Tactical Casualty Care


The Tactical Medic Course, is a course designed to help you provide the life saving techniques needed to care for a casualty in an unconventional environment. This course is designed for everyone. Those with no medical experience, paramedics, EMTs, Physicians, nurses, firefighters and all levels of first responders. This course it taught in conjunction with the guidelines for TCCC as taught through the US Department of Defense and the American College of Surgeons. The course is taught by Urban Tactical Senior Instructor and VP Jay Stratton.  

The course is broken in to 4 classes:

Get em off the X!

"Get em off the X!" teaches the basics of Tactical Medicine. You will learn about the 3 phases of Tactical Combat Casualty Care, Basics of Anatomy and Physiology, how to control life threatening bleeding, and how to tactically move to, secure, and extract a casualty.  Whether in a tactical environment or not, keeping the red blood cells in and getting to a higher level of care as soon as possible is crucial for a desirable patient outcome. This class sets the foundation for the rest of the program.


If you cant breathe, you cant live. Our Airway class teaches how to secure a life saving Airway. You will dive into more complex anatomy and physiology of the airway and respiratory systems. You will learn proper techniques of opening and securing an quick airway and managing basic respiratory issues.

Patient Assessment

The Patient Assessment Course teaches how to deal with basic circulation issues and to properly perform a Rapid head to toe trauma assessment.  You will learn how to treat for shock, establish a field blood pressure and how to treat non life threatening injuries. The course will also cover how to set up a 360 degree perimeter to protect the casualty while care is being rendered.


Indoc is not for the weak or fainthearted. This course is designed to test your medic skills and earn the right to say you have what it takes to perform your job under tough conditions. Indoc is 24 hours of physical and mental stress. You will be tired, cold, wet, hungry, sensory overloaded and sensory deprived, and will be pushed to your limit. You will have to show your medical knowledge and abilities under undesirable conditions. This is a pass or fail event. Follow our Facebook Page for Indoc dates and info. 


Sara Dominic


Urban Tactical Medical Director

 MS, APRN-C   

Sara Dominic is an Adult Nurse Practitioner with an extensive medical background including experience in the critical care, urgent care, surgical, and internal medicine realms. Sara received her masters degree with honors from the University of South Florida College of Nursing. She has several publications regarding issues related to neuropathies, and is an active participant of the Sigma Theta Tau Nursing Honors Society. 

She is currently working in a busy Internal Medicine, and Urgent Care practice in the New Tampa area. She also serves as adjunct faculty for the USF College of Nursing graduate program, and frequently hosts educational luncheons to educate other medical professionals in the area on prescription medications. 

In her down time, Sara enjoys the gym, reading, and scuba diving. 

With her experience and skill from years in the acute and critical care settings, she is particularly passionate about teaching patients, and the community, about the importance of proper care and treatment of a wide variety of infectious/acute diseases.

Jay Stratton


Urban Tactical Medic 


Urban Tactical  Vice President / Senior Instructor  Jay Stratton has over 17 years experience as a Tactical Medic. He served with the 82nd Airborne Division out of Ft. Bragg, NC as well as various conventional and special operations units as a combat medic and has a variety of deployments in the Middle East, Africa , and the Caribbean.  He earned the Combat Medic Badge for performing medical duties while engaged in direct hostile enemy contact. Jay is a Florida registered Paramedic and has been to many schools such as France's Desert Commando School, US Army Airborne School, Operational Emergency Medical Skills, US Army Master Fitness Course, Emergency Medical Technician - Tactical, Tactical Combat Casualty Care, Advanced Cardiac Life Support, Advanced Burn Life Support, Pediatric Advanced Life Support, and International Life Support. Jay is also a US Army Master Fitness Trainer and a member of the National Strength and Conditioning Association. He currently manages a vascular surgery center and is a member of the National Society for Leadership and Success. Jay is also a National Association of Emergency Medical Technicians Pre-Hospital Trauma Life Support Instructor. He is a member of and trained in FCS Kali, as well as in Muay Thai, BJJ, Western Boxing, Weapons Disarms, Executive Protection, and CQB.  



How to Save a Life: A Testimonial for Tactical Medic Course


In less than 3 weeks after completing the Tactical Medic INDOC course, I was given a real-world pop quiz of what I learned in the program right on my doorstep, Literally. Here’s my story….

I was working at my laptop when I heard my mom frantically yelling, “There’s someone at the door bleeding!” I went out outside as she called 911, and saw an elderly man profusely bleeding from a cut that extended from his elbow to just above his wrist wide open on the inside of his forearm. I gave him papertowels and told him to apply pressure. Then I grabbed my tourniquet (with mud still caked on from the INDOC weekend) and applied it to the arm of the bleeding extremity as fast and tight as I could. During the wait for the EMS, the gentleman was near losing consciousness. A retired paramedic arrived and we laid the him down and cushioned his head.

….fast forward, the EMS arrived and worked on him in the ambulance. Afterwards, the Paramedic came by to shake my hand and thanked me for assisting the gentleman. Upon asking him if the Tourniquet application was done proficiently, he said it was perfect. My neighbor, the retired medic, said it was a great call, and probably saved his life. The man was able to leave the hospital the same day and after speaking with him, he told me he had lost 2 pints of blood. There’s no telling how much he lost before he got to my door, but the red trail was still there at the house next door.

This is why we train.

To be prepared to provide emergency care at a moment’s notice. This example is a testament to my training and the instructors of the Urban Tactical Combat Medic course. Their great instruction gave me the knowledge to act quickly without hesitation and get the situation under control until help arrived. I advocate everyone have this knowledge of the body and make it a priority to take time out and learn these techniques. Thanks again to the amazing instructors of the Urban Tactical Medic course for your thorough instruction and taking the initiative to teach this vital information to all.

-Rob Ciccone
Tactical Medic INDOC Graduate ‘18