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TCCC Course Greece – Tactical Combat Casualty Care (NAEMT)

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TCCC Course Greece – Tactical Combat Casualty Care (NAEMT)

€600
Duration: 5 days Certification: NAEMT – TCCC In cooperation with: Pronosokomeiaki Frontida

Program Overview

Tactical Combat Casualty Care (TCCC-NAEMT) is the internationally recognized standard for battlefield and tactical casualty care. It focuses on the management of life-threatening injuries in high-risk environments, using structured, evidence-based algorithms that can be applied under fire and during tactical operations.

This 5-day program is delivered by GENESSOL, with a specialization in operational medicine and tactical training, in cooperation with Pronosokomeiaki Frontida, within the framework of official NAEMT certification courses.


Key Learning Objectives

By the end of the course, participants will be able to:


Tactical Framework & Algorithms

  • Understand the Phases of Care in TCCC
    Care Under Fire (CUF) – life-saving interventions under effective enemy fire
    Tactical Field Care (TFC) – casualty care when no longer under effective fire
    Tactical Evacuation Care (TACEVAC) – care during evacuation to higher echelons
  • Apply the MARCH Assessment to Trauma Patients
    M – Massive hemorrhage
    A – Airway
    R – Respiration
    C – Circulation
    H – Hypothermia / Head injury
  • Make Tactical Treatment Decisions
    Balance mission objectives and medical care, and select appropriate interventions based on the tactical environment and threat level.

Clinical Skills & Application

  • Control massive hemorrhage
    Correct application of limb tourniquets, wound dressing and packing with hemostatic agents, use of pressure dressings and management of hemorrhage in junctional / non-compressible areas.
  • Manage airway & respiration
    Maintain a patent airway (recovery position, nasopharyngeal airway), recognize and manage tension pneumothorax (needle decompression where permitted), and apply chest seals for open chest wounds.
  • Prevent and treat shock & hypothermia
    Recognize hemorrhagic shock, initiate resuscitation with fluids in line with protocols, and implement active hypothermia prevention measures.
  • Move the casualty, communicate & administer medications (where permitted)
    Apply safe casualty movement and extraction techniques, complete the TCCC Card, hand over to higher levels of care, and provide pain management and antibiotics within scope of practice and protocols.

Who This Course Is For

The TCCC-NAEMT course is aimed at personnel operating in high-risk environments, where tactical medicine directly supports operational missions, as well as individuals seeking specialized training in trauma management under threat conditions.

  • Armed Forces and Law Enforcement personnel.
  • Healthcare professionals deployed in operational or high-risk settings.
  • Members of special / tactical units and security teams.
  • Private security operators assigned to high-risk tasks or protective details.
  • Security managers and planners involved in violence or terrorism response plans.
  • Medically trained civilians and responsible individuals who wish to acquire advanced hemorrhage control and tactical casualty care skills, within the limits defined by legislation and clinical protocols.

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Didactic Modules

  • Introduction to TCCC
    • Historical evolution of Tactical Combat Casualty Care.
    • Preventable causes of death on the battlefield.
    • Role and responsibilities of the Combat Lifesaver (CLS).
    • Phases of care: Care Under Fire (CUF), Tactical Field Care (TFC), Tactical Evacuation Care (TACEVAC).
  • Care Under Fire (CUF)
    • Tactical priorities and team safety under effective fire.
    • Self-aid and buddy-aid principles.
    • Immediate control of life-threatening extremity hemorrhage under fire.
    • Moving the casualty to a safer position and cover.
  • Tactical Field Care – MARCH Framework
    • M – Massive Hemorrhage: pathophysiology, recognition of hemorrhagic shock, and methods of hemorrhage control.
    • A – Airway: airway obstruction, level of consciousness, and basic airway maintenance techniques.
    • R – Respiration: chest trauma, tension pneumothorax, and recognition of respiratory distress.
    • C – Circulation: shock, principles of fluid resuscitation (CLS theoretical level), and introduction to TXA.
    • H – Hypothermia / Head Injury: “lethal triad”, hypothermia prevention, and neurologic assessment.
  • Tactical Evacuation Care (TACEVAC)
    • Preparation and stabilization of the casualty for evacuation.
    • Introduction to the 9-Line MEDEVAC request.
    • Completion of the TCCC Card.
    • Structured handover to higher echelons of medical care.
  • CLS Medication Support
    • Principles of pain control in the tactical environment.
    • Use of antibiotics where indicated.
    • Indications and contraindications within CLS scope of practice.

