
Learn civilian trauma response basics to act as a first responder in active threats and disasters, applying civilian basic life support and tactical casualty care concepts.
Master the initial assessment for civilian trauma using a systematic approach that prioritizes safety, scene awareness, and access routes, while classifying casualties as immediate, urgent, or delayed.
Learn to act as a first responder to massive bleeding, using direct pressure, wound packing, tourniquets, and chest seals while recognizing shock stages and when to seek emergency help.
Apply direct pressure to a bleeding wound to control it, expose the source, and identify it, while protecting yourself with personal protection equipment and remaining hands-on until emergency responders arrive.
Use tourniquets to rapidly control massive bleeding in limbs when pressure fails. If bleeding remains, place a second tourniquet near the first without removing it; limb loss isn't inevitable.
Master one-handed CAT tourniquet application kept within reach, applied directly to the skin to control life-threatening bleeding. Train under stress to perform quickly under adrenaline.
learn to apply a cat tourniquet for massive limb bleeding, using the high and thigh rule, exposing the wound when safe, securing the windlass, and noting the application time.
Learn one-hand tourniquet application for civilian trauma, including high and tight or three to four inches above the wound, and securing bleeding with velcro and loops.
Learn improvised tourniquets using available materials, place the tie about 3 centimeters above the wound, twist until bleeding stops, and secure to prevent loosening.
Learn to control massive hemorrhage by finding the bleeding source and performing wound packing with gauze or hemostatic agents, applying sustained direct pressure until help arrives.
Prioritize massive hemorrhage control with tourniquets and indirect pressure, then secure the airway using head-tilt chin-lift or jaw-thrust, and employ a nasopharyngeal airway with lubrication while avoiding blind finger sweeps.
MANAGING AN OPEN PNEUMOTHORAX
Research indicates that an open pneumothorax (sucking chest wound) can be treated effectively with an occlusive chest seal.[11] If an open chest wound is not treated correctly, it can develop into a life threatening tension pneumothorax.
An open pneumothorax occurs when the chest wall injury extends through the parietal pleura into the pleural cavity. This creates two openings that allow air into the thorax. During inspiration, air enters the chest through both openings (chest wall and trachea). However, the only way air can enter the alveoli is from the trachea and bronchioles. The extra opening in the chest wall greatly decreases the volume of air available to the alveoli.
Chest seals work by closing the chest wall opening, allowing air to enter the chest through its normal pulmonary route. Traditional three-sided dressings have shown to be ineffective in preventing conversion of an open pneumothorax to a tension pneumothorax.[11] Vented chest seals allow for the release of accumulated air or evacuation of blood and are effective in preventing the re-entry of air through the open chest wound. Non-vented chest seals adhere to the chest, creating a tight seal and do not allow air to escape or re-enter.
There are many commercial chest seals available on the market. They provide an effective rugged adherence property that allows them to stay in place in the presence of sweat, soil, air, or blood.
COTCCC GUIDELINES AND THE CHEST SEAL
Development of a tension pneumothorax is a common life threatening complication of an open chest wound. All open chest wounds should be treated by immediate application of a vented chest seal to cover the defect. If a vented chest seal is not available, use a non-vented chest seal.
Monitor the patient for the potential complication of a tension pneumothorax. If the patient develops increasing hypoxia, respiratory distress, or hypotension due to a tension pneumothorax, treat by removing or "burping" the dressing or by performing a needle decompression.
In summary, EMS professionals must realize the value of military research and incorporate the latest evidence-based practice regarding the use of tourniquets and chest seals. As the potential for domestic combat injuries remains high, prehospital professionals must focus on those preventable causes of combat death and implement the latest guidelines to improve patient outcome.
Demonstrates treating a sucking chest wound with an h vent chest seal to prevent open pneumothorax and vent trapped air, exposing the chest and cleaning with gauze.
Explain open and tension pneumothorax from chest wounds and air in the pleural space, with signs of distress; locate the second intercostal space along the clavicle-to-nipple line for needle decompression.
Learn civilian basic life support and bystander CPR to save lives, focusing on scene safety, responsiveness checks, airway opening, and 30 chest compressions with ventilations in continuous cycles.
The Civilian Trauma Response Course (CTR) goes far beyond first aid. This course is split in two sections. One is based on Tactical Combat Casualty Care (TCCC) procedures used by the Military to save lives during combat. The second section is based on the civilian BLS ( Basic Life Support ). Civilians are usually the first ones on scene in an active shooter incident, terrorist act, natural disaster or everyday accident. The CTR Course is putted together by different experts in emergency and tactical medicine. You should be prepared to make a difference and save a life. This course will have more than 8 Hours of video training materials.
Why is Civilian Trauma Response Training Important?
In the instance of an accident, or worst-case scenario of an active shooter incident, terrorist attack or active threat in the workplace or a school, civilians are the first responders. When seconds count, it is vital to begin aiding the wounded individual(s). During an active shooter incident or active threat, time can especially be strained. First responders will be rushing to the scene. Law enforcement’s first and primary objective is to eliminate the threat, potentially passing over and not treating wounded individuals until the threat has been resolved. This means that you are the true first responder in this active shooter or active threat scenario. Will you be able to treat the injured and help save lives?
Course Curriculum
Introduction to Advanced Tactical Casualty Care
M.A.R.C.H Algorithm
Bleeding management
Hemorrhage Control Concepts
Direct Pressure
Bandaging
Hemorrhage Control Concepts & Skills
Tourniquets
CAT Tourniquets
Junctional Hemorrhage & Hemostatic Agents
Wound Packing
Hemostatic Agents
Wound Packing Bandage
Dismounted Complex Blast Injury
Junctional Hemorrhage & Hemostatic Agents
Blood Sweep & Casualty Evaluation
Airway and Respiration
Airway
Head Tilt, Chin Lift
Nasopharyngeal Airway
Respiration
Thoracic Trauma
Chest Seals
Needle Decompression
Recovery Position
Hypothermia
Other Injuries
Head Injuries
Abdominal Injuries
Blast Injuries
Basic Life Support