Module 4

Medical Command & Control

Course Overview

The Medical Command and Control Course delivers structured, tactical medical leadership training for first responders operating in high-risk environments.

This 2-day intensive programme prepares UK Law Enforcement First Responders for command roles during critical incidents, ensuring seamless integration of medical command between immediate care and wider operational control.

Developed and delivered by the ATACC Tactical Faculty, the course blends practical exercises and expert instruction to build confidence in managing both pre-planned operations and complex multi-casualty incidents.

The programme is accredited by The ATACC Group, the ATACC Faculty, the ATACC Tactical Faculty, and the Royal College of Surgeons of England (RCS, London), ensuring recognised standards of excellence.

Learning Outcomes

Delivered as Module 4 of the Civilian Tactical Medicine Programme, participants will be able to:

Assume Command Roles – confidently take on medical command responsibilities within the JESIP structure.
Conduct Scene Assessments – apply rapid risk assessment models to evaluate tactical environments.
Establish Medical Command Points – secure Casualty Clearing Points (CCPs) and set medical footprints under threat.
Triage and Prioritise – apply Triage Sort methods for effective casualty prioritisation.
Communicate via JESIP Frameworks – deliver concise updates using MIST, ETHANE, and METHANE protocols.
Make Dynamic Decisions Under Pressure – apply the NDM and OODA Loop to maintain effective command in complex incidents.
Perform Command & Control Exercises – practice leadership in scenarios including active threat, public order, CBRN, and multi-site incidents.
Maintain Command Logs – record, track, and communicate command decisions with robust documentation.

Course Details

Pre-requisites: RTACC or PHEM Level D (or above).
Duration: 2 days (mandatory modules completed within 3 years to achieve Civilian Tactical Medicine (CTM) qualification).
Certification: Certificate of Completion in Medical Command and Control, with module credits towards the Civilian Tactical Medicine Programme.
Accreditation: ATACC Group, ATACC Faculty, ATACC Tactical Faculty, and the Royal College of Surgeons of England.