This course is designed for advanced pre-hospital providers who are looking to continue their tactical medicine education and training. Students will be refreshed in the TCCC principles and phases of care, then continue into prolonged casualty care education and training. Students will also utilize the MARCH-PAWS algorithm, utilizing up to date guidelines and interventions based on extensive, evidence-based research and practices. This standardization optimizes patient care in austere environments, and ultimately, improves the patients outcome and longevity. Throughout the course, students will be taught best practices for providing extended casualty care in trauma scenarios where resources are limited, with the goal of achieving the best possible patient outcomes.