Advanced Medical Training (18-D | SV-TA-N-0436)

Our Advanced Medical Training Program is a progressive pre-deployment, and qualification program that mirrors the training received by US Special Forces 18D operators at Fort Bragg.  


The purpose of this 6 month proposal for training is to better prepare the members of your unit to react to life threatening injuries experienced in today’s world. Through minimal lecture and maximum hands on training, unit members will gain a better understanding of how to communicate, lead, and treat multi-systems traumatic combat injuries. In addition, unit members will gain a better understanding of what works and what does not work when dealing with combat trauma management. Instruction will be delivered by former 18D Special Forces Medics that are experienced, professional and certified Instructors in Special Operations Combat Medicine, Combat Trauma Management, Emergency Medical Technician at the National Registry level, including American Heart Association standards, and Preventive Medicine.

All students that successfully complete the course will receive the following certifications:

  • American Heart Association –
    • Basic Life Support (BLS)
    • Advanced Cardiac Life Support (ACLS)
    • Pediatric Advanced Life Support (PALS).
  • National Association of EMTs (NAEMT)
    • Pre-Hospital Trauma Life Support (PHTLS);
    • Tactical Combat Casualty Care (TCCC)
    • Advanced Medical Life Support (AMLS).
    • International Trauma Life Support (ITLS).

Selected individual students demonstrating higher proficiency will be trained as instructors to numerous courses listed above during off training times or throughout Clinic Rotation times. In addition, these individuals will receive an additional 2 weeks of training to achieve the certification of NREMT-P

Curriculum and Timeline

This 6 month course takes a student with little to no knowledge of medicine and begins teaching him medical fundamentals. This provides a base on which to build upon as the ensuing modules become increasingly more difficult, with the end product, for combatant commander, being a trauma specialist trained in warfare related injuries.

Medical Fundamentals (8 Weeks)

This is the first section of training. It covers pharmacology, pharmaceutical calculations, anatomy, physiology, pathophysiology, medical terminology, basic physical exam techniques, and medical documentation.

Trauma Modules (10 Weeks)

This training covers AHA Basic Life Support, advance airway management, patient management skills, pre-hospital trauma emergencies and care, advance trauma tasks/skills, pre-hospital trauma emergencies and care, advanced trauma skills, operating room procedures, and minor surgical skills. Students take the NREMT-Basic examination after completing these subjects. This covers obstetrics and pediatric emergencies, cardiac pharmacology, training in combat trauma management, and Advanced Cardiac Life Support (ACLS). In addition, students will receive advanced training and certification in our Special Operations Paramedic course.

Clinical Internship: (5 Weeks)

The students then go on the EMT clinical rotation and field internship at one of several Level I Trauma Centers on the east coast. This consists of 2 weeks of ambulance, 2 weeks of hospital. The hospital training consists of rotations in the emergency department, labor and delivery, surgical intensive care, pediatric emergency department, and operating room. Ambulance training consists of assignment to an Advanced Life Support EMS unit responsible for responding to a variety of 911 emergency calls.

Military and Preventive Medicine: (3 Weeks)

This phase of training is conducting Sick Call procedures and Preventive Medicine, Field Sanitation training. This covers the care of routine walk-in patients under the supervision of a physician or physician’s assistant at selected clinics in the surrounding areas of Fayetteville as well as conducting Field Sanitation training at selected Field Training Sites.

Paramedic Modules (ADDITIONAL 2 Weeks)

For selected individuals, this training will cover National Registry Paramedic Subjects, Psychomotor skills training and testing as well as preparation for and conducting the NREMTP CAT exam.