Practical Skill Stations & Field Scenarios

  • Massive Hemorrhage Control
    • Application of limb tourniquets on upper and lower extremities.
    • Tourniquet conversion where protocols allow.
    • Wound packing with hemostatic agents.
    • Application of pressure dressings.
    • Management of junctional hemorrhage.
  • Airway Management
    • Insertion of nasopharyngeal airway (NPA).
    • Recovery position and basic airway maneuvers.
    • Practice in low-light and high-stress conditions.
  • Respiratory Trauma
    • Application of chest seals (standard and vented).
    • Recognition of clinical signs of tension pneumothorax.
    • Needle decompression (according to level of approval / scope of practice).
  • Circulation & Hypothermia
    • Use of hypothermia prevention kits and thermal protection.
    • Field assessment of shock.
    • Preparation for fluid administration (CLS theoretical / supportive level).
  • Integrated Management – Scenario Training
    • Full application of the MARCH algorithm in realistic scenarios.
    • Multi-casualty management (mass-casualty context).
    • Tactical decision-making under pressure.
    • Real-time documentation and casualty tracking.

To participate in the TCCC-NAEMT program, you must be at least 18 years old.

  • If you are under 18, a signed consent and liability form from a parent or legal guardian is required.

This course is strictly educational and does not grant a professional medical license, medical specialty, or authorization to practice medicine. It does not replace professional medical care.

All techniques taught are based on internationally recognized TCCC guidelines. Participants are expected to apply only what they have been trained to do, and always within their legal scope of practice, while prioritizing safety for themselves, their team, and the casualty.

Duration:

The total duration of the program is 5 days, combining classroom instruction, hands-on skills labs and immersive field scenarios.

  • Days 1–2: Classroom theory, TCCC principles, phases of care, and decision-making.
  • Day 3: Theory and practical skills stations (bleeding, airway, respiration, circulation, hypothermia).
  • Days 4–5: Tactical field scenarios and final written/practical evaluations.

Methodology:

  • A dynamic combination of interactive lectures, hands-on skills training and realistic scenario-based exercises in a tactical environment, with a strong emphasis on teamwork and decision-making under stress.

Materials:

  • All participants receive official training manuals and supporting material aligned with NAEMT standards, to review and consolidate their knowledge after the course.

The techniques and skills taught in this course are based on internationally recognized TCCC protocols. They have been selected to be safe, practical and mission-oriented when applied by properly trained personnel.

In real operations, always act within your training, capabilities and safety limits, and seek professional medical support and evacuation as early as the tactical situation permits.

Educational Purpose
By attending this course, you acknowledge that it is provided exclusively for educational and training purposes. It does not grant professional medical certification and does not replace formal medical care. The instructors and organizing bodies bear no responsibility for any misuse, misapplication or actions taken beyond the scope of the training. Participants are expected to apply only what they have been taught, without exceeding their level of training or legal authority.

Physical Disclaimer
The program includes physically demanding and stress-inducing activities such as:

  • Walking, running, lifting, carrying, dragging and crawling.
  • Exposure to hot/cold temperatures and uneven terrain.
  • Training in low-light, noisy, or simulated combat environments.

* All participants must be aware of their own capabilities, limitations and pre-existing conditions that may affect their performance or safety, as well as the safety of others.

Instructor Authority
GENESSOL and Pronosokomeiaki Frontida instructors reserve the right to modify, pause or discontinue any activity that is considered unsafe, at their sole discretion, in order to protect participants and staff.

NAEMT Certification

Upon successful completion of the program and all required evaluations, participants receive official NAEMT TCCC certification, in accordance with the international standards of the National Association of Emergency Medical Technicians.

  • The certification is internationally recognized in military, law enforcement and operational environments.
  • It significantly strengthens the professional profile of personnel engaged in high-risk missions and tactical operations.

Recommendation

Regular refresher training and participation in recertification or update courses is strongly recommended, so that participants remain aligned with the latest TCCC Committee guidelines and maintain:

  • Operational readiness in high-threat environments.
  • Hands-on proficiency in critical life-saving skills.
  • Confidence under stress and tactical pressure.
  • High standards of safety for themselves, their team and their casualties.