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Target Audience: The Advanced Tactical Provider (Local, State, Federal, Military)

Extended Austere Provider (EAP) is one of the most comprehensive Tactical EMS training programs for any EMT or Paramedic, who operates on a tactical team or rescue team. With the current and emerging threats that facing the military, law enforcement and search and rescue teams, integration of skilled medical support is critical to mission success. EAP teaches everything from pre-mission planning and medical threat assessment to providing care in austere environments where the next level of care may be days away.


Students will learn the many differences of providing care in a tactical/wilderness setting. Whether its assessing a sprained ankle or treating a critically injured patient, students leave understanding how to provide care as a member of an integrated tactical team or as the sole medical provider in an austere setting. Students should expect to be challenged mentally and physically. Students will receive world class training and be prepared to take the Tactical Paramedic Certification exam by the Board of Critical Care Transport Paramedic Certification. This course will satisfy a majority of hours required to re-certify EMT and Paramedic.


Pre-requisites: EMT-B and currently employed by a public safety agency or government/military department with a medical mission set.

Course Delivery: The EAP course is delivered over 5 days. This program does require an extended culmination exercise (CULEX)

Approved through the International Board of Specialty Certification and Board for Critical Care Transport Paramedic Certification as a preparation and refresher course.

EAP Program Overview

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The Certified Tactical Paramedic (TP-C) Examination consists of 100 questions and the candidate is provided 2 hours to complete the examination. The certification process is focused on the knowledge level of accomplished, tactical paramedics in hostile an austere environments. The questions on the examination are based in sound paramedicine and tactical principles. The candidate is expected to maintain a significant knowledge of current ACLS, ITLS/PHTLS , TCCC and TECC standards.

TP-C Exam Requirements and Study Recommendations


Eligibility Requirements

  1. NRP or state equivalent


Study Recommendations


The exam is based on the 17 critical domains of the National TEMS Initiative and Council (NTIC). The following textbooks are recommended:

  1. Paramedic Practice Today-Above and Beyond, (Vol 2) by Barbara Aehlert. Published by Jones & Bartlett Learning (2011). 

  2. PHTLS, Military Edition (7th Edition) by NAEMT and American College of Surgeons Committee on Trauma.  Published by Elsevier Health Sciences (2010).  

  3. Law Enforcement Responder; Principles of Emergency Medicine, Rescue and Force Protection, by Randy G. Stair, Dwight A. Polk, Geoff Shapiro and Nelson Tang Published by Jones & Bartlett Learning (2012). 

  4. Tactical Emergency Medicine, by Richard B. Schwartz, John G McManus McManus, and Raymond E. Swienton.  Published by Lippincott Williams & Wilkins (2007).

  5. Tactical Medicine Essentials by American College of Emergency Physicians (ACEP), E. John Wipfler III, John E. Campbell and Lawrence E. Heiskell.  Published by Jones & Bartlett Learning (2010).


The focus population for this exam includes military special operations paramedics and experienced law enforcement paramedics with extensive tactical experience.

The information presented above with regards to the TP-C exam is from the IBSC website. This information is presented for your information only, and we do not claim any ownership of the information specific to the exam. We strongly support the mission of credentialing tactical paramedics. 

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