ADDITIONAL TRAINING
 
ADVANCED AIRWAY
Proper utilization of advanced skills and combat airway adjuncts are stressed. Techniques covered include: various methods of endotracheal intubation, Combitube, King LT, and laryngeal mask airway insertions, and cricothyroidotomy.
 
ADVANCED PATIENT EXTRACTION
This module addresses unconventional rescue techniques, including drags, lifts and carries. It teaches new high-threat soldier rescue, secondary breaching techniques, immediate extraction/egress of critical patients, and diversionary techniques for affecting a rescue.
 
BLOODBORNE PATHOGENS
The Bloodborne Pathogens course meets the OSHA Bloodborne Pathogens Standard and is designed for individuals who may come in contact with infectious materials as part of their jobs. The Bloodborne Pathogens course topics include: Transmission of disease, Prevention, Universal precautions vs. Body Substance Isolation, Exposure control, and Labeling.
 
CHEMICAL AGENT TRAINING
This module exposes the operator to a contaminated environment and instills confidence in his personal protective equipment and his ability to function in a hazardous environment. Field expedient (rapid) decontamination procedures are also stressed. This training meets and/or exceeds the U.S. Army requirement for CS gas chamber training.
 
CPR/AED
The first five minutes following an injury, and the immediate response from those on the scene can mean the difference between life and death. The Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillation (AED) course is for anyone who may be called upon to perform CPR or use an automated external defibrillation device. Knowing how to respond to a CPR emergency is one of the most important skills a person can possess. This CPR and AED course meets the OSHA requirements. The course covers a proven, standardized method of performing CPR and AED skills with high effectiveness. The CPR and AED course topics include: Breathing and cardiac emergencies in adults, infants and children, Scene control, Patient assessment, CPR integration, AED application, and Protocol adherence.
 
DEFENSIVE TACTICS
This course is designed for individuals who may need to use reasonable and necessary physical force to defend themselves and/or control aggressive combative subjects. The focus of this training will be learning the appropriate tactics and physical techniques to apply in a use-of-force situation with an unarmed combatant. This course will not cover the use of chemical sprays, baton techniques or other less-lethal devices. Practical applications will consist of learning and demonstrating the physical techniques with control and proper form, performing techniques and combinations with a partner and defending against a live attack from a padded assailant.
 
DIVING MEDICINE
Waterborne operations have become mainstream with many law enforcement and military special operations units. There is an inherent risk in waterborne operations, especially diving. This course will address equipment, physics, mechanism and risks of decompression, hypothermia, human performance under water, medical supervision, and physical examination of divers.
 
DROWN PROOFING
This module is a water survival and rescue course designed to give the operator confidence in the water and to teach water rescue skills. This training meets and/or exceeds the U.S. Army requirement for drown proofing training.
 
EXCITED DELERIUM
The term “excited delirium” was first used to describe the acute behavioral changes associated with the abuse of stimulant drugs, like methamphetamine, PCP, and cocaine. It has since become a more widely used phrase, often used interchangeably with “agitated delirium”. These individuals are at an increased risk for sudden death, often while in police custody. It is imperative that law enforcement and EMS personnel recognize those individuals at risk and are prepared to respond to the “excited delirium” emergency. This class will discuss signs and symptoms, associated conditions, emergency treatment, advanced protocols, chemical restraint, and the latest research findings.
 
EXPEDIENT DECONTAMINATION/HAZMAT FOR LE
Decontamination procedures for HazMat incidents are well documented and rehearsed. However in the law enforcement or tactical setting, few of those principles are applicable. Law enforcement officers, particularly tactical teams, often encounter hazardous materials, including but not limited to clandestine drug laboratories such as methamphetamine labs. The expedient decon procedures used by these individuals is what is emphasized in this course.
 
FIRST AID
Knowing how to respond to a first aid emergency is one of the most important skills a person can possess. The Standard First Aid course meets the OSHA requirements and the course uses practice and feedback of using related skills in realistic situations. The Standard First Aid course topics include: Identifying and caring for bleeding, sudden illnesses and injuries, Scene safety, Basic life support, Bleeding and shock, Burns, Head and spine injuries, Musculoskeletal injuries, Environmental injuries, and much more.
 
