North Carolina Justice Academy

North Carolina Department of Justice

Tactical Medical Operator I

Please check our "Available Training" page for the most current status of the course. 

Who Should Attend:

This course is exclusively designed for emergency medical providers supporting tactical law enforcement operations; or emergency medical providers assigned to tactical law enforcement operations, such as Special Weapons and Tactics (SWAT) or Special Response Team (SRT).

Course Goal:

To provide the emergency medical provider already engaged in or entering a career providing tactical emergency medical operations in the support role or operator role, for tactical law enforcement operations.

Course Objectives:

The student will be able to:
  • Execute casualty care management in urban tactical environments, rural tactical environments, and waterborne tactical environments.
  • Execute basic firearms safety techniques (pistol and carbine).
  • Demonstrate basic and advanced airway
  • management techniques.
  • Understand the aspects of ballistic wounding and penetrating trauma conducive of the tactical environment.
  • Understand operations/command and control (C2).
  • Understand and demonstrate medical force protection.
  • Understand the role and responsibilities of the Medical Operator.
  • Execute the use of load-out and equipment considerations.
  • Conduct mission development/Threat Assessment.
  • Understand and execute Tactical Combat Casualty Care (TCCC) guidelines.


This course employs lecture, discussion, demonstrations, practical exercises and field training exercises.

Course Requirements:

Attendance is required at all class sessions. Students will be expected to successfully complete all of the practical exercises.

Special Concerns:

This course will be delivered by Tactical Element, Inc. Cost for the course is $768.00 per student.
Prospective students must register and make arrangements for payment to Tactical Element, Inc., at 336-945-2289 or at
In addition, students will need to complete an NCJA application and submit same to the Registrar.
Class begins on Sunday at 6:00 p.m. for the orientation, and other instructional blocks. There will be day operations, low-light operations, and night operations.
Students must bring with them (materials required): medical packs, flashlight, tactical clothing, gas masks, rain gear, fitness clothing, eye protection, and a rimmed cap.


Fee: $768.00

Applications to complete:

Prospective students must register and make arrangements and payment to:

  • DC Heath
    Tactical Element, Inc.
    380-H Knollwood St., Suite 140
    Winston-Salem, NC 27103



  • Register for ALL NCJA classes (traditional classroom and online) on our  North Carolina Justice Academy Training Portal. After signing in to the portal, you can view ALL available classes. If you don’t have a portal account, instructions for creating one are located here.



Course Coordinator:

Richard White

Length of Course:

48 hours - 5 days