Tag Archives: tactical

Trauma training guidelines for our delegates

Trauma training guidelines are in place to ensure that trauma treatment is delivered in a recognised and reliable format. Most trauma training guidelines used on courses are based on a balance of medical and educational needs and ideas.

Much of our trauma training works to the following guidelines:


SAFE Approach

S- Shout for help

A- Assess the scene and approach with care

F-Find the casualty and free them from danger

E-Evaluate- the Mechanism of injury [MOI] and then the casualty


CABC assessment

C- Catastrophic bleeding- is there obvious catastrophic bleeding [normally compressible bleeding]?

A- Airway-is there a clear and open airway?

B- Breathing- is the casualty breathing normally? Check first for breathing, then if the breathing/ventilation is adequate.

C- Circulation and Shock- is there any other wounds? Perform a blood sweep and consider shock.

D- Disability- is there any sign of a head injury or lowered level of response? Remember AVPU- Alert, Voice, Pain, Unresponsive

E1- Expose- expose the casualty to assess fully for injuries- the best first aid is naked first aid.

E2- Environment- is the casualty getting cold or hot?

E3- Evacuate- how is the casualty getting to medical care.



When handing a casualty over to medical care you will only have a short period of time to impart what has happened. Depending on the medical staff you may have only 30 seconds to impress!

M- Mechanism of injury

I- Injuries seen or suspected

S- Signs and symptoms

T- Treatment given [or planned]


The MIST handover is sometimes enhanced with the pre-fix- AT ie AT MIST

A- Age

T- Time of incident.

These trauma training guidelines are not designed to replace training, more to act as a reminder for those that have attended training such as our Authorised Firearms Officer standard medical training or our media safety courses. Other trauma training guidelines are used [such as MARCH] and these will be covered on future blog posts.

We have deliberately keep this post as blank as possible to allow readers to copy and paste the guidelines is wished.

If you would like to know more about trauma training contact us on 0800 242 5210.