Intermediate Trauma and Casualty Care for Field Teams is an intensive two-day programme designed for experienced NGO personnel, team leaders, and field responders who operate in high-risk, remote, or resource-limited environments where serious injury or trauma is more likely.
This course provides enhanced knowledge, practical skills, and decision-making confidence above standard first aid, bridging the gap between basic first response and advanced pre-hospital care. It equips participants to recognise, assess, prioritise, and manage time-critical trauma, while understanding their limitations and coordinating higher-level medical support when needed.
The course uses the internationally recognised M.A.R.C.H. approach (Massive Haemorrhage, Airway, Respiration, Circulation, Head and other injuries) — a simple, structured method originally developed by UK Special Forces and now adopted by emergency services worldwide — ensuring field teams can act decisively and systematically under pressure.
Training is scenario-based, immersive, and evidence-driven, with realistic casualty simulations using live role players to replicate the challenges of real field operations.
- 2 days initial training
- 1 day annual refresher
- 3-year certification validity
NGO field responders and team leaders
Security and safety personnel in remote or high-risk environments
Staff needing enhanced trauma capability above standard first aid
Structured trauma management using the M.A.R.C.H. approach
Immediate care for life-threatening injuries in resource-limited settings
Scenario-based simulations and immersive casualty exercises
Bridging the gap between basic first aid and advanced pre-hospital care
Role and responsibilities of a field trauma responder
Mechanism of injury, kinematics and injury pattern recognition
Scene assessment, safe approach and immediate actions
Massive haemorrhage control (direct pressure, wound packing, tourniquets)
Airway assessment and management (manual techniques, oropharyngeal & nasopharyngeal airways)
Thoracic trauma recognition and management (chest seals, emergency oxygen use)
Circulatory assessment, managing internal/external bleeding and shock
Head and other injuries (pain assessment, minor and thermal injuries, musculoskeletal injuries, cold/heat exposure, helmet removal, basic immobilisation)
Full casualty assessment/reassessment and history taking
Basic Life Support including CPR, AED use, pit crew resuscitation and airway management with bag-valve mask
Management of choking, common respiratory conditions and major illnesses
Safe use of emergency oxygen (indications, dosage, monitoring and safety)
The BTACC course is accredited and recognised by Royal College of Surgeons of England (RCS England). The BTACC course is clinically underwritten by suitably qualified Critical Care Doctors and Prehospital Care Clinicians provided by The ATACC Group and the wider ATACC Faculty and backed by the expert Medical Advisory Group

