Learning (2011). 
2. PHTLS, Military Edition (7th Edition) by NAEMT and American College of Surgeons Committee on Trauma. Published by Elsevier Health Sciences (2010). 
3. Law Enforcement Responder; Principles of Emergency Medicine, Rescue and Force Protection, by Randy G. Stair, Dwight A. Polk, Geoff Shapiro and Nelson Tang Published by Jones & Bartlett Learning (2012). 
4. Tactical Emergency Medicine, by Richard B. Schwartz, John G McManus McManus, and Raymond E. Swienton. Published by Lippincott Williams & Wilkins (2007).
5. Tactical Medicine Essentials by American College of Emergency Physicians (ACEP), E. John Wipfler III, John E. Campbell and Lawrence E. Heiskell. Published by Jones & Bartlett Learning (2010).

The focus population for this exam includes military special operations paramedics and experienced law enforcement paramedics with extensive tactical experience.

TP-C POPULATION BEING CERTIFIED:

The Certified Tactical Paramedic (TP-C) exam candidate is a paramedic professional who is seeking employment or who is currently providing critical care in an austere and or care-underfire environment. The expectation for the TP-C examination candidate is knowledge in casualty assessment, stabilization, and evacuation in hostile and austere environments, as well as thorough familiarity with tactical principles, triage, and operational medicine. Candidates should have significant knowledge of the Committee on Tactical Combat Casualty Care and the Committee for Tactical Emergency Casualty Care guidelines, management of the full tactical injury spectrum (from less-than-lethal to CBRNE), force health protection, and medico-legal aspects of Tactical Emergency Medical Services. This certification examination is beyond the scope of the average, entry-level field paramedic and is not intended to evaluate entry-level knowledge; but rather to measure the experienced paramedic's skills and knowledge of the patient requiring tactical care intervention during the various aspects of providing care in the austere environment, i.e.: ground ambulance, helicopter, aircraft, marine/boats, etc. The target audience for the Certified Tactical Paramedic (TP-C) certification examination is any licensed or certified paramedic functioning in a specialty austere and care-under-fire environment. The broader audience includes the following:

i. United States as well as foreign militaries

ii. Federal, state, and local Emergency Medical Services (EMS) providers

iii. Private and government operated Emergency Medical Services (EMS) agencies

iv. Various Law Enforcement Organizations

v. Ground ambulance companies supporting tactical care initiatives

vi. Hospitals and various acute care medical facilities functioning in austere environments

vii. Education institutions such as local and state colleges or technical centers that provide Emergency Medical Services (EMS) training

viii. Other areas around the globe that already require specialty tactical certification

COURSE CONTENT INCLUDES:

• History of SWAT and TEMS

• Integration of TEMS into tactical operations

• Team organization and structure

• Elements of common SWAT missions

• Structure clearing – Stealth and Dynamic

• Chemical agents and Less-lethal options

• Medical considerations of less-lethal munitions

• Medical Operations Pre-plan

• Use of cover and concealment during medical treatment

• Medical considerations for team wellness

• Tactical Airway, Wound ballistics, and hemorrhage control

• Officer-Down medical treatment and rescue techniques

• Basic firearms skills and familiarization of tactical weapons systems

• Medical treatment in adverse conditions (low-light and gas mask)

•Human anatomy review: Incorporates cadaveric dissection review utilizing medical school quality specimens. This review will include the anatomy of the chest and lung, abdominal organs, and vasculature of the abdomen, pelvis, groin and proximal upper/lower extremity.

•Patient assessments.

•Advanced/difficult airway management.

•Patient triage.

•Mass casualty management.

•Mass casualty scenarios.

•Blunt trauma scenarios.

•Blast trauma scenarios.

•Traumatic Brain Injury

•Casualty Collection Point management

Course shall integrate currency requirements for advanced medical care and protocols as outlined in the Pararescue Medical Operations Handbook, to include:

•Prolonged care for patients. Cric, ET, Vents, Pharm, Hypothermia Management, Blood, Packaging,

•Burn trauma management.

•Crush Injury management.

•Extended/Critical care considerations.

•Tactical rescue scenarios.

•Surgical field procedures

• SWAT Technology Overview (Drones / Robots) – Remote Assessment
• Culmination Scenarios Day and Night
• K-9 Medical and Trauma