SSO Medic Training Capabilities Requirements. 06Aug2026docx.docx

CA Contracting Request for Medical Training – Capabilities Requirements

CERTIFICATIONS/ADMINISTRATIVE REQUIREMENTS:

· Accreditations required:

· CAPCE, NAEMT, IBSC, DHA (On approved LTT Vendor List)

· All courses must be accredited/certified to grant CE/CME/CEU by the accrediting body corresponding to the level of training provided

· All courses taught must provide an accredited course completion certification

TRAINING DELIVERY REQUIREMENTS:

· Accredited training options to include JTS/CoTCCC aligned all servicemember level (layperson/basic) through provider level (MD/APP/RN/FP)

· Residence and on site (mobile) scalable training options capable of accommodating large courses

· Online prep/pre courses offering CME

· (Must have all options available) training manikins; high/low fidelity and K9, specialized skill training aids (e.g. intubation head, IO trainer, thoracostomy trainer) and live tissue patient model training options. (Additional cadaver training options preferred, but not required)

· Customizable curriculum able to align with Army 68W training objectives (*civilian entities cannot certify 68W training, but may provide SME training augmentation IAW TC8-800)

· Knowledge in use of whole blood for damage control resuscitation, walking blood bank, blood typing including ability to manage all aspects of training autologous blood transfusion (including all appropriate safety and emergency management capabilities for transfusion reaction in training environment)

· Veteran/Prior Military Cadre with experience in military medical care and military casualty treatment environments (preferred, not required)

TRAINING COURSES/TERMINAL LEARNING OBJECTIVES:

· CoTCCC/JTS Tactical Combat Casualty Care (TCCC) – ALL TIERS Must comply with all requirements for the course. TLOs and curriculum for accredited TCCC are standardized. See the JTS website for entire listing of 10-27 TLOs and full curriculum requirements for each tier (https://jts.health.mil/index.cfm/committees/cotccc)

- Tier 1 – TCCC All Service Members (ASM) – Standardized 10 TLOs

- Tier 2 – TCCC Combat Lifesaver (CLS) – builds on ASM with additional TLOs focused on prolonged field care at the non-medical provider level

- Tier 3 – TCCC Combat Medic/Corpsman (CMC) – expands to advanced trauma assessment, medication administration, airway management, fluid/blood resuscitation, prolonged casualty management, evacuation, and scenario-based care

- Tier 4 – TCCC Combat Paramedic/Provider (CPP) – adds advanced provider-level interventions, critical care, prolonged casualty care, blood products, ultrasound, advanced airway procedures, and medical decision-making

· Tactical Medical Practitioner (TMP) TLOs aligned with JTS/CoTCCC Clinical Practice Guidelines (CPGs):

· Apply Tactical Combat Casualty Care (TCCC) principles throughout all phases of care

· Integrate tactical decision-making with medical decision-making during operational missions

· Perform advanced hemorrhage control and damage control resuscitation

· Perform advanced airway assessment and management

· Assess and manage respiratory trauma, including tension pneumothorax

· Assess and treat shock using current prolonged casualty care and blood product principles

· Manage traumatic brain injury and other critical trauma

· Perform prolonged casualty care in austere or delayed evacuation environments

· Plan and execute casualty evacuation (CASEVAC/MEDEVAC) operations

· Integrate casualty documentation, communication, and handoff procedures

· Operate as the medical planner and medical advisor for tactical operations

· Conduct medical threat assessments and operational medical planning

· Lead casualty collection point (CCP) operations and mass-casualty management

· Demonstrate team leadership, medical command and control, and mission integration during scenario-based exercises

· Prolonged Field Care/Delayed Evacuation Medical Care TLOs aligned with JTS/CoTCCC CPGs:

- Apply Prolonged Field Care principles when evacuation is delayed or unavailable

· Perform comprehensive casualty assessment and develop a prolonged care treatment plan

· Continuously monitor, document, and reassess critically ill or injured casualties during extended care

· Manage airway, ventilation, oxygenation, and respiratory failure throughout prolonged care

· Perform damage control resuscitation using available fluids and blood products

· Assess and manage shock utilizing prolonged care principles

· Manage traumatic brain injury, neurologic status, and intracranial pressure concerns during extended evacuation

· Provide prolonged nursing care, including positioning, hygiene, pressure injury prevention, nutrition, and fluid balance

· Perform advanced wound care, fracture stabilization, burn management, and infection prevention

· Manage pain, sedation, anxiety, and comfort measures during prolonged casualty care.

· Identify and manage medical complications including sepsis, hypothermia, electrolyte abnormalities, and renal dysfunction

· Coordinate evacuation planning, telemedicine consultation, casualty documentation, and transfer of care

· Prioritize resources and adapt medical interventions in austere, resource-limited environments

· Lead casualty management during prolonged operations while maintaining tactical awareness and force protection

· Austere Environment Medical Care

· Apply medical decision-making principles in austere and resource-constrained operational environments

· Integrate Tactical Combat Casualty Care (TCCC) and Prolonged Field Care concepts throughout all phases of patient management

· Perform patient assessment and stabilization with limited personnel, equipment, and evacuation capability

· Adapt standard medical procedures using field-expedient techniques while maintaining patient safety

· Diagnose and manage common traumatic and medical emergencies encountered in austere environments

· Prevent and manage environmental injuries including heat illness, cold injury, altitude illness, dehydration, immersion injuries, and envenomation

· Apply infection prevention, sanitation, water safety, and public health measures in deployed settings

· Manage prolonged casualty care using evidence-based JTS Clinical Practice Guidelines.

· Employ operational risk management to balance mission accomplishment with casualty survival

· Coordinate medical logistics, equipment maintenance, pharmaceutical management, and resupply planning

· Utilize telemedicine, remote consultation, and medical documentation to support prolonged operations

· Plan and execute casualty evacuation in denied, degraded, intermittent, or delayed evacuation environments

· Lead medical support for small-unit operations, mass casualty incidents, and extended field missions

· Demonstrate sound ethical and clinical decision-making when resources are insufficient to provide conventional standards of care