Advanced Tactics and Survival Medicine Course
For Armed Security Professionals; Executive Protection Personnel/ Personal Security Detail; Contractors deploying into active combat/battle zones
Disclaimer:
Defensive Shooting Instructors, Inc. does not certify or guarantee that participants who attend or successfully complete the Tactical Emergency Medicine course will be able to perform Basic or Advanced adult or pediatric life support in an actual emergency.
Tactical Emergency Medical Skills Certification is neither the mission nor the objective of Defensive Shooting Instructors, Inc. Our role is to provide you, the student with the highest quality Tactical Emergency Medicine education available anywhere.
Although our courses are designed to teach students how to perform in certain situations, the course does not guarantee that the participants will use their training appropriately in medical or tactical situations outside the classroom.
Tactical operations are an evolving craft, and what is the best method today may or may not be the best method tomorrow. Beyond this course, it is incumbent on the student to keep abreast of emergency medical and tactical options and issues.
Finally, your own skill level will be the ultimate determinant of what techniques, tactics, and treatments you will use in the field.
WE ARE THE ONLY FACILITY IN THE NATION TO OFFER THIS COURSE TO THE PUBLIC, INCLUDING TO CLOSE/PERSONAL PROTECTION SPECIALISTS OR CONTRACTORS DEPLOYING OVERSEAS. ALL OTHER FACILITIES RESTRICT ATTENDANCE TO ONLY LAW ENFORCEMENT OR MEMBERS OF THE MILITARY EXCLUSIVELY.
COURSE OVERVIEW:
Course Description: The core content curriculum of the Advanced Tactics & Survival Medicine Course consists of both medical and tactical instruction. To prepare for future high risk incidents, adequate and appropriate training for Executive Protection (EPP)/ Personal Security Detail (PSD) Contractors medical support teams has become paramount to ensure a reduction in mortality associated with critical incidents and training. This course and was specifically designed to provide EPP/PSD personnel with additional training and skills in both tactics and advanced medical care. The advanced course is built upon the fundamentals which are taught in the Basic Tactics and Survival Medicine course. Once trained, EPP/PSD personnel can provide their clients with the assurance that their training is not only tactically sound, but in the event that they are wounded their protective detail has been given the necessary knowledge they need to save their lives.
The DSI faculty consists of both tactical and medical instructors. The tactical instructors have many years of experience in law enforcement and military special operations as tactical team leaders and tactical operators. The medical instructors consist of board certified medical doctors and paramedics/E.M.T's. All of the medical instructors actively serve on SWAT teams as emergency medical providers or have at some point in their careers. All medical faculty have prior law enforcement training and experience and are graduates of various SWAT and Special Operations schools.
Equipment Requirements: Concealment holster, Concealment Garment (over shirt/shooting vest/suit jacket), Pistol (preferably the duty pistol you carry on a daily basis); Back-up concealable Pistol; Knee pads are optional, eye and ear protection. There is an ammunition requirement of 300 rounds which students may provide on their own or purchase through DSI. Airsoft weapons will be used during some training evolutions, but will be provided by DSI during the course of instruction.
DAY 1
AM 3 Hrs.
The morning of the first day consists of registration, and introduction of the students and training cadre. The morning begins with students being exposed to the various types of Trauma that they may encounter, and the many options for providing appropriate and adequate pain control in an operational and tactical setting. The material addressed ranges from ballistic wounds to Medical Management of Blast Injuries as well as the types of injuries that may occur for those working in various combat theaters. Topics discussed are issued faced by the staff who have field-tested the methods in actual tactical operational settings.
1 Hour Lunch
PM 4 Hrs.
After a lunch break the afternoon of day one resumes in the classroom for a brief review of building clearing techniques to ensure all students are up to speed with entry tactics in preparation for day 2 sessions of Tactical-Medical Scenarios. Each scenario consists of a tactical and medical problem in which each team will be forced to think on their feet by addressing the tactical problems encountered, and solving all medical issues that may arise.
DAY 2
AM 3 Hrs.
Day 2 resumes with Advanced Airway Management material in the classroom followed by a three hour Airway Management Workshop. Having the skills to establish an airway under life threatening conditions is paramount. Students receive hands on training in the skills needed for advanced airway management skills and techniques in the tactical environment. Students have the opportunity to rotate skills stations and practice airway techniques using swine tracheas and become familiar with other options including but not limited to retrograde intubation, fiber optic and orotracheal intubation techniques. The Combitube, Lighted Stylet, Laryngeal Mask Airway (LMA) and Intubating LMA are also demonstrated and practiced.
1 Hour Lunch
PM 4 Hrs.
Students will divide into details of 6 to 12 depending on class size. Each team will be given 5 scenarios that will mimic real life scenarios that have been encountered by the members of the training cadre. Each team must come up with an effective way to execute their objectives without casualties to their team members, or the subject. Training staff or role players will act as OPFOR’s (Opposing Force). After each scenario the training cadre will critique the detail’s performance, and help them come up with effective ways to accomplish their goal.
DAY 3
AM 3 Hrs.
The morning of Day 3 will take place at the range with Advanced Tactical Pistol and Long Gun instruction (M-4, Shotgun). Students practice shooting on the move, barricade shooting and engaging multiple targets. Students are expected to demonstrate gun handling and proficiency as well as marksmanship skills. Since your life and the lives of those you are protecting depend on it nothing but your best will be accepted here.
1 Hour Lunch break
PM 4 Hrs.
During this period of instruction students will review the art of suppression fire as well as leap frogging. The remainder of the afternoon consists of students being exposed to deploying from a vehicle during an ambush situation, and the techniques involved in extraction of subject. Students practice these techniques under live fire (Airsoft weapons are used during this exercise to simulate live fire). During this exercise students will be forced to provide suppression fire so that the subject can be taken to a safe area for medical treatment.
DAY 4
AM 3 Hrs.
The entire morning of Day 4 consists of extraction exercises. Here students get experience transitioning from Tactical Pistol and to Long gun through extensive field exercises. Students will practice engaging targets on the move while extracting and stabilizing their subject. This exercise requires speed and force of action.
Before breaking for lunch students will gather for class photo.
1 Hour Lunch
PM 4 Hrs.
The entire afternoon of Day 4 consist of exercises related to the triage, recognition, and field treatments for various medical conditions that students may encounter in the field. Students will practice treating subjects using medical dummies.
DAY 5
AM 3 Hrs.
On the morning of day five, before getting suited up for the tactical-medical exercises, there is a half hour written examination. This examination fulfills DSI's training requirements and provides self-assessment. In the tactical-medical scenarios the instructors critique the students both medically and tactically in their decision making, as well as field triage, assessment and treatment.
1 Hour Lunch
PM 4 Hrs.
The afternoon session will consist of putting the shooting tactics that were covered in the morning session to practical use. We call this portion of the course "Courage Under Fire II" because the students will be given 3 scenarios where they have to extract their subject from each location while taking fire from OPFOR’s. This portion of the course calls for the students to apply all of the knowledge that they gained on day1 to the present. Each tactical-medical scenario lasts approximately 30 minutes with students rotating as tactical and medical personnel. Airsoft are also utilized during the training scenarios to enhance the learning experience. Upon completions of the tactical exercises the students return to the classroom for equipment return, debriefing, graduation and closing remarks.

