The Direct Threat Care (DTC) course teaches law enforcement personnel how to deliver lifesaving interventions while under active threat. This foundational training focuses on stabilizing casualties in high-risk situations where rapid and effective action is critical.
Key focus areas include:
- Rapid threat assessment and scene safety
- Immediate hemorrhage control under direct threat
- Tactical movement and extraction techniques
- Prioritizing care while maintaining operational objectives
DTC is the first step in the law enforcement tactical medical continuum, preparing officers for advanced courses such as Tactical Trauma Care (TTC) and Prolonged Casualty Care (PCC)
For more information on DTC courses, contact: training@ctomsinc.com
Level 1 Pistol – DTC
Prerequisites:
- Nil (Designed for law enforcement personnel using service pistols)
- Recommended: CTOMS Academy Direct Threat Care (DTC) / Indirect Threat Care (IDTC)
Course Content:
- Course Introduction and Safety Brief
- Direct Threat Care Principles
- Rapid Threat Assessment and Scene Safety
- Immediate Self Aid Hemorrhage Control Under Fire
- Officer Movement Techniques and Cover Use
- Threat Elimination and Extraction
- Transition from Direct Threat to Tactical Field Care
Course Description:
This course provides officers with foundational skills to manage casualties while under direct threat, integrated with the use of the service pistol. Emphasis is placed on rapid decision-making, effective medical interventions, and maintaining operational effectiveness in high-risk law enforcement situations.
Course Duration:
1 Day
For more information:
training@ctomsinc.com
Level 1 Carbine – DTC
Prerequisites:
- Nil (Designed for law enforcement personnel using service carbines)
- Reccommended: CTOMS Academy Direct Threat Care (DTC) / Indirect Threat Care (IDTC)
Course Content:
- Course Introduction and Safety Brief
- Direct Threat Care Principles
- Rapid Threat Assessment and Scene Safety
- Immediate Hemorrhage Control Under Fire
- Tactical Carbine Handling While Providing Self Care
- Use of Cover and Extraction Techniques
- Team Coordination for Single-Operator Scenarios
Course Description:
This course focuses on the integration of direct threat care with carbine operations. Students will develop practical skills for managing casualties while engaging or maneuvering under threat, ensuring both personal and team effectiveness.
Course Duration:
1 Day
For more information:
training@ctomsinc.com
Level 2 Mixed Weapons – DTC
Prerequisites:
Level 1 Pistol or Carbine (recommended)
Course Content:
- Advanced Threat Assessment
- Managing Multiple Weapons Platforms During Self Aid
- Dynamic Movement and Cover Utilization
- TQ Self Application
Course Description:
Level 2 prepares officers to integrate multiple weapon platforms into direct threat care. Emphasis is on decision-making, multi-threat management, and rapid self aid during complex tactical scenarios.
Course Duration:
1 Day
For more information:
training@ctomsinc.com
Level 3 Teams – DTC
Prerequisites:
Level 1 or Level 2
Course Content:
- Team-Based Threat Assessment
- DTC Principles in High-Risk Environments
- Role Assignment and Communication Under Fire
- Self Aid/Buddy Aid Techniques in DTC
- Advanced Extraction Techniques
- Multi-Casualty Management
Course Description:
Level 3 focuses on team-based operations, teaching officers how to deliver coordinated direct threat care while maintaining mission objectives. Students will practice multi-person extraction and casualty stabilization under realistic tactical scenarios.
Course Duration:
2 Days
For more information:
training@ctomsinc.com
Level 4 Advanced Teams – DTC
Prerequisites:
Level 3 Teams
Course Content:
- Complex Scenario Planning and Threat Mitigation
- Advanced Team Tactics During Casualty Care in DTC Environments
- Multi-Threat Management in Urban/Hostile Environments
- Leadership, Decision-Making, and Oversight of Team Operations
- Integration with Tactical Medical Assets
Course Description:
Level 4 trains advanced teams to operate effectively under high-risk, multi-threat scenarios. Students will refine leadership and coordination skills to manage multiple casualties while executing mission objectives in complex law enforcement operations.
Course Duration:
2 Days
For more information:
training@ctomsinc.com
