Tactical Medicine For Law Enforcement


Duration: 8 HOURS

Course Director/Lead Instructor: Todd Osugi

Medical Director: Charles J. Gbur Jr, MD

Tuition: $300.00

Course Description:

This training is primarily designed for law enforcement officers who do not have embedded medical personnel assigned to them.  Most officers operate to some extent in isolation.  If a life-threatening injury occurs, medical help may be minutes away when seconds count.  A first aid kit in the patrol car is of little value if it cannot be immediately accessed.  The foundation of this course stems from lessons learned on the battlefields in Iraq and Afghanistan.  We stress self-aid and buddy aid based on the Military’s Tactical Combat Casualty Care course.

Our courses utilize reality based training or "RBT" to stress inoculate officers so that these relatively simple life-saving skills become ingrained into their “muscle memory” (trained response/torque profile) and the responses are instinctive.  This is not a course on tactics, but rather tactical decision making and executing life-saving skills that are incorporated into your tactical standard operating procedures.

This course is not your typical classroom training with hours of PowerPoint presentations and lectures.  There is an online component designed to familiarize the officers with basic anatomy, physiology, equipment, and techniques.  Our training is scenario based force-on-force encounters to provide the most realistic training environment possible utilizing Ultimate Training Munitions™, realist wound moulage, and role players simulating a high-stress events.


  • Utilizing an Individual Patrol Officers Kit (IPOK)
  • Self aid and buddy aid
  • Tactical medical decision making
  • Wound assessment and hemorrhage control
  • Shock recognition and treatment
  • Tourniquets
  • Airway management
  • Bleeding control techniques
  • Managing chest wounds
  • Extraction and rescue of a downed officer
  • Basic first aid and techniques utilizing patrol car kits


Todd Osugi:  Todd joined DSI in 2017 and became their Director of Law Enforcement Tactical Medicine training programs.  Todd retired from Firefighting and Paramedic work after more than 30 years of community service.  Todd served in the US Navy Reserve for 22 years and spent 19 of those attached to the United States Marine Corp as an Infantry Corpsman (8404). Todd served in Iraq from 2007-2008 attached to 3/23 4th Marine Division. Todd is certified in Tactical Emergency Medicine (TEMS) by the Department of Homeland Security, Counter Narcotics and Terrorism Operations Medical Support (CONTOMS) school. He has successfully completed multiple SWAT schools and has more than 20 years of experience serving as a SWAT paramedic. Todd currently volunteers as a paramedic for a multi-jurisdiction SWAT team, and trains SWAT personnel in life-saving measures, as well as participates in real-world tactical operations. Todd carries multiple certifications, to include but not limited to, The American Heart Association CPR instructor, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Military Tactical Combat Casualty Care (TCCC), and Hazmat Level “A”. Todd is an important asset to the Lampas Security Consulting team and is the head of all medical training. 

Charles J. Gbur Jr, MD:  Chuck is DSI's Vice President-Tactical Medicine.  He is an interventional cardiologist in Toledo, Ohio and is board certified in Internal Medicine, Cardiology, Interventional Cardiology and Undersea & Hyperbaric Medicine. He served as a medical officer in the United States Navy. During most of his 25-year military career, he served with the Fleet Marine Force. He held numerous positions including Battalion Surgeon, Marine Rear Area Operation Group Surgeon, Regimental Surgeon, and Adviser to The Medical Officer of the Marine Corps at HQMC. He also was the company commander of a Marine Corps Surgical Company. He was a graduate and an instructor in the Combat Casualty Care Course (C4) as well as the advanced Combat Casualty Care Course. He was a graduate of the Naval War College and Joint Forces Staff College as well as numerous other classes and course.  He is a Physician EMS Instructor (PEMSI) for the state of Ohio, an American College of Surgeon (bleedingcontrol.org) B-CON instructor and also a National Association of Emergency Medical Technicians (NAEMT) Tactical Combat Casualty Care (TCCC) Instructor.  He has published several papers and developed training doctrine and policies for medical care in military operations in urban terrain. Chuck was active in tactical medicine training of Marines and Corpsman who were deploying in support of numerous combat missions over the last twenty years.  He has been an avid shooter since he was a child. He is an NRA instructor and Range Safety Officer. He has been teaching NRA pistol classes and Ohio and Michigan concealed carry classes for the last five years. He is a strong believer in cross-training. In addition to being a CFI, he is a PADI and SSI diving instructor and teaches recreational and technical diving. Chuck, AC8VS, is also a licensed amateur radio operator interested in low power, portable operations.

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Training Philosophy

The Industry Standard Vs. The DSI Standard

Using military, law enforcement, and common private industry training standards as a gauge we want to give you a sense of how the DSI standard compares to the "industry" standard.

The industry standard focuses on range safety and artificiality by using tightly controlled, on-line, square range drills or movement under tightly controlled drills (such as "box" drills), in order to focus on draw speed and hits in a given area under a certain time limit. This type of training is often accompanied by hours in the classroom presenting declarative knowledge, which eats into the available live fire training time. When critical topics like use of force are taught in a classroom, rather than on your feet in the sudden, uncertain, violent and chaotic setting of combat (real or simulated) students are more likely to either overreact, or to hesitate and be afraid to apply the appropriate level of force.

DSI begins by looking at reality: the actual conditions of a gun fight. We believe that firearms skills must be integrated at the earliest possible moment with maneuver (movement with purpose). We believe that most of the declaratory knowledge can be absorbed by the student through readings, narrated videos, and dry practice drills on his schedule and on his own premises, before he ever sets foot on a range - especially if he has access to instructors to answer questions that may arise. We believe that your paid, on-range, supervised training time is a precious resource that should be maximized.

To be able to defend yourself, DSI believes you need to be killing enabled. Regardless of your technical skills, if you have not processed the issues surrounding deadly force well before the moment of crisis, if you cannot kill another when it is necessary to save yourself or other innocents, then you will fail.

Furthermore, one can only make proper decisions in lethal force engagements by way of orientation in the sense of Colonel John Boyd’s OODA Loop, and orientation only comes via experience under conditions as close as possible to those that will exist in a gunfight. Orientation relies on experiential knowledge, which cannot be attained only by reading or talking about scenarios. Nor can you survive a lethal encounter if your conscious mind is distracted from vital decisions to engage in every choice of action or technique. DSI’s training techniques develop sound, reality based semi-conditioned responses to maintain your situational awareness, maneuver safely, and react aggressively to contact. Your trained gun handling skills will take care of themselves, and the higher level conscious decisions – whether to shoot, how and whom to shoot – are fast, focused, and uncluttered. You will train this way from the start in both dry and live fire drills, and then reinforce that learning through challenging RBT (Reality Based Training) scenarios in our tactical training programs.

Solid curricula that pre-loads the declaratory knowledge, and then teaches integrated firearms and tactical skills in a reality-based environment will produce individuals and teams more capable than most military and police units. We base this statement on our personal experience of having trained thousands of military and law-enforcement personnel over 25 years). Operational police and military units (those units actively kicking in doors day in and day out) may be able to outperform our clients in certain aspects, based on that all-important factor of experiential learning (basing actions and decisions under stress on a fund of prior, applicable experience). But DSI can develop and implement effective training faster, applying the best and latest techniques and lessons-learned; and present it in a more compressed, highly effective format, because we have neither bureaucratic hoops to jump through, nor institutional inertia.