Tactical Combat Casualty Care Train the Trainers (TCCC TtT) Course 


Two week course curriculum accredited by NSHQ and endorsed by SOCEUR as the baseline standard for Tactical Combat Casualty Care (TCCC) training. Course is intended for medical instructors.


  • Receive current updates to the TCCC Program
  • Receive the foundational knowledge necessary to teach the core curriculum of a TCCC Provider Course in accordance with the guidelines set forth by the Committee for TCCC
  • Demonstrate ability to give specific TCCC classes
  • Demonstrate ability to develop and supervise complex medical triage scenarios in support of TCCC Provider training


The TCCC-T3 is conducted over a 12 day period*.


During the TCCC Train the Trainer Course students will participate in the following training:

  • Tactical Combat Casualty Care (TCCC): Training on the correct intervention at the correct time in the continuum of field care. This consists of three phases: Care under Fire, Tactical Field Care and Evacuation Care performed by the students in different scenarios. Methodic and didactic: Focused on the most important parts when creating lesson. The students will receive a lesson on the principles of teaching and will be required to teach one of the topics according to the TCCC guidelines. Students will receive peer and instructor feedback in order to improve future performance as a TCCC Instructor
  • Lessons and practical exercises on how to establish and run TCCC Provider training: Each group will have a different topic to cover for practical training. Groups will be required to cover different types of training: initial, refresher and hands-on practical training
  • Lessons and practical exercises on the execution of Field Training Exercises (FTX): Student groups will be required to plan and execute a Field Training Exercises designed to give TCCC Providers the skills and knowledge needed to execute TCCC in urban terrain, treat IED casualties, manage MASCAL situations and conduct TCCC at night.


Students must be medical personnel with credentials equivalent to the training received in ISTC’s Advanced Medical First Responder Course (or higher). Students should have received previous TCCC Provider Training (ideally within one year of attending this instructor course). Students should be officers, warrant officers or NCOs. Previous teaching experience is recommended. 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:


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 normal national BDU’s.


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


Students will be divided in teams and each team will receive, in advance, different assignments for teaching specific classes and other tasks for training. The trainer will be provided with a NSHQ account in order to get updated guidelines. Technical information on medical issues can be requested from the following e-mail address: medical@istc-sof.org

If you have any questions, please E-mail us: inquiries@istc-sof.org

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