Tactical Combat Casualty Care Integrated Into Your Training
Tactical Combat Casualty Care (TCCC) Training
ASSESS – TREAT – EVACUATE – INTEGRATE

Why Tactical Medical Training at T1G
STX-Integrated Medicine
Every competitor teaches TCCC in a classroom. T1G integrates casualty care into sustained tactical exercises where the tactical problem is still running. Students execute the MARCH protocol while the mission continues around them. 80% hands-on. Maximum 5:1 student-to-instructor ratio. Skills that only work in a classroom don’t come here.
Full Mission Profile Capability
STX lanes build to full mission profiles that test the entire team — medics, operators, and leadership. Your medic treats casualties inside the MOUT complex while the assault element clears the next building. That integration requires 777 acres of shoot houses, ranges, and unrestricted training areas running simultaneously. T1G has it. Nobody else does.
Combat Veteran Instructors
JSOMTC graduates. Former lead instructors and section heads at the schoolhouse. Real-world combat deployment experience across multiple theaters. CoTCCC-approved curriculum aligned with PHTLS standards. Purpose-built operational medicine facility with H-60 CASEVAC trainer and confined space/collapsed structure trainer.
TCCC Operational Medicine Courses
BCTT – Basic Combat Trauma Training
Operator-level. 3 days | 32 CAPCE CEUs. CoTCCC/NAEMT/PHTLS-aligned. Hemorrhage control, airway management, chest trauma, shock management. Culminates in scenario-based STX. Learn More →
ACTT – Advanced Combat Trauma Training
Medic-level. 4 days | 40 CAPCE CEUs. Point of injury through 24-hour patient management. Blood transfusions, advanced airway, chest tubes, battlefield pharmacy. Unit-specific STX building to full mission profiles. Learn More →
Prolonged Field Care
SOF medic-level. 50 hours. Extended care in austere environments with delayed evacuation. Ultrasound, field monitoring, advanced surgical techniques. Pre-mission medical planning integrated into the evacuation process. Learn More →
Applied Battlefield Medicine
8–40 hours | Modular practicum. IED, OPFOR, confined space, high-angle scenarios. Learn More →
Advanced Combat Medic
40 hours | BAS, prolonged care, pediatric/geriatric/OB trauma, veterinary medicine intro. Learn More →
SOF Tactical Medical Refresher
Custom duration | Recertification for SOF medics. TCCC updates, skill revalidation, scenario-based assessment. Learn More →
High-Angle Rescue
Custom duration | Rope rescue, high-angle patient packaging, rappel systems. Learn More →
EMT-B Recertification
40 hours | Meets NREMT/state requirements. CAPCE CEUs. TCCC/TECC refresher integrated. Learn More →
EMT-P Recertification
2 weeks | 80 CEUs. Full paramedic recertification with advanced protocols. Learn More →
What you can’t do elsewhere:
What is TCCC?
It’s KEEPING NAMES OFF THE WALL
Tactical Combat Casualty Care is the standard of care for combat trauma endorsed by the Committee on Tactical Combat Casualty Care (CoTCCC) under USSOCOM. Three phases: Care Under Fire, Tactical Field Care, and Tactical Evacuation. Built on the MARCH protocol — Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head injury.
T1G’s medical curriculum is built on the CoTCCC framework and aligned with PHTLS standards. Where T1G departs from the standard is delivery: TCCC integrated into situational training exercises and full mission profiles, not taught in a classroom and tested on paper.
Learn How T1G Integrates Operational Medicine with Your Training
Whether your unit needs operator-level TCCC, medic-level advanced trauma, or SOF recertification, T1G builds the training package around your proficiency level and operational requirements. Standalone medical or integrated with weapons and tactics, breaching, driving, and UAS.
Contact us to discuss your unit’s medical training requirements.



