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Tactical Element


Updated: 9 MAY 2018


Tactical Element is currently recruiting for the position(s) of:

Instructor / Physician Assistant -Certified (PA-C) 
Tactical Combat Medical Care (TCMC) Course

Fort Sam Houston, Texas

The TCMC Instructor provides standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Nurses, and Nurse Practitioners) and 68W40 senior Combat Medics in Tactical Combat Casualty Care (TCCC) and Role 1 Aid Station operations for the 150-hour Tactical Combat Medical Care (TCMC) course conducted over five (5) days. The TCMC course is based upon the injury patterns of combat casualties and the constraints to deliver medical care on the modern battlefield. Course participants train on the concepts of the TCCC Guidelines given realistic scenarios to include Army equipment, supplies and evacuation capabilities during combat. TCMC course includes didactic instruction in casualty care at the point of injury (POI), triage, primary and secondary survey of combat casualties to include, airway management, extremity trauma, chest trauma, thermal burns, blood transfusions, wound management, antibiotics and pain control in the combat environment, splinting and dressing workshop, and fluid maintenance. Practical (hands-on) and simulation training exercises (STX) are conducted in airway management, treatment of extremity trauma, treatment of chest wounds, packing of medical treatment bags, treatment of a combat casualty in a Battalion Aid Station, life-saving emergency surgical skills, and the evaluation and management of mass casualties utilizing simulated combat casualty scenarios.

Minimum Requirements:

Physician Assistant – Certified (PA-C)

Must have served at CENTCOM, AFRICOM or current combat tours or served in a medical Role I or Role II assignment totaling at least 24 months.

Physical fitness requirement that meets the student physical fitness requirements (multiple trauma lane exercises 45-60 minutes in duration wearing gear (+60 lbs) and carrying/dragging casualties and gear weighing approximately 180 pounds).

Must be able to deliver podium instruction on Tactical Combat Casualty Care (TCCC) Guidelines to peers and above. 

Additional Responsibilities: 

Conduct instruction in a variety of environments, to include classroom, laboratory, clinical, or field instruction outdoors on Fort Sam Houston, Camp Bullis, Brooke Army Medical Center, or other installations.

Maintains current lesson plans with handbooks, study guides, and tests while ensuring content is current.

Utilizes up-to-date knowledge of advanced medical subjects (standards of care) Tactical Combat Casualty (TCCC) and current Clinical Practice Guidelines (CPG) processes, practices, procedures that are pertinent and applied in the program of instruction.

Assist in the maintenance of instructional programs, through recommendations and suggestions, for Tactical Combat Medical Care (TCMC) program to include maintaining and proof-reading lesson plans that typically deal with trauma treatment using the tenants of Tactical Combat Casualty Care (TCCC), limited primary care, medical evacuation, force protection, CBRN, trauma scenario development and warrior skills.

Conduct orientation and continuing education (CE) training sessions for newly assigned instructors as needed. Refresher training may include, but not limited to training methods and computer based training methods.





Professional resumes may be submitted to Human Resources at human.resources@tacticalelement.com. Telephone calls will not be accepted.


Tactical Element, Incorporated is an Equal Opportunity Affirmative Action employer M/F/D/V. Tactical Element participates in E-Verify to determine an individual’s identity and employment eligibility to work in the Unites States of America. E-Verify is a service of the Department of Homeland Security and Social Security Administration.