Tacmed Shield 4Distributed Security, Inc. is an NAEMT (National Association of Emergency Medical Technicians) Training Center with 4 locations, Davenport, Iowa, Mt. Carroll, Illinois, and 2 in Toledo, Ohio.

An NAEMT TRAINING CENTER is an organization (which may be public, private for-profit, or private non-profit) that provides initial and/or continuing education to EMS practitioners and other prehospital healthcare providers that has been approved to conduct NAEMT courses. DSI will offer TCCC, TECC, and LEFR-TCC. Tactical Combat Causality Care originated from lessons learned from the wars in Iraq and Afghanistan.

Below are the courses we currently offer.



  • Target Audience: Non-medical
  • All DSI Students
  • General public
  • Level:Tier 4
  • Duration:1-2 hours

Today we live in a world where terrorism, the actions of unstable people, and the dangerous impulses of friends and relatives are very real and becoming increasingly more frequent.
Massive bleeding from any cause, but particularly from an active shooter or explosive event where a response is delayed can result in death. Similar to how the general public learns and performs CPR, the public must learn proper bleeding control techniques, including how to use their hands, dressings, and tourniquets. Victims can quickly die from uncontrolled bleeding, within five to 10 minutes.

However, anyone at the scene can act as immediate responder and save lives if they know what to do. Distributed Security Inc. supports the Presidential policy directive for national preparedness (Presidential Policy Directive 8), which targets preparedness as a shared responsibility of the government, the private and nonprofit sectors, and individual citizens.
Bleeding control or B-CON was initially part of NAEMT’s curriculum. The program has now transferred to the American college of Surgeon’s group “BleedingControl.org”. DSI offers an expanded version of B-CON as part of all of its Tier 4 training courses to address the most common causes of preventable death. We can also offer B-CON as a standalone course.



  • Target audience: “Combatants” including DSI Students, security personnel, law enforcement, and military
  • Level:Tier 4
  • Duration: All Comabatants (AC) Non-medical 8 hours/Medical personnel (MP) 16 hours
  • 4/5 days when combined with our Tier 3 Individual Tactics reality based training

The Tactical Combat Casualty Care (TCCC) course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. DSI offers TCCC conducts TCCC courses under the auspices of the NAEMT and its PHTLS program, the recognized world leader in prehospital trauma education.

DSI’s TCCC courses use the PHTLS Military textbook and are fully compliant with the Department of Defense’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. It is the only TCCC course endorsed by the American College of Surgeons.

The TCCC-MP (TCCC for Medical Personnel) course is designed for combat EMS/military personnel, including medics, corpsmen, and pararescue personnel deploying in support of combat operations. DSI also offers Tactical Emergency Casualty Care (TECC) for civilian tactical EMS.

The TCCC-AC (TCCC for All Combatants) course is designed for non-medical military personnel and includes first responder skills appropriate for soldiers, sailors, airmen and marines.
DSI’s NAEMT TCCC course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and recognized by the National Registry of EMTs (NREMT)



  • Target audience: Civilian tactical EMS; any EMS practitioner called upon to respond to a mass casualty or active shooter event.
  • Level:Tier 4
  • Duration:2 days
  • 5 days when combined with our Tier 3 Individual Tactics reality based training

DSI offers TECC which was developed by NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee. The TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC) and the Tactical Combat Casualty Care (TCCC) program. TECC uses lessons learned from our military and applies them to the civilian world of tactical medicine.
This 16-hour course covers topics designed to decrease preventable death in the tactical situation.  Topics include: Hemorrhage control; surgical airway control and needle decompression; strategies for treating wounded responders in threatening environments; caring for pediatric patients; and techniques for dragging and carrying victims to safety.

At the core of the TECC program are three distinct phases that have been well-proven by TCCC-trained personnel in the war against terrorism in Iraq and Afghanistan. The phases are as follows. 

● Direct Threat Care: Care that is rendered while under attack or in adverse conditions.
● Indirect Threat Care: Care that is rendered while the threat has been suppressed, but may resurface at any point.
● Evacuation: Care that is rendered while the casualty is being evacuated from the incident site.

TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.



  • Target audience: Public safety first responders including police, other law enforcement officers, and firefighters.
  • Level:Tier 4

Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC), is continuing education offered by DSI through NAEMT’s PHTLS program. This new course was developed in collaboration with the Denver Health Department of EMS Education and the Denver Police Department Metro/SWAT unit, and NAEMT’s PreHospital Trauma Life Support (PHTLS) Committee. It teaches public safety first responders (police, law enforcement officers, firefighters, and other first responders) the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene.

The course combines the principles of PHTLS and Tactical Combat Casualty Care (TCCC), with the training provided to military medics by all branches of our Armed Services. It is consistent with the Tactical Emergency Casualty Care (TECC) guidelines, and meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events.
Course participants will learn life-saving medical actions such as bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe.

Upon completion of the course participants will:

● Understand the rationale for immediate steps for hemorrhage control (including external hemorrhage control, direct pressure and wound packing, early use of tourniquet for severe hemorrhage, internal hemorrhage control by rapid evacuation, and transportation to major hospital/trauma center.
● Demonstrate the appropriate application of a tourniquet to the arm and leg.  
● Describe the progressive strategy for controlling hemorrhage.
● Describe appropriate airway control techniques and devices.
● Demonstrate the correct application of a topical hemostatic dressing (combat gauze).
● Recognize the tactically relevant indicators of shock.

Chuck Gbur, MD is Vice President - Tactical Medicine and leads the development and instruction of all tactical medicine content. He is an interventional cardiologist in Toledo, Ohio. He 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 Advisor 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 Causality 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 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 is an NAEMT TCCC instructor and an Ohio physician EMS instructor.