Intermediate Tactical Medicine (TacMed)

Law Enforcement & Military Training Course


Intermediate Tactical Medicine (TacMed) for LE/MIL personnel builds on 88 Tactical’s Basic TacMed curriculum, adding pre-hospital trauma care while under fire. The focus of the instruction is to give the operator the ability to recognize, evaluate and control life-threatening injuries common to all first responders with a tactical slant. Students will be expected to provide care while in contact with a shooter, or responding to a mass casualty or active shooter event. 88 Tactical’s TacMed courses are Tactical Emergency Casualty Care (TECC) approved. TECC has become the standard of care for the tactical management of civilian casualties in high-threat situations.

Intermediate Tactical Medicine (TacMed) is a 10-hour course covering trauma topics designed to decrease preventable death in high-threat situations. It fills the gap between military combat first-aid and civilian Emergency Medical Services (EMS). Topics include: managing trauma, hemorrhage (bleeding) control, wound dressing, breathing/airway control, pediatric care, and techniques for dragging and carrying victims to safety while actively engaged in a gun fight.

Students experience plenty of hands-on dry fire practice in the classroom, along with role-playing demonstrations and drills. The live-fire portion of the course focuses on fighting while wounded and shooting from the ground. The drills will include one-handed pistol manipulations (working both left and right hand only). There will be a quick, intense casualty rescue scenario at the end of class.

All 88 Tactical training courses are built on the core concept of Reality Behavior-Based Conditioning© (RBBC). RBBC was developed from this maxim: “the study of behavior is as important as the study of tactics.” 88 Tactical courses condition an appropriate crisis response that maximizes performance while working with, instead of against, a person’s survival-oriented instincts and intuitions.


At the end of this 10-hour course, students will be expected to:

  • Explain first aid work priorities in a high-threat environment
  • Explain and demonstrate rapid trauma assessment
  • Demonstrate self-aid and buddy-aid techniques:
    • Proper hemorrhage control
    • Proper airway control
    • Techniques for wound dressing
    • Techniques to prevent shock
  • Demonstrate techniques for evacuating victims to safety while under various levels of threat
  • Demonstrate caring for pediatric patients
  • Demonstrate providing care to yourself (self-aid) and others while under live-fire scenarios
Equipment Requirements
  • Eye and ear protection
  • Semi-auto pistol with rear sight ledge
  • 400 rounds factory new ammunition
  • Sturdy belt and OWB holster
  • Weather appropriate clothing (old clothes are recommended due to exposure to simulated blood)
  • A packed lunch and water bottle
  • Note taking materials
Eligibility Requirements

Must have successfully completed Handgun Defense Level 2 or have an equivalent level of training, and must possess current law enforcement or military credentials.

If your agency is interested in hosting a class, please contact Aaron Guzman at (507) 884-5193 or Ask how your agency could receive a free slot

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