RS³ 400 — THIRTY MINUTES: STREET, VEHICLE, AND SUSTAINMENT

Level 1 taught you the first minute. Level 2 taught you the first five. Level 3 covers what almost nobody trains for: the twenty-five minutes after that, when the initial response is over, help has not arrived yet, and the problem has moved outdoors, onto the road, and around vehicles.

Day 1 — Dynamic Battlespace and Vehicles

The close-quarters work moves out of the sim house. You are in a parking lot, at a curb, or stopped in traffic when it starts. We cover:

Reading and moving through a dynamic battlespace on foot and in a vehicle What a vehicle actually stops and what it does not — the difference between cover and concealment on a car, and where the real cover is Fighting from in and around a vehicle: working from the seat, getting out under threat, and shooting around the structure of the car Moving between vehicles and to hard cover without becoming the easiest target on the street Defending from a vehicle-based position while you wait, and deciding when to hold and when to move Using the vehicle as an extraction platform: getting yourself, your family, or a casualty out, including loading a wounded person and driving out under stress Managing bystanders, passengers, and arriving law enforcement during a prolonged incident

Day 2 — Life Sustainment Through Thirty Minutes

Level 2 got the bleeding stopped and the casualty moved. Day 2 continues the sMARCH protocol into sustainment, which is where casualties are won or lost when EMS is delayed:

Reassessment: interventions that worked at minute two and start failing at minute twenty Airway management and positioning over time Respiratory monitoring and recognizing a casualty who is getting worse Circulation checks, shock recognition, and keeping perfusion Hypothermia prevention and the rest of the sustainment picture, including what the environment is doing to your patient Moving casualties over distance and rough ground, alone and with a partner Ongoing triage as conditions change, and re-sorting when a second casualty deteriorates A clean handoff to EMS: what responders need from you and how to give it in thirty seconds

Scenario exercises run the full thirty-minute clock and combine both days. You will be making tactical and medical decisions at the same time, tired, hot, and short on hands — which is the point.

What you leave with: a realistic sense of how long thirty minutes is, a working understanding of vehicles as fighting and extraction platforms, and the ability to keep a casualty alive well past the first intervention.

Prerequisite: RS³ 301 (Level 2). Location: DoubleTap Training Grounds, Calera, AL. [Dates, times, tuition, gear list.]