The Basic Tactical Medical Instructor Training Program (BTMITP) is a highly intense training program requiring a physical demand on the student and consists of lecture, labs and skill practice. The law enforcement officer will gain knowledge and skills necessary to mitigate the loss of their life or the life of another while in an active threat environment. The skills will address treating life threatening injuries in an austere environment with limited equipment, lack of medically trained personnel and prolonged time to evacuation. Tactical Medical is a systematic approach to dealing with casualties in a tactical environment. It is strongly influenced by the model used by the Department of Defense called Tactical Combat Casualty Care (TCCC). As the name implies, TCCC incorporates tactical problem solving into any situation in which casualties are incurred from an armed, hostile opponent. The TCCC system focuses on saving “preventable deaths” while achieving three primary goals: Treat the Casualty, Prevent Additional Casualties and Continue the Mission.   Upon graduation from the BTMITP, students will be able to deliver training in the basic, civilianized tenets of TCCC life-saving skills addressed in the DHS Care Under Fire Education Standards.