Combat Casualty Care Course

NOTE: Females that have tested positive for pregnancy or think they may be pregnant should not attend. Class involves use of CS gas.

Prepares junior Active and Reserve Component Medical Department officers to serve in echelon I and II health service support elements in an austere combat environment. C4 includes training in nuclear, biological and chemical warfare; service familiarization; combat triage; casualty evacuation; combat health service support; and a Leadership and Operational exercise. Students must be Medical Corps, Nurse Corps, Dental Corps, or Physician Assistants. The requirement for Medical Service Corps officers to function as a Tactical Area Coordinator (TAC officer) no longer exists. Satisfies MAP requirements for advanced trauma training and NBC orientation and self decon procedures. Candidates for this training assigned to the operating forces, or one of the following operational platforms, will have priority for seats in this class:

  1. Marine Corps Forces (MARFOR)
  2. Fleet Hospitals (FH) )
  3. Mobile Medical Augmentation Readiness Team (MMART)
  4. Casualty Receiving Treatment Ships (CRTS)
  • Length: 08 days
  • Classes/yr: 12
  • Cin #: B-6H-0001
  • CME/CEARP: 52
  • CEU: 22
  • Seats/yr: (A) 402
  • (R) 48; PRG 7, 9, 32 & 46

Total seats/class Active Duty + Reserve:

  • 20-21 MC/DC (oral maxillofacial surgeon)
  • 7-8 NC
  • 3-4 DC
  • Total Total 30-32/class x 8  classes = 250
  • MC obtain ATLS certification
  • NC obtain TNCC Certification
  • DC obtain PHTLS Certification (Echelon I & II trauma skill set)

        Funding for Active Duty is provided by NMOTC

Location: FT Sam Houston San Antonio, TX, UIC: 41621

Send nominations to:

Active Duty: Send pdf version of the signed nomination letter, via encrypted email, to the NMOTC Operational Medicine Short Course Coordinator at:

Reservist: Send the "Reserve Education & Training Request Form" to the Reserve Liaison office at:

NOTE: Changes to class rosters WILL NOT be accepted within 10 days of class convening date.

For more information about C-4 nomination procedures, please contact the Operational Short Course Coordinator at NMOTC.

For more information about C-4 located at Ft Sam Houston, please view this site: C4 / DMRTI link