Number of Courses:  One Live 2-Hour Class
Credit Awarded:  2 Hours
Credit Type: Basic/Advanced
Accredited: CAPCE (F5-VILT), CE Broker (FL & TN), Pennsylvania Bureau of EMS, and Virginia Office of EMS
Enrollment Period:  One year or until completed, whichever comes first
Topics:  Bleeding Control/Shock & CNS Trauma

This CE activity is accredited by the Commission on Accreditation for Pre-Hospital Continuing Education for a total of 2 EMT/Paramedic CEH.

Are you in need of a few hours to round out your recertification? This individual NCCP course will meet those needs and is offered several times a month with a varying schedule.

Want to see when classes are offered, click here DistanceCME Course Calendar

Topics covered in this Live NCCP L6

  • Bleeding Control/Shock & CNS Trauma (2hr)

If you need more than a few hours, these bundles are perfect for your continuing education. You’ll complete your NCCR requirements and also gain access to our Anytime EMS CEU Package, offering over 100 on-demand learning modules with CEUs.

EMTs choose Live 20 Hour NCCP + Anytime

Paramedics/AEMTs choose  Live 30 Hour NCCP + Anytime

Course Overview
Uncontrolled hemorrhage remains one of the leading preventable causes of traumatic death, while traumatic brain and spinal cord injuries continue to be among the most devastating emergencies encountered in prehospital medicine. This course provides EMS clinicians with the knowledge and clinical decision-making skills needed to rapidly recognize life-threatening bleeding, manage hemorrhagic shock, and assess patients with central nervous system injuries using current evidence-based practices.
Participants examine modern hemorrhage control techniques, trauma resuscitation strategies, fluid administration, tranexamic acid (TXA), and neurological assessment while emphasizing interventions that reduce secondary injury and improve patient survival.

Hemorrhage Control & Hