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Care Under Fire

Care Under Fire is medical attention provided by the first responder to arrive at the scene of injury during an in-progress firefight.


Typically, in a Care Under Fire situation, available medical equipment is limited to that carried by the casualty in his or her individual first-aid kit (IFAK) or in the first responder's aid bag.


The first phase of Tactical Combat Casualty Care (TCCC) is Care Under Fire (CUF). You may have heard that “good medicine is sometimes bad tactics,” meaning that what’s best for the casualty might not be best for the mission because the best medical care during a gunfight is fire superiority. You might not be able to start caring for the casualty straight away and this scenario based course will help you identify possible treatment “stopgaps” while returning fire and seeking cover.


The traditional "ABC" approach to addressing trauma was:

  • Airway

  • Breathing

  • Circulation

The Committee on Tactical Combat Casualty Care (CoTCCC) has since adopted the "MARCH" mnemonic:

  • Massive Hemorrhage

  • Airway

  • Respiration

  • Circulation

  • Hypothermia

*All students will receive a first aid kit that includes the tools used in the class.


  • Pistol Marksmanship

  • Rifle Marksmanship

  • Equipment Setup / Considerations

  • Care Under Fire

    • "Stopgaps"

    • Identifying Cover

    • Casualty Movement

  • Tactical Combat Casualty Care

    • MARCH


Day 1

Begins on the range with an overview of proper marksmanship fundamentals and to ensure student's gear is in proper working order. We will then move into the classroom for blocks of instruction and then back to the range to put the information learned into practical application. 


Day 2

Students begin in the classroom reviewing day 1 concepts and move to the range for advanced marksmanship techniques and application. Day 2 concludes with live fire scenario based training.

Day 3

Students begin in the classroom learning more advanced concepts before moving into live fire scenario based training.


Round Count:

  • Rifle: 500

  • Pistol: 500

*Courses of fire can be modified for lower round counts if necessary but a minimum of 500 each is recommended.

Bring your standard range equipment to include your current medical kit if you are running one. All students will be provided a medical kit to use during the course and take home at the completion.


May 27, 2022, 8:00 AM – May 29, 2022, 5:00 PM
Bridle Iron South,
Refugio, TX 78377, USA

Email nick@darkcornerconcepts
if interested in on-site lodging and meal package.

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