National Credential
Credential: Tactical Paramedic Certification (TP-C)  NCCA resource
Credentialing Agency: International Board of Specialty Certification (IBSC)

International Board of Specialty Certification (IBSC), Tactical Paramedic Certification (TP-C) is for paramedic professionals currently providing critical care in the austere and care-under-fire environments. TP-C candidates should have knowledge in casualty assessment, stabilization, and evacuation in hostile and austere environments and thorough familiarity with tactical principles, triage, and operational medicine. Candidates should also have knowledge of the Committee on Tactical Combat Casualty Care and the Committee for Tactical Emergency Casualty Care guidelines, management of the full tactical injury spectrum (from less-than-lethal to chemical, biological, radiological, nuclear and explosive (CBRNE)), force health protection, and medico-legal aspects of Tactical Emergency Medical Services. To earn the TP-C, candidates must hold an unrestricted paramedic license in the state or country of practice and pass a written exam.

More information can be found on the certifying agency's website.

Renewal Period: 4 years

Tactical Paramedic Certification (TP-C)

The following Army Occupations provide training and/or experience that contributes to attaining this credential:

Personnel Category Occupation Occupation Type Related As Promotion Points Skill Level Star Proponent Funded Gap Analysis
Enlisted 68W Combat Medic Specialist MOS some  Promotion Points: This certification has been approved for promotion points. Click for more information.        
Enlisted F2 Critical Care Flight Paramedic ASI most          
Enlisted Q5 Special Forces Combat Diving, Medical ASI some          
Enlisted W1 Special Operations Combat Medic (SOCOM) ASI some          

Army Table Legend


Related As

The military occupations shown in this table are related to this credential in one of four ways: Most, Some, or Other.

Most: This credential is directly related to most of the major duties associated with the military occupation (at least 80%). Note that the credential may require additional education, training or experience before you are eligible for it.

Some: This credential is related to some tasks associated with the duties of the military occupation (related 80% to at least one or more critical tasks but less than 80% of all of the entire military occupation). Note that the credential may require additional education, training or experience before you are eligible for it.

Other: This credential is related to this military occupation, but is more advanced or specialized and therefore will likely require additional education, training, or experience.

Promotion Points Promotion Points icon

This credential has been approved for promotion points for this MOS towards promotion to Sergeant and Staff Sergeant. Clicking the Promotion Points icon will open a link to the promotion points fact sheet.

Skill Level Designation

Skill Level I: This skill level consists of all Soldiers in the ranks of Private (pay grade E-1) up to Specialist (pay grade E-4). Time in Service (TIS) is generally between initial entry and four Years of Service (YOS). This skill level is Entry-level positions requiring performance of tasks under direct supervision.

Institutional training:

  • Structured Self-Development (SSD) level I
  • Basic Leader Course (BLC)

Skill Level II: This skill level is obtained when promoted to Sergeant (paygrade E-5). TIS is generally between 4-8 YOS. Positions requiring performance of more difficult tasks under general supervision; and in some instances, involving supervision of Soldiers in SL1.

Institutional training:

  • Structured Self-Development (SSD) level II
  • Advance Leader Course (ALC)

Skill Level III: This skill level is obtained when promoted to Staff Sergeant (paygrade E-6). TIS is generally between 8-12 YOS. Positions requiring performance of still more difficult tasks and involving first line supervision of Soldiers in SL1 & SL2.

Institutional training:

  • Senior Leader Course (SLC)
  • Structured Self-Development (SSD) level III

Skill level IV: This skill level is obtained when promoted to the rank of Sergeant First Class (paygrade E-7). TIS is generally between 12-18 YOS. Positions requiring relatively detailed knowledge of all tasks specified for a given MOS, normally involving first-line supervision of Soldiers in SLs 1, 2, and 3, and involving managerial duties.

Institutional training:

  • Master Leader Course (MLC)
  • Structured Self-Development (SSD) level IV
  • Senior Enlisted Joint Professional Military Education (SEJPME) I Course

Skill level V: This skill level is obtained when promoted to the rank of Master Sergeant (paygrade E-8). TIS is generally between 18-22 YOS. Positions requiring direct and indirect leadership roles with expertise in company and battalion-level operations and competency across a given CMF, serving as members of a staff at every level in the Army, with a full understanding of the allocation of resources and their utilization in order to accomplish Army functions and missions.

Institutional training:

  • United States Army Sergeants Major Academy (USASMA)
  • Structured Self-Development (SSD) level V

Skill level VI: This skill level is obtained when promoted to the rank of Sergeants Major (paygrade E-9). TIS is generally between 22-30 YOS. Positions requiring organizational leadership roles with multi-dimensional expertise in units and teams on division, corps, and Army staffs, integrated with Joint, Interagency, Intergovernmental, and Multinational (JIIM) partners with a full understanding of the Force Generation process, operations at all echelons, and how the Army runs.

Star Credential Star icon

Star credentials are MOS enhancing, as designated by the Proponent. MOS enhancing credentials are directly related to an MOS or ASI, are taught either partially or completely as part of a Program of Instruction (POI), and improve the MOS technical proficiency.

Proponent Funded Funded icon

This icon indicates credentials which Soldiers may have funded through their MOS proponent. Some proponents offer credentialing opportunities in conjunction with military training and/or as part of MOS development beyond the training base.

Gap Analysis Has Analysis icon

A detailed analysis comparing the credential requirements to the military occupation has been completed. Click on the gap analysis icon to view the analysis page.

Tactical Paramedic Certification (TP-C)

Eligibility Requirements ()

Note: This credential may have multiple options for becoming eligible. Listed below are the minimum requirements based on the minimum degree required. To view other options, see the Eligibility tab.

  • Credential Prerequisite: Current unrestricted paramedic license in the state or country of practice
  • Experience
  • Education
  • Training
  • Membership
  • Other
  • Fee

Exam Requirements ()

  • Written Exam
  • Oral Exam
  • Practical Exam
  • Performance Assessment

Renewal Period: 4 years

  • Continuing Education
  • Exam
  • Continuing Education OR Exam
  • Fee
  • Other

International Board of Specialty Certification (IBSC)
4835 Riveredge Cove
Snellville, GA  30039
Phone: (770) 978-4400
Fax: (678) 261-1895
Contact Page

Tactical Paramedic Certification (TP-C)

Candidates must hold a current unrestricted paramedic license in the state or country of practice.

Tactical Paramedic Certification (TP-C)

  • Tactical Combat Casualty Care (TCCC)
    • Tactical Combat Casualty Care (TCCC) Methodology
    • Hemorrhage Control
    • Airway
    • Breathing
    • Circulation
    • Medication Administration
    • Neurological Emergencies
    • Trauma Management
    • Burn Patients
  • Tactical Operations
    • Remote Assessment/Surrogate Care
    • Rescue / Extraction
    • Incident Command System/Chain of Command and Interface with EMS
    • Tactical Team Operations
  • Planning
    • Medical Mission Analysis
    • Legal Aspects of TEMS
  • Specialized Medical Care
    • Force Health Protection
    • Environmental Factors
    • Manage Injuries and Complications Associated with Less Lethal Weapons
    • Canine Management

There are a number of resources available to help you prepare for the Tactical Paramedic Certification (TP-C) examination:

An additional resource is Safari Books Online, a searchable digital library that provides online access to thousands of books, training videos and conference sessions. See the Educational Resources page here on COOL to learn how to get free access.

Tactical Paramedic Certification (TP-C)

Renewal Period: 4 years

The Tactical Paramedic Certification (TP-C) credential has the following recertification information:

  • The TP-C is valid for a four-year period. To recertify, certification holders must maintain a current, unrestricted paramedic license in the state or country of practice and either submit 100 approved continuing education (CE) credits and pay applicable recertification fees or retake the written certification exam and pay applicable exam fees.

  • The CE credits must have a clear and direct application to the practice of flight and critical care medicine. Seventy-five of the credits must be in the clinical category with at least 16 clinical hours obtained by completing an approved review course. Twenty-five of the credits may be in the operational category, though additional clinical credits may be utilized.

Tactical Paramedic Certification (TP-C)

Additional considerations for the Tactical Paramedic Certification (TP-C) include:

  • Experience in critical care and care in the austere environment with additional education in this specialty area are highly recommended to prepare for the TP-C exam.