Improving Trauma Care Worldwide

ITLS High Threat

The ITLS High Threat for Military and Civilian Providers course is now available!

ITLS High Threat maintains the core concepts and evidence-based ethos of ITLS. In high threat environments, providers must recognize that during conditions of active threat, priorities of care may change and medical care may become simply another tactical decision.

ITLS High Threat, based upon current CoTCCC and CTECC  guidelines, has been developed to save lives both while under immediate threat and once the threat has been mitigated.

ITLS High Threat Instructor online course has launched, click here to purchase.


Course Information:


The ITLS High Threat for Military and Civilian Providers Course is a two-day (16 hours) practical trauma management course designed for prehospital care providers operating within conflict zones or other high-threat environments. The course has been designed to meet the military Committee on Tactical Combat Casualty Care (CoTCCC) and civilian Committee on Tactical Emergency Casualty Care (C-TECC) provider guidelines and curriculum. Using adult learning principles, scenarios, skill stations, and peer-focused learning, the ITLS High Threat for Military and Civilian Providers course provides the necessary training for operations and the provision of advanced life-saving care in the high-threat environment.


The course focuses on initial patient evaluation and critical interventions required to manage patients in non-permissive and semi-permissive environments and to prepare for evacuation to permissive environments. Students are introduced to a TCCC/TECC-compliant high-threat algorithm and provided with the necessary training to incorporate basic tactics to ensure that care is appropriate for the threat level of the situation. Course modules highlight scene considerations, rapid patient assessment using the MARCH algorithm, delayed transport care, patient reassessment, mass casualty triage, and communications.