HEAT ILLNESS/HYDRATION
Heat illness is a life-threatening disorder that is 100% preventable. It frequently occurs in physically active individuals, including athletes, law enforcement officers, soldiers, firefighters, and the other public safety personnel. Heat illnesses often the result of dehydration. This module will present the pathophysiology of exertional heat illness, signs and symptoms, effective treatments, at risk individuals, and prevention strategies.
 
HIV/AIDS EDUCATION
This course presents updated information about HIV/AIDS including sections on physiology, transmission, diagnosis, treatment, and legal issues. The physiology, structure, and life cycle of HIV, early symptoms of HIV infection, medical conditions associated with AIDS, HIV screening tests vs. HIV confirmatory tests, current treatment recommendations for HIV infection, and current HIV/AIDS research findings are all discussed.
 
IMPROVISED MEDICAL TECHNIQUES/EQUIPMENT
Principles, use, and application of improvised equipment. Stress is placed on new and multiple uses for existing equipment.
 
K-9 DOWN*
Tactical Medics International is pleased to offer an introductory “K-9 Down” course designed specifically for law enforcement agencies. This course is intended primarily for the dog handler and the agency medic, and is intended to prepare both medic and handler for the treatment and handling of injured dogs.
 
MEDICAL ASPECTS OF MISSION PLANNING
This enables the operator to develop the medical portion of operational/training plans, and the generation of a medical threat assessment.
 
MEDICAL ERRORS (CEU COURSE)
The problem of medical errors impacts all aspects of society. It is imperative that all healthcare professionals educate themselves to facilitate effective strategies to reduce the occurrence of errors in medicine. Upon completion of this Medical Errors continuing education course, the learner will: understand the magnitude of the problem of medical errors, know about the many types of medical errors, identify the causes of medical errors, understand the important role that proper documentation and communication plays in decreasing medical errors, practice effective strategies to prevent medical errors, and understand their role in an overall medical errors reduction strategy.
 
MEDICAL INTELLIGENCE
Designed to increase the operator’s knowledge of medical intelligence. Topics include medical intelligence collection, reporting, and retrieving.
 
MUSCULOSKELETAL ASSESSMENT
Orthopaedic evaluation skills are taught, including; history taking, observation/inspection, soft tissue palpation, bony tissue palpation, range of motion, manual muscle testing, neurologic assessment, and orthopaedic special tests.
 
NATIONAL INCIDENT MANAGMENT SYSTEMS (NIMS) COURSES
TMI’s NIMS Series provides comprehensive Incident Command Management, Emergency Management and Training services to the National Emergency Management Community. The adoption of the National Incident Management System (NIMS) from Homeland Security Presidential Directive (HSPD-5) Management of Domestic Incidents, has found many agencies, organizations, municipalities, corporations & businesses unprepared to address strategic implementation, coordination and training issues affecting the federal directive. The NIMS Series provides exceptional resources for addressing the change management process and facilitating the defined needs in training and skills development. The NIMS Series is designed for: Fire Department, Rescue, and EMS Services Agencies; Law Enforcement Agencies; Homeland Security and Terrorism Preparedness Agencies; Special Operations, Technical Response, HazMat, WMD, and other Specialized Teams; Educational and School Institutions; Hospital, Medical, Research, and Health Care Providers; Emergency Management Departments and Agencies; Governmental Agencies and Offices; Corporate, Business, Commercial, Industrial and Military; Facilities, Complexes, Groups, and Agencies.

NON-CONVENTIONAL WEAPONS (MEDICAL EFFECTS)
Less-lethal weapons are frequently used by law enforcement are becoming more frequently used by military units. The tactics and deployment techniques used for these munitions are well understood. Anyone utilizing these nonconventional weapons should be familiar with the medical effects of these munitions. Electrical conduction devices, chemical munitions (including pepper spray), and kinetic impact devices all produce injuries that may require treatment. Understanding the medical effects of these munitions could assist the operator with deployment, and may reduce unwanted injuries.
 
