During the past decade, we have seen a dramatic acceleration in the advancements of military and civilian tactical medicine. In the civilian sector, the US is experiencing an increased frequency of active violent incidents including school shootings and terrorist attacks. Over the past 5 years, experts from the civilian TEMS, military, and conventional medical first response community have come together to begin developing new hight threat response paradigms. Tactical Emergency Casualty Care (TECC) and the National TEMS Initiative and Council (NTIC) are the result of these efforts. Though the principles of TECC are critical for all high threat civilian response, traditional TEMS providers now have an increasingly important role as responders, force multipliers and educators. In an effort to standardize the credentialing for TEMS providers, the Board for Critical Care Transport Paramedic Certification (BCCTPC) created Tactical Paramedic Certification (TP-C). This study guide represents a resource for medics looking to take and pass the TP-C.

How to pass TP-C -- Tactical Casualty Care (TCCC) Methodology -- Blast Injuries -- Triage -- MARCH/H -- Massive Hemorrhage -- Airway -- Respirations -- Circulation -- Hypothermia -- Head Injuries -- Medication Administration -- Environmental Factors & Injuries -- Fast Roping Injuries -- Burn Management -- Medical Mission Analysis -- Remote Assessment -- Rescue and Extraction -- Breaching -- Personal Protective Equipment -- Tatical Operations -- Less-lethal Weapon Injuries -- Legal Aspects of TEMS -- Force Health Protection -- Canine TCCC (C-TCCC) --- Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE).