AI-powered military medical training platform designed for US military medical personnel across all branches — combat medics, medical corps officers, nursing corps providers, and specialty care specialists. Train anywhere, anytime with combat casualty scenarios based on the published TCCC guidelines.
Comprehensive AI-driven training tools designed to build and maintain critical military medical skills — from point of injury through Role 3 facility care.
AI-Powered Combat Casualty Scenarios
Realistic combat casualty care simulations with adaptive branching decision trees that respond to your clinical choices in real time.
MARCH Algorithm Training
Comprehensive coverage of Massive hemorrhage, Airway, Respiration, Circulation, and Hypothermia prevention — the full MARCH sequence in tactical context.
Performance Analytics
Track decision accuracy, response times, and skill progression across all simulation categories with detailed after-action reports.
Real-Time Feedback
Receive instant, evidence-based explanations for every clinical decision aligned with published TCCC guidelines and military medical doctrine.
AI Medical Tutor
Get personalized guidance from an AI tutor grounded in the published TCCC guidelines and DoD medical manuals, and prompted to teach current doctrine. For training only — verify against your unit's protocols and medical direction.
Comprehensive Scenario Library
50 scenarios covering tourniquet application, needle decompression, surgical airway, blast injuries, mass casualty triage, and more.
Train Like You Fight — In Four Steps
No installation. No scheduling. Start a high-fidelity TCCC simulation in under 60 seconds.
Step 01 — Choose a Scenario
Browse 50 TCCC scenarios by category — hemorrhage control, airway, MASCAL, CBRN, and more. One scenario is free to try, no account required.
Step 02 — Enter the Simulation
Read the patient presentation, vitals, and tactical situation. Every scenario is grounded in the current Committee on Tactical Combat Casualty Care (CoTCCC) guidelines.
Step 03 — Make Clinical Decisions
Choose from branching decision options at each step. Receive instant evidence-based feedback on every choice you make.
Step 04 — Review Your Performance
Get a full after-action report: accuracy score, decision log, and skill progression tracked across every session.
Tactical Medical Scenarios Built for the Battlefield
Every scenario is a Combat Casualty Scenario Based on Published TCCC Guidelines, grounded in real-world military medical doctrine.
Tourniquet Application & Hemorrhage Control (Hemorrhage Control)
Every claim below is checkable. Read the scenarios, read the guidelines they reference, and judge for yourself.
Referenced to the published guidelines
Scenario decisions and feedback reference the Tactical Combat Casualty Care Guidelines published by the CoTCCC through the Joint Trauma System. MilMedSim is an independent platform and is not endorsed by them.
Authored by an emergency physician
Scenarios are written and reviewed by Dr. Chester Shermer, MD, FACEP — a board-certified emergency physician, HEMS medical director, and Army National Guard State Surgeon.
Updated when doctrine changes
The library is revised against guideline updates rather than frozen at launch. The August 2026 revision replaced superseded fluid-resuscitation and TXA teaching across every affected scenario.
Decisions, not slides
Each scenario is a branching decision tree with immediate clinical feedback on every choice — right or wrong — and an after-action review at the end.
MilMedSim is a training platform. Completion does not confer TCCC certification, continuing medical education credit, or any professional licensure.
Pricing by Role
Choose the plan that matches your role and training requirements. All plans include access to the AI-powered simulation platform.
NCO / Enlisted Medic — $19.99/month
Combat Medics & Medical Specialists
22 Tier 1 combat casualty simulations
AI Tutor (50 questions/month)
Performance tracking dashboard
MARCH algorithm scenarios
Hemorrhage control training
Mobile-friendly access
New simulations added quarterly
Military Medical Corps — $39.99/month
Nurse Corps, Medical Corps & Medical Service Corps
Physician-authored writing on TCCC, prolonged field care, and combat casualty management.
Abdominal Evisceration in TCCC: When to Reduce, How to Cover — The 1 May 2026 TCCC steps for an abdominal evisceration: control bleeding, rinse, cover moist or water-impermeable, no reduction with leakage or active bleeding, at most one brief attempt otherwise, NPO, ceftriaxone, and a surgeon.
Penetrating Eye Trauma in TCCC: Test, Shield, Treat, Evacuate — The 1 May 2026 TCCC steps for a suspected penetrating eye injury: a field vision test, a rigid shield with nothing under it, ceftriaxone or cefadroxil under Change 25-1, and repair within 24 hours when possible.
Pelvic Binders in TCCC: Who Gets One and Where It Goes — The five TCCC pelvic binder triggers, why the binder belongs on the greater trochanters and not the belt line, what military data show about misplacement, and the 2026 JTS rules for skin checks, imaging and removal.
TCCC Burn Care: The Rule of Ten and the Errors Around It — The Rule of Ten sets the starting fluid rate for burns over 20% TBSA. The errors come from counting the wrong skin, titrating only upward, and letting the casualty get cold. Checked against the 1 May 2026 TCCC Guidelines and the 2025 JTS Burn Care CPG.
Calcium After the First Unit: Getting the TCCC Dose Right — Army medics gave calcium correctly in 31% of simulated transfusions, mostly from gram-versus-milliliter confusion. The TCCC dose, JTS re-dosing, and what the evidence actually shows.
TCCC Tiers Explained: What ASM, CLS, CMC, and CPP Each Must Do — Four TCCC tiers, four scopes. Which skills belong to All Service Members, Combat Lifesavers, medics and corpsmen, and paramedics and providers, confirmed against the current JTS skill sets and the 1 May 2026 guideline.
Self-Warming Blankets in Combat Care: What New Tests Mean — A 2026 bench study found prolonged high surface temperatures on several self-warming blankets. Here is what combat medics should take from the data while following current TCCC guidance.
Join military medics and medical corps providers who are sharpening their combat medicine skills with AI-powered simulations. Train smarter. Save lives.