OFFICER RESCUE/HIGH-THREAT EXTRICATION
This course provides the foundation for tactical rescue frequently utilized in “officer down” situations. It is based on the concept of having to rescue an officer or bystander before you can initiate lifesaving treatment of the casualty, and challenges the conventional techniques for officer rescue commonly employed by law enforcement agencies. Only validated high-threat immediate extraction techniques are taught in this course. This course is well suited for both tactical teams, and TEMS medics.
 
ORTHOPAEDIC TAPING, BRACING & CASTING
Athletic taping, bracing, and casting is a skill that many allied healthcare providers can utilize. This course discusses basic concepts including indications and contraindications, as well as concise descriptions of anatomy, injury mechanisms, and approaching athletic taping, bracing, and casting as a part of a complete rehabilitation program. Protective padding, orthoplast construction, orthotic and appliance measurements, and speciality taping, such as McConnel taping, and other kinesio taping techniques are included. Injuries to the foot, ankle, leg, knee, thigh, hip, pelvis, shoulder, arm, elbow, forearm, wrist and hand are examined and supported or immobilized via the various techniques presented.
 
PREVENTIVE MEDICINE
This module enhances a medic’s understanding of diseases endemic to operational areas, vector control, immunizations, safe food handling, water purification, and sanitation.
 
SELF AID/BUDDY AID
Designed for those who may be required to provide basic emergency medical support in an austere environment. This is life-saving combat medicine. This concept is widely practiced in the military and is often referred to by other names, including; Law Enforcement Life Saver, Save Yourself – Save Your Partner, Self-Aid – Buddy-Aid, Combat Life Saver, First Responder Plus, and Tactical Combat Casualty Care.
 
SPORTS MEDICINE LAB
Hands-on practice is the hallmark of this course. This is the laboratory course which can accompany many other TMI modules. Orthopedic evaluation, taping and bracing, assessment and treatment of heat illness and dehydration, and other sports medicine techniques are practiced.
 
SPORTS NUTRITION
Basic concepts of nutrition for soldiers to include metabolism, weight-gain, weight-loss, building muscle, etc. Emphasis is placed on proper food types, adequate hydration and choosing dietary supplements.
 
SWAT COMMANDERS COURSE
The course will address the basic demands facing tactical commanders and team leaders, such as recruiting/retention, standards, documentation, training, history, philosophy, and the justification for tactical teams. The course will also address hostage/barricade resolution, knock & announce and no knock search warrant service, basic and advanced tactical theory, leadership, legal issues, response to spontaneous and violent incidents, organizational structure, review of watershed critical incidents, and handling internal and external factors affecting the team.
 
TECHNICAL RESCUE
Lecture and practical application designed to teach the concepts and principles of knot tying, rigging, and high angle and confined space rescue. This training culminates with the extraction of simulated casualties.
 
TEMS CONCEPTS FOR SWAT COMMANDERS AND ADMINISTRATORS
This course is designed for command-level public safety officials, and supervisors who manage personnel assigned to tactical teams. The emphasis of the course is to discuss options and structure of establishing or modifying a TEMS program. Additional topics include the benefits of integrating medical support into the planning and execution of missions, as well as risk management benefits.
 
WEAPONS TRAINING
This course is designed to expose medical personnel to the proper safety, handling, and deployment of both handgun and long-gun firearms. Topics to be covered include weapons selection and maintenance, use-of-force issues, and coordinated fire techniques. This course of instruction will stress the fundamentals of marksmanship and precision shooting. Practical range training will include shooting at moving targets, range estimation and various courses of fire.
 
WHEN VIOLENCE ERRUPTS
This course is designed to teach individuals how to function both effectively and safely in high-stress situations. The techniques in this course will teach students to be proactive and not reactive. Knowing how to avoid violence when possible, and how to protect one’s self when violent confrontations erupt is crucial. Tactics used by law enforcement, including defensive tactics and physical control techniques will be emphasized.

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