ADVANCED COMMUNITY SUSTAINMENT MEDICAL SPECIALIST
For disaster response and sustainment operations.
Where the foundation Community Sustainment Medical Specialist course assumes primarily remote-supervised practice sustainment focused care in a relatively benign austere setting, this advanced course assumes deployment alongside an on-site clinician into an environment where severe trauma, prolonged casualty care, infectious outbreak, and population health management are realistic possibilities. A small forward team — a physician, PA, or NP plus one to two specialists — provides advanced sustainment medical care to large displaced civilian populations in disaster and conflict environments, where definitive surgical care, specialty consultation, and pharmacy resupply are degraded or absent.
The course is structured around the operational premise of forward sustainment equipment sets: a small number of cases supporting 200 to 500 personnel and civilians for 30 to 45 days, with sick-call medications, emergent injectables, IV fluids, walking blood bank capability, wound and trauma supplies, point-of-care diagnostics, and a public health module.
WHO IT’S FOR
Medical personnel who have completed the Community Sustainment Medical Specialist, Rural Health Medical Care Assistant, or Hospital Medical Care Assistant courses or who hold equivalent training or experience.
Open to all EMS license levels. For EMS and other personnel who are not independently licensed, skills are typically performed under on-site clinician supervision and apply only in the deployed sustainment role..
CORE SKILL DOMAINS
Prolonged casualty care for severe trauma when evacuation is delayed
Walking blood bank: donor screening, collection, and transfusion in austere settings
Percutaneous tube thoracostomy
Community infectious outbreak response and population health management
Field public health: water treatment, hygiene infrastructure, vector control, outbreak surveillance
Operational deployment: team operations, standing orders, and time-critical action when the patient demand exceeds the clinician resources
THE COURSE AT A GLANCE
80 hours: 50 hours online asynchronous didactic + 30 hours in-person laboratory
Prerequisite: Community Sustainment Medical Specialist, or RHMCA/HMCA graduation or equivalent training / experience (e.g. emergency medicine physician/PA/NP, emergency RN). Contact us for consideration.
In-person labs at your location or in Bangor, Maine
SUGGESTED PAIRINGS
Maximize a single training trip by combining courses:
ASCMS + RESONATE: Add on ultrasound diagnostic capability to improve care of critically ill patients while awaiting evacuation.
CME & CEH ACCREDITATION
Maine EMS CEH categories: Medical 25 · Trauma 37 · Operations 18
ACCME accreditation pending
PRICING
Our instructional philosophy is simple: you’re not buying a course, you’re buying a training program. When you take an F2L training, you get your initial training to achieve mastery and a comprehensive training program designed to maintain your skills once you leave the classroom.
Being able to practice your learning means that you need to have both a longitudinal training program and the equipment in hand to execute that program. Without that equipment, your skills will decay.
Given that, then only real question for any student in deciding what tier of each class to take is what equipment you need to execute the training plan after the class. The class tiers are set up as follows:
Tier 1 - The individual student who needs it all. Each student will leave the classroom with all of the training equipment necessary to perform all the longitudinal training exercises on their own in additional to the longitudinal training program content.
Tier 2 - The team who needs it all. If you work with a team that only needs a single set of training gear for a specific number of students, this is the tier for you. The courses are priced for a specific number of students sharing one set of training gear. If you would like a different ratio of students to sets of training gear, contact us for pricing.
Tier 3 - For those who already have it all. If you have the training gear already, this tier gives you the initial class and the longitudinal training program content; you bring your own training gear to the exercises.
ACSMS Pricing
Tier 1 - Contact us for pricing.
Tier 2 - Team of 3 students - contact us for pricing.
Tier 3 - Contact us for pricing.
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Bring This Course to Your Team
Courses are scheduled on demand and delivered at your location or in Bangor, Maine.