The Care Under Fire (CUF) course teaches military personnel and tactical operators how to deliver immediate lifesaving interventions while under hostile threat. This foundational training focuses on stabilizing casualties in high-risk environments where every second counts.
Key focus areas include:
- Rapid threat assessment and scene safety
- Immediate hemorrhage control under fire
- Tactical movement and casualty extraction techniques
- Prioritizing care while maintaining mission objectives
CUF is the first step in the tactical casualty care continuum, preparing operators for advanced courses such as Tactical Combat Casualty Care (TCCC) and Prolonged Casualty Care (PCC). Detailed course schedules and enrollment information will be available soon.
For more information on CUF courses, contact: training@ctomsinc.com
CARE UNDER FIRE PROGRAMS:
CUF Level 1 – Carbine
Prerequisites:
- Nil (Designed for military/ERT personnel operating with a service carbine)
- Recommended: CTOMS Academy Direct Threat Care (DTC) / Field Trauma Care (FTC)
Course Content:
- Course Introduction and Safety Brief
- Care Under Fire (CUF) Doctrine and Priorities
- Threat Assessment and Medical Decision Making Under Fire
- Immediate Hemorrhage Control During Active Engagements
- Movement Techniques, Use of Cover, and Casualty Positioning
- Self-Aid While Maintaining Combat Effectiveness
- Self Extraction Techniques Under Direct Threat
- Transition from Care Under Fire to Tactical Field Care
Course Description:
This course provides foundational skills to manage casualties during active combat while maintaining mission effectiveness. Training emphasizes rapid, decisive medical interventions under fire, integrated with movement, weapons handling, and battlefield realities. Students develop practical, repeatable responses to preventable causes of death in high-threat environments.
Course Duration:
1 Day
For more information:
training@ctomsinc.com
CUF Level 2 – Mixed Weapons
Prerequisites:
CUF Level 1 – Carbine (or equivalent experience)
Course Content:
- Review of Care Under Fire (CUF) Doctrine and Threat Priorities
- Self Management During Mixed Weapons Engagements
- Hemorrhage Control and Medical Interventions Under Variable Fire Conditions
- Movement, Use of Cover, and Casualty Positioning with Diverse Weapon Systems
- Self Extraction Techniques Under Sustained or Suppressive Fire
- Communication & Coordination and Dispatch & Command During Medical Interventions
- Transitioning from CUF to Tactical Field Care in Dynamic Environments
Course Description:
This course builds upon CUF Level 1 by introducing casualty care challenges associated with mixed weapon systems and evolving threat conditions. Training focuses on maintaining medical effectiveness while operating in complex engagements involving varying weapons, terrain, and operational tempo.
Course Duration:
1 Day
For more information:
training@ctomsinc.com
CUF Level 3 – Teams
Prerequisites:
CUF Level 2 – Mixed Weapons (or equivalent experience)
Course Content:
- Team-Based Care Under Fire Roles and Responsibilities
- Coordinated Movement and Casualty Management Under Direct Threat
- Multi-Casualty Considerations During Active Engagements
- Team Extraction Techniques and Casualty Movement Under Fire
- Communication, Command, and Control During Medical Interventions
- Integration of CUF into Team Tactics and Mission Flow
- Transitioning Team-Based Casualty Care to Tactical Field Care
Course Description:
This course introduces structured, team-based casualty care under fire. Emphasis is placed on coordination, communication, and task distribution to manage casualties while maintaining security and mission momentum during active combat operations.
Course Duration:
1 Day
For more information:
training@ctomsinc.com
CUF Level 4 – Advanced Teams
Prerequisites:
CUF Level 3 – Teams (or equivalent operational experience)
Course Content:
- Advanced Team-Based CUF Planning and Execution
- Casualty Management During Complex and Prolonged Engagements
- Multi-Casualty and Multiple-Team Coordination Under Fire
- Advanced Extraction Techniques and Casualty Movement in Restricted Terrain
- Command-Level Medical Decision Making Under Fire
- Integration of CUF with Higher-Level Tactical and Operational Objectives
- Transitioning Advanced Team Care to Tactical Field Care and Evacuation
Course Description:
This course prepares advanced teams to manage casualties during high-intensity, complex combat operations. Training emphasizes leadership, coordination across multiple elements, and medical decision-making under extreme operational stress while maintaining mission effectiveness.
Course Duration:
2 Day
For more information:
training@ctomsinc.com
