Advanced Casualty Sustainment Care (ACSC) Course 


Three week medical course intended to train students how to sustain casualties in an austere environment for up to 72 hours.


  • Complete Secondary Survey of a stabilized casualty in an austere/combat environment during hours of limited visibility
  • Evacuate a combat casualty
  • Monitor and treat a stabilized casualty in an austere/combat environment during hours of limited visibility
  • Sutures of minor wounds
  • Chest drainage
  • Nasal gastric intubation
  • Urinary catheterization
  • Endo-tracheal intubation
  • Intra-osseous infusion
  • Neurological exam
  • Preventive Medicine/Sick Call


Course duration is 19 days*.


The program is an intensive two-week course requiring self-study during the evenings and weekend. The course includes a large amount of theoretical knowledge and training, which is tested in various practical field exercises and written exams. The instruction includes live invasive techniques. Some theoretical classes will be included but the majority of lessons will consist of practical, hands on, Trauma Clinics and Skill Stations. Throughout the course students will be evaluated during a series of comprehensive practical exercises and tests.


The course is intended for certified medics. Students must be graduates of the ISTC AMFR course, the former Patrol Medical Course (PMC) or a national course of the same level. Students will be expected to pass a Medical Knowledge Entry Test. Students may be officers, NCOs or soldiers. Pre-course review of basic anatomy, physiology, and Pre-Hospital Trauma Life Support (PHTLS) is highly recommended.

Additional study material (e.g. MARCH-ON procedure sheets) can be acquired through respective SNOs. Students must score 70% or higher on the Defense Language Institute English Language Center (DLIELC) English Comprehension Level (ECL) Test upon arrival. Prospective students are encouraged to visit the following websites for additional information:

Students must score a minimum of 70% on the Medical Entry Test upon arrival. This test evaluates basic medical knowledge common to SOF medics or medics trained to the Advanced First Responder level. Graduates of the Advanced Medical First Responder Course (or similar course) should be familiar with the knowledge needed to pass this test.

Upon arrival, students must provide medical statements, certifying the following:

  • HIV and Hepatitis B and C negative (no older than 3 months)
  • Tetanus Immunization documentation
  • As per Joining Instructions


Dress throughout the course will be working dress.


Visit the NAEMT web site for material related to this course:


Technical information on medical issues can be requested from the following address:

If you have any questions, please E-mail us:

*Further details can be found in the Joining Instructions available at the sending Unit or the respective Ministry of Defense (MoD).