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DMI Courses

DMI Courses

Tactical Medical (TAC-MED) Course

Tactical operations, hostage situations, and terrorist attacks pose a unique challenge to MED personnel.  Intensive training is required to prepare individuals for these situations.  Tactical medical training for MED and first responders is vital to mitigating the loss of human life.

Course Intent

The goal of the TAC-MED course is to provide EMS personnel, police officers, and first responders with the confidence and competency to mitigate the loss of human life during the initial response efforts.

Course Relevance

The preparation of first responders for SWAT operations and terrorist attacks is a national priority under the Homeland Security Presidential Directive-19, Combating Terrorist Use of Explosives in the United States.


The TAC-MED Course caters to students of all skills to include:  non-medic police and federal officers, first responders as well as EMT-B/I/P.  DMI provides both basic and advanced blocks of instruction during the course of training to allow for an integrated training experience.  Students will be challenged no matter what their skill level.

Session Overview


  1. Classroom Didactic

  2. Practical Application Mini-labs


  1. Human Performance Model Practical Application Skill Development Lab

  2. Human Performance Model Tactical Scenario Training

Instruction Methods

  1. Didactic Presentations:  DMI provides the highest quality audio visual equipment to enhance the learning experience.

  1. Practical Application Labs:  Each didactic instruction block is followed by a hands on practical application lab.

  1. Medical Logistics: DMI provides all medical training items. Students will train with the latest tactical emergency medical equipment and supplies.

Medical Education Credits

DMI provides 21.5 Continued Medical Education (CME) credits for successful completion of the TAC-MED Course. These credits can be used for NREMT recertification.

Course Schedule Overview


  1. Introduction to Operational Medicine

  1. TCCC Science (Combat Mortality Curve)

  1. Hemorrhage Control

  2. Basic techniques

  3. Direct Pressure

  4. Indirect Pressure

  5. Tourniquets

  6. Wound Packing

  7. Pressure Dressings

  8. Advanced Bandaging

  9. Splinting

  1. Airway Management

  2. Basic Techniques

  3. Positioning and Gravity Drainage

  4. Manual Maneuvers

  5. Nasopharyngeal Airway placement

  6. Advanced airway management (EMT-P Level)

  7. Surgical Airway

  8. Intubation/King-LT/Combitube

  1. Respiratory Injury Management

  2. Open Pneumothorax (Sucking Chest Wound)

  3. Identification and treatment of tension pneumothorax.

  4. Needle Decompression (EMT-P Level)

  1. Circulation (Shock)

  2. Shock Prevention

  3. Basic Shock Treatment Techniques

  4. I.V. Access Options (EMT-P Level)

  5. Fluid Choices (EMT-P Level)

  1. Casualty Mobility Techniques

  1. Confined Space Rescue

  1. Casualty Assessment Exercise

  1. Circulatory Assessment

  1. Medical Management of Terrorist Attacks Involving Blast

  1. Burn Injuries

  1. Triage & Casualty Evacuation

  1. Medical Management of Hostage/School Shooting Situations


Human Performance Model Skill Development Lab

  1. Hemorrhage Control

  2. Tourniquet Application

  3. Wound Packing

  4. Pressure Dressing Application

  5. Hemostatic Agents

  1. Airway Management

  2. Basic

  3. Advanced

  4. Surgical Airway

  5. Intubation/King-LT/Combitube

  1. Respiration

  2. Sealing Open Pneumothorax

  3. Tension Pneumothorax Demo

  4. Needle Decompression

Human Performance Model Tactical Scenario Training

  1. Active Shooter Scenarios

  2. Terrorist Attacks Response & Recovery

  3. Triage

  4. Rotary Asset Evacuation

  5. Blast Injury Management

  6. Delayed Evacuation Care

  7. Mass Casualty Management

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