Combat Medical Care (CMC) is quickly becoming the standard of care for the tactical management of combat casualties within the Department of Defense and is the sole standard of care dually endorsed by both the American College of Surgeons and the National Association of EMT’s for casualty management in tactical environments. CMC is built around three definitive phases of casualty care:

Care Under Fire: Care rendered at the scene of the injury while both the medic and the casualty are under hostile fire. Available medical equipment is limited to that carried by each Warfighter and the medic.

Tactical Field Care: Rendered once the casualty is no longer under hostile fire. Medical equipment is still limited to that carried into the field by mission personnel. Time prior to evacuation may range from a few minutes to many hours.

Tactical Evacuation Care (TACEVAC): Rendered while the casualty is evacuated to a higher echelon of care. Any additional personnel and medical equipment pre-staged in these assets will be available during this phase.

These courses covers the Care under fire and Tactical Field care phases for soldiers that are isolated or in small units away from medical assistance, using small bags that have minimal equipment. The Warfighter will learn these techniques in a classroom setting and then apply the techniques in a realistic stressful combat force on force setting on moulage patients or Live Human Models. The student will learn each piece of medical gear in his IFAK bag and will build one for his own use in the real world when he leaves. These courses utilize multiple scenarios in Mounted/Dismounted, Day/Night, Rural/Urban situations that train and test the Warfighters skills in saving the lives of his fellow Warfighters.

The High Altitude Illnesses and Injuries course blends practical operational considerations with scientific research. Our course focuses on acclimatization strategies, physiology, and cold related injuries. Topics Include: • Performance at Altitude • Physiological Changes at Altitude • AMS/HACE/HAPE • Prevention of Acute Mountain Sickness • Nutrition at High Altitude • Special Considerations • Thermal Injuries in Cold Environment • Altitude acclimatization • Staging Ascents/Slow Ascent • Intermittent Altitude Exposure (IAE)
LD offers a 4-hour Basic First Aid course focusing on assessment, treatment, and stabilization of casualties prior to the arrival of Emergency Medical Services. Topics may include: • Scene Safety/Patient Assessment • Establishing/ Maintaining Airways • Dressings and Bandages • Bone and Joint Injuries/Splinting • Controlling Bleeding • Head and Spine Injuries