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Rescue Trauma And Casualty Care RTACC

Advanced First Aid

Rescue Trauma and Casualty Care (RTACC) has become the course of choice for Police Forces (D13 & D13E), Fire and Rescue Services, and industries who operate in high risk, remote or hostile environments. Not just in the UK but across the world and is the most advanced 3-day trauma course available, being set at level E on the Pre Hospital Emergency Medicine framework.

RTACC courseThe RTACC (Rescue Trauma and Casualty Care) course is a scenario-based course using actors as casualties to enhance the course experience. RTACC is a Level 3 qualification regulated by Qualifications Network UK (QNUK) underpinned with clinical governance from the ATACC Group; however, unlike the FREC 3 and FREC 4 courses is completed in three rather than five days. The content meets the requirements of the Security Industry Authority for close protection operatives.

The course is a mix of lectures (which include graphic videos), with regular practical exercises and simulations using actors as the casualties. The course uses the MARCH system to prioritise treatment, which develops throughout the course.

Who should attend the course?

Fire service staff
Airport staff
Remote workers
High-risk workplaces
Mountain rescue team members
Close protection operatives
Event first aid providers

Pre-course requirements

Learners must be at least 18 years old on the first day of the training.

Learners must have an understanding of basic first aid and ideally have hold a one-day Emergency First Aid at Work (RQF) qualification.

There are no other formal entry requirements, but to benefit from the learning, we advise that Learners have a minimum of Level 1 in literacy or numeracy or equivalent.

Course content

The Health and Safety Executive (HSE) requires all organisations to complete a work-based risk assessment to identify the level of hazard associated with your work activity.

It includes the following:

– Safety

– Scene Management

– Enhanced kinematics and mechanism of injury

– Catastrophic bleed management using stepwise approach – Wound Packing, Haemostatics, Tourniquets and Junctional Bleed Management

– Airway assessment with enhanced management – adjuncts & supraglottic devices

– Spinal assessment, management and immobilisation

– Safe and effective Oxygen usage

– Respiratory assessment and management

– Recognition of Thorax trauma and complications

– Abdominal assessment

– Circulatory assessment, management, shock

– Head injury & disability assessment

– Effects of environment and exposure

– Cardiac arrest – pit crew resuscitation

– Paediatric BLS

– Paediatric anatomy, normal physiology & common medical emergencies

– Care of common medical conditions, i.e. stroke, diabetes

– Care of medical emergencies

– Thermal injury with the ability to assess the severity

– Musculoskeletal injury with the use of analgesia & fracture reduction

– Drowning and immersion

– Excitation delirium and overdose

– Mass casualty management

– Triage

– Major civilian disasters

– Bombs, blasts, blades and ballistics


– Transfer of the critically ill patient

All candidates receive an in-depth 300+page manual and MARCH prompt / record card.