Fundamentals of Operational Medicine

8 Hours - Fundamentals of Operational Medicine Course – Captain Jed WILD

This 8-hour course will focus on the LEO role in the management of the casualty following a hostile event, however care will be taken to express how these principles can be utilized in many situations which the LEO and specifically the tactical operator serves. 

 The Fundamentals of Operational Medicine course has been designed by BDI lead faculty members. The medical aspects of this course are based on the guidelines set forth by the Committee on Tactical Emergency Casualty Care, a program for which BDI is an approved education provider. This course is tailored to meet the needs of the Michigan Officer specifically, as the operational aspects of this program have been written by BDI staff who are, among other credentials – tactical paramedics, active on various teams in Michigan. Our instructors are also certified as RTF instructors in the program set forth by the State Medical Director. 

Operational objectives and techniques will be observed throughout this course, however this class does not focus on firearm employment or tactical movement.  Rather, teaching the operator how to capitalize on the valuable time between suppression of the threat and the arrival of medical responders.  This is a medical course, first and foremost – however it has been specifically designed to meet the needs of the tactical officer, while focusing on critical interventions that can be taken by the officer. These actions will be taught in a way that acknowledges that the participant has different priorities than standard medical providers. 

 While our program will have a heavy emphasis on the commercially available tools for each skill, there are many improvised techniques that will be a major part of the course. In the field of austere medicine, it is irresponsible not to acknowledge that improvisational techniques may be utilized to perform critical interventions. BDI believes that planning to improvise is not planning at all, but being prepared to improvise is good preparation, so long as the primary plan includes the use of what might be described as “proper equipment”. 

This program is designed as a full day covering a lot of topics and various techniques. Many of these topics will be covered to provide the operator with an awareness level of understanding of the, at times, very complex medical concepts. However, the actions which are most beneficial for the operator to perform will be taught to a level of competence & comfort for each participant. Topics such as movement, hemorrhage control, and casualty positioning will be practiced throughout the program. Other interventions will be demonstrated and explained, giving the participants an opportunity to become familiar with the procedures and comfortable with how these medical tasks influence the normal flow of a tactical operation.

Topics to be covered: 

- Review of Unified Incident Command and NIMS

- Michigan Rescue Task Force (RTF) Protocol

- Presentation of Tactical Emergency Casualty Care (TECC) materials (specific to LEO Responders)

  • Casualty Movement
    • Hemorrhage Control
      • Tourniquets
      • Pressure techniques
    • Airway Management
    • Breathing 
    • Shock Assessment and treatment
    • Casualty Rapid Assessment
    • Hypothermia Mitigation
    • Burn Care
  • Additional Topics
    • SALT Triage
    • Care across the Barrier
    • Unconventional utilization of resources
    • Casualty Collection Point Selection and Setup
  • Introduction to integration with other responder disciplines
    • RTF Model
    • Traditional EMS Response
    • Non-EMS Fire/Rescue agencies




Captain Wild is with the currently working as the Training Officer with the Covert Township Fir Department. He has extensive training and knowledge as a Senior Paramedic and SRT Member. His certification includes: University of Iowa-Critical Care Paramedic: Advanced Cardiac Life Support (ACLS): Emergency Pediatric Care (EPC):                          Pre-Hospital Trauma Life Support (PHTLS): Tactical Combat Casualty Care (TCCC): Tactical Medical Operations: EMS Instructor Coordinator-Paramedic: PHTLS Instructor / Course Coordinator: Emergency Pediatric Care Instructor / Affiliate Faculty: TECC / TCCC Instructor / Affiliate Faculty.

In 2012 he worked with the PE2DS program and travelled around Michigan assisting in gathering research data from ALS providers on pediatric pre-hospital care.   In 2013 he spent 30 days in Greece having the opportunity to observe and teach EMS in a variety of areas of the country. 

In 2014, 2016, 2017 and again in 2019 he was the lead instructor for a tactical medical course in San Jose Costa Rica. Students were from elite military and law enforcement units and training was held at national training facilities. He is currently in Costa Rica to teach tactical medicine courses. 2017-he was the lead instructor for very first NAEMT TECC course in Costa Rica.