The BCCTPC Tactical Paramedic exam content:
Tactical Combat Casualty Care (TCCC) curriculum
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Care under fire (CUF) phase
Tactical field care (TFC) phase
Tactical Evacuation (TACEVAC) phase
Haemorrhage control with hands on practise
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Direct pressure
Tourniquets used by UN military forces
Wound dressing and wound packing
Pressure dressing
Haemostatic agents used by UN military forces
Airway skills
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Tactical airway assessment
Manual manoeuvers and suction
Airway adjuncts: NPA, OPA, iGel, LMA, King LT and Combitube
Endotracheal Intubation
Surgical Airways
Rapid Sequence Induction (RSI)
EtCO2 and SPO2 waveform analysis
Breathing assessment and skills
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Seal penetrating thoracic wounds with occlusive dressing
Needle Decompression
Chest drain insertion and maintenance
Use of mechanical ventilators
Circulation assessment and skills
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Shock assessment and treatment
Vascular access with IO, IV, ORS and proctoclysis
Medication Administration
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Analgesia and sedation agents
OTC medications
Advanced pharmacology for tactical paramedic
Neurological Assessment
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Manage suspected spinal injuries
Differential diagnosis of a comatose patient
Manage patients with seizures
Assess intracranial pressure
Manage patients with head injuries
Advanced pharmacology for neurological management
Trauma Management
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Tactical casualty triage using START and SALT
MARCH algorithm: massive bleeding, airway, respiration, circulation,
hypothermia/head injuries
Advanced pharmacology for trauma management
Fracture dislocation management
Reduce dislocations
Burn Patients
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Perform an assessment of the burn patient
Calculate the percentage of TBSA
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Calculate fluid replacement with Parkland and Brooke formula
Remote Assessment and Long Term Care
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Situational variables impacting prolonged field care
Telemetry and communications leading to an evacuation plan
Rescue / Extraction
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Perform high threat extractions
Methods of rescue breaching
Evacuation through drywall, cinderblock, windows
Extraction methods based on the casualty’s specific injuries
Incident Command System
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Use a centralised command and control system
Interface with local medical authority
Tactical Team Operations
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Personal protective equipment
Breaching/diversionary
Firearm familiarisation
Team medical equipment
Basic tactical movement techniques
Situational awareness and team safety in tactical operations
Medical Mission Analysis
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Medical threat assessment
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Environmental hazards
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Tactical threats
Hazardous materials
WMD/CBRNE
Legal Aspects of TacMed
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HIPAA
Evidence preservation and chain of custody
Scope of Practice
Illegal search and seizure and other fourth amendment issues
Force Health Protection
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Manage work/rest/sleep cycles
Evaluate pertinent medical history of assigned personnel
Identify immunisations and chemoprophylaxis
Hydration for an operational setting
Nutrition and food safety
Field sanitation
Tactical protective equipment
Manage Injuries and Complications Associated with Less Lethal Weapons
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Chemical munitions including CS and OC
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Electrical conductive weapons
Impact weapons
Light/sound diversionary devices
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Canine Management
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Working dog trauma
Environmental emergencies in dogs