Tier 1 All Service Member (ASM) Training for Army Personnel

DoD Requirements

ASM training is conducted In Accordance With (IAW) Department of Defense Instruction (DoDI) 1322.24.

DoDI 1322.24 establishes the following DoD requirements:

All Service members (officer and enlisted) that have not completed Combat Lifesaver Course, Combat Medic / Corpsman, or Combat Paramedic / Provider training are considered Tier 1 and will complete Tier 1 TCCC for Army Personnel IAW training and certification as outlined in the JTS’s TCCC skills list. Units will record all assigned Service member and DoD-EC TCCC certifications (initial and recertification) in Service-designated training tracking systems (Army Digital Training Management System (DTMS)).

The Joint Trauma System published DoDI 1322.24 which identified the basic skills for all Service members. DoDI 1322.24 gave the individual services the latitude to expand their specific requirements, the U.S. Army has identified additional Tier 1 and Tier 2 skills above the skills identified in DoDI 1322.24.

Per DoDI 1322.31, TCCC-ASM training frequency is at the discretion of the Military Service, with the caveat that all Service members be trained prior to deployment. In addition to the pre-deployment training requirement, the TCCC-ASM recertification and refresher for Component (Compo) 1 Active Army is annually required, Compo 2 Reserve Component and Compo 3 National Guard requirement is biennial.

Army Requirements

The Army has issued a requirement for Tier 1 ASM certification in AR 350-1.

The Medical Center of Excellence (MEDCoE) continually reviews and revises all applicable initial entry training (IET) and initial military training (IMT) medical lesson plans to ensure TCCC-ASM requirements are met. If, for any reason, a Soldier is not certified within IET or IMT, the Soldier will receive certification at their first unit of assignment.

The DoD published DoDI 1322.24 which identified the basic skills for all Service members. DoDI 1322.24 gave the individual services the latitude to expand their specific requirements, the U.S. Army has identified additional TCCC Tiered skills above the skills identified in DoDI 1322.24. Army TCCC skill set by responder level.

The Army specific task, conditions, standards, and performance steps for required tasks can be found on the Army Training Network (ATN) website. See the below table for required recertification and refresher tasks for Army personnel.

- 081-COM-0101 Request Medical Evacuation
- 081-COM-1001 Perform Casualty Care
- 081-COM-1002 Perform Hemorrhage Control
- 081-COM-1006 Perform Open Chest Wound Care
- 081-COM-1007 Perform Casualty Burn Care
- 081-COM-1008 Treat an Eye Injury
- 081-COM-1009 React to Nerve Agent Poisoning
- 081-COM-1046 Perform Casualty Movement
- 081-COM-1053 Apply Individual Preventive Medicine Countermeasures
- 081-COM-1055 Apply a Rigid Eye Shield

This training is intended for initial certification but can be modified for refresher training.

- Will follow the course map from Deployed Medicine.
- Initial Military Entry Training (IMET) Instructors will follow the IMET lesson plans which may be supplemented by Deployed Medicine resources.

Certification training or a refresher course, based on the requirements mentioned in the training frequency section, will be conducted during pre-deployment training. The course content from Deployed Medicine website https://deployedmedicine.allogy.net/learner/collections/171 will be used at a minimum. Additional course content can be added based on the units METL and the operational environment.

ALL ASM Students MUST:

- There are no prerequisites for this course. The course can be taught to all Service members but is primarily intended for nonmedical personnel.

All ASM trainers MUST:

- Be certified in TCCC and complete the appropriate JTS-developed “train the trainer” course every three years (DoDI 1322.24 Requirement)
- Successfully complete the classroom-based TCCC ASM Course. (JTS/DHA requirement)
- Successfully complete the online train-the-trainer video tutorials TCCC-ASM Train-the-Trainer Online Course (JTS/DHA requirement)
- Be proctored and signed off by medical personnel on a periodic basis verifying their ability to train servicemembers in ASM for quality assurance purposes. (JTS/DHA requirement)
- IMET Instructors must complete the Common Faculty Development-Instructor Course (CFD-IC), Drill Sergeant Course. (Army Requirement)

Tracking Training and Course Completion Credit

The U.S. Army system of record for documenting all training is the Digital Training Management System (DTMS). All course and task completion must be entered into DTMS, until such time as it is replaced by the Army Training Information System.

Units will record all initial and recertification training in the Army Digital Training Management System (DTMS). There is no DTMS code for Tier 1 training currently.

Training Frequency

Training frequency for Service members and DoD-EC completing the TCCC All Service Member course is at the discretion of the Military Service, with the stipulation that certification be completed prior to deployment. Training frequency for Service members and DoD-EC completing the TCCC combat lifesaver, TCCC combat medic/hospital corpsman/aerospace medicine technician, or TCCC combat paramedic/provider course follows these guidelines:

(1) All active Component Service members and some DoD-EC personnel as defined by job or unit, will complete TCCC recertification at least every three years following initial certification and within 12 months of deployment. For personnel who deploy more than once during a 12-month period, certification in TCCC remains current if completed within 12 months of the most recent deployment date. (DoDI 1322.24 Requirement)

All Service Member task requirements are accomplished through the completion of STP 21-1-SMCT, Section 5, Medical Common tasks (081-COMxxx) annually or biennially (COMPO II/III) (AR 350-1).

ASM Initial and Recertification Training

Training on ASM skills using the current, standardized curriculums developed by the JTS, DHA at the appropriate interval after a Service member or DoD-EC initially certifies in TCCC. (DoDI 1322.24 Requirement)

- Soldiers should review ASM course content prior to beginning the training which will be conducted over six-eight hours. (DHA/JTS Requirement)

- Will follow, at a minimum, the course map from Deployed medicine (DHA/JTS Requirement)

- Practical exercise and validation of skills is required. (DHA/JTS Requirement)

- The Army will include Medical Readiness Training Tier-1 TCCC tasks in the Army Warrior Training (AWT) in accordance with tasks in DoDI 1322.24 (AR 350-1).

- Tier 1 All Service Members in deployable positions are required to hold a valid TCCC Tier 1 certification within 12 months prior to deployment. (AR 350-1)

- Recertification is conducted through common tasks and warrior battle drills completion every 12 months. (AR 350-1)

ASM Refresher Training

ASM refresher courses are a supplement to ASM certification courses. ASM refresher courses are designed to ensure proficiency on TCCC skills and may be tailored to individual Service mission requirements. Completion of ASM refresher training does not certify a Service member in TCCC and will not be recorded as such in Service-designated training tracking systems. (DoDI 1322.24 Requirement)

- Soldiers should review course content prior to beginning the refresher training which will be conducted over one day.

- Day one: training knowledge overview, skills practice, and skills validation.

- Practical exercise and validation of skills is required.

- Evaluation scenario(s) must be performed in a unit METL supported task and must evaluate all Tier 1 ASM critical tasks

- Refresher is valid for one year.