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Combat Casualty Care Course (C4)

Format: Resident

C4 is a basic eight day Tri-service continuing medical education program designed to enhance the operational medical readiness and pre-depoloyment trauma training skills of medical officers. This training is intended as initial and sustainment of Tactical Combat Casualty Care (TCCC) with Prolonged Field Care of casualties. The course: 

  • Provides medical officers with the skills critical in conducting Role I & II healthcare operations in an austere, combat environment.
  • Provides training in leadership skills, field medical knowledge and the practical information needed for direct medical support of tactical units under combat conditions.
  • Includes three days of professional programs training in the classroom and four days of intensive field training at Camp Bullis, Texas.

Students attending C4 will attend a professional certification course specific to their needs:

Participants are awarded continuing education or credentials upon successful completion of these courses. The professional courses are not available as stand-alone courses through DMRTI. Students must be enrolled in and successfully complete C4 to receive credit for these courses. 

At the conclusion of the professional programs, the course moves to the field as students rotate through various training stations in an operational environment. Areas of instruction and practical evaluation are varied and complex. Students progress through the phases of TCCC from care under fire, tactical field and tactical evacuation care, through the echelons of care from point-of-injury to Role II scenarios. Lanes are simulating mission-oriented medical scenarioes of Village Stability Operations (VSO), Mass Casualty (MASCAL), Military Operations on Urban Terrain (MOUT), Tactical Medical Lane (obstacle course), Tactical Evacuation Lane, and a simulated Role II facility utilizing simulator technology. Students encounter combat scenarios in varying roles of leadership and team organization, and participate in the planning, rehearsals, and execution of the medical mission. After successful completion of C4, students receive the National Association of Emergency Medical Technicians (NAEMT) TCCC Certification.  The NAEMT TCCC course is the only TCCC course endorsed by the American College of Surgeons. 

Course Links

Upcoming Courses

Training is centrally-funded for the C4 course. If you enrolled into the C4 course less than 40 days from the course start date, or have not already been contacted by the C4 registrar, please contact our Academic Support Branch to confirm course attendance and receive further instructions.

Course dates can be located in ATRRS in the course catalog, school code 767.

    All courses are located in San Antonio. The C4 and associated professional courses are taken together. They may not be taken separately.

    • Day 1: Report date for professional course
    • Days 2-4: Professional course portion (ATLS, ABLS, PHTLS, TNCC)
    • Days 5-8: C4 portion (also depart on day 8)

    All course dates may be rescheduled if the minimum student quota requirement has not been met.  In the rare event of course cancellation or date change, DMRTI will notify all students as soon as changes are confirmed.  Confirmed registered students will have priority in the next course.

    Class  Report Date  Start Date  End Date 
    181 2017-10-15 2017-10-16 2017-10-19
    182 2017-11-05 2017-11-06 2017-11-09
    500 2017-12-10 2017-12-11 2017-12-14
    183 2018-01-21 2018-01-21 2018-01-25
    184 2018-02-11 2018-02-12 2018-02-15
    185 2018-03-25 2018-03-26 2018-03-29
    186  2018-04-29 2018-04-30  2018-05-03
     501  2018-06-03  2018-06-04  2018-06-07
     187  2018-09-09  2018-09-10  2018-09-13
     188  2018-09-23  2018-09-24  2018-09-27

    DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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