The tactical division
High-threat environments demand exceptional training.
The Tactical Division of Nexus Training Group provides advanced medical education for law enforcement, tactical teams, military personnel, and first responders operating in dynamic and high-risk environments. Our courses emphasize evidence-based tactical medicine, tactical casualty care, threat-based decision-making, and team integration to improve survivability in the most challenging situations.
Led by experienced operational instructors, we prepare students to perform confidently when every second counts. This is real world training for high stakes environments.
Train for the mission. Train for life.
Tactical Division courses
The Advanced Tactical Provider (ATP) course is an intensive 48-hour program designed to prepare medical professionals for integration into tactical law enforcement and special operations environments. This course is grounded in the latest Committee for Tactical Combat Casualty Care (Co-TCCC) guidelines, SWAT medicine best practices, special operations medical doctrine, and modern law enforcement tactical operations. Through the ATP course, students will develop the essential knowledge, skills, and decision-making capabilities required of the advanced tactical medic. Participants will learn to operate within high-threat environments, providing casualty care while supporting mission objectives. The curriculum includes areas such as Rescue Task Force Operations, Tactical K9 Casualty Care, Tactical Pediatric Casualty Care, conducting operational medical planning, managing prolonged casualty scenarios, and effectively integrating with tactical teams during warrant service, hostage rescue, barricaded suspect incidents, active violence events, rural operations, and other high-risk missions.
The Rescue Task Force Operations course prepares EMS and public safety personnel to effectively operate within the warm zone during active violence and hostile events. This training integrates current principles from the Committee for Tactical Emergency Casualty Care (C-TECC) with a focus on the Advanced Tactical Provider course. Participants will learn how to seamlessly blend medical response with law enforcement operations, enabling them to rapidly access, treat, and evacuate casualties before traditional scene security is fully established. The curriculum covers Rescue Task Force doctrine, operational integration with law enforcement, warm-zone movement, and casualty assessment and treatment using the MARCH framework. Additionally, students will gain skills in Tactical K9 Casualty Care and Tactical Pediatric Casualty Care, along with casualty collection point operations, triage, evacuation procedures, and unified command principles. The course places a strong emphasis on rapid life-saving interventions that are essential for addressing preventable causes of death during active threat incidents.
The Tactical K9 Casualty Care course equips handlers and tactical personnel with essential knowledge and practical skills to assess, treat, and evacuate injured working dogs in high-threat and austere environments. Grounded in the principles of Canine Tactical Combat Casualty Care (C-TCCC), this course focuses on preventing avoidable K9 deaths through quick recognition and treatment of life-threatening injuries. Students will acquire the ability to provide effective casualty care during ongoing Tactical Rescue Task Force Operations, address common causes of morbidity and mortality in working dogs, control hemorrhages, manage airway and breathing emergencies, recognize shock, conduct casualty evacuations, and integrate veterinary care into operational planning. Additionally, this training complements programs such as the Advanced Tactical Provider course and the Tactical Pediatric Casualty Care course, enhancing the overall capability of tactical teams.
The Tactical Pediatric Casualty Care (TPCC) course prepares responders to assess, stabilize, and manage injured pediatric patients during tactical, disaster, and prehospital emergencies. This course builds on principles from the Advanced Tactical Provider course and Pediatric Tactical Combat Casualty Care (Pediatric C-TCCC), emphasizing evidence-based pediatric trauma care. Students will focus on the unique anatomical, physiological, and psychological considerations involved in treating infants, children, and adolescents. They will learn to apply the MARCH framework to pediatric casualties, recognize life-threatening injuries, manage hemorrhage, handle airway and respiratory emergencies, identify shock, perform triage during mass casualty incidents, and address the emotional and psychological challenges linked to pediatric trauma. Additionally, these skills are relevant for those involved in Rescue Task Force Operations and Tactical K9 Casualty Care, highlighting the comprehensive nature of tactical medical response.
The Tactical Medical Skills Lab is an intensive, hands-on training program designed to develop and reinforce critical lifesaving skills required in tactical and high-threat environments. Unlike traditional classroom-based tactical medicine courses, this program emphasizes repetitive skill performance, stress inoculation, and realistic scenario-based application. Students will rotate through multiple instructor-led skills stations where they will perform lifesaving interventions under realistic operational conditions. Emphasis is placed on speed, proficiency, teamwork, communication, and clinical decision-making while maintaining tactical awareness. This course is designed as an annual refresher or companion course for tactical medical providers, RTF personnel, SWAT medics, and first responders operating in hostile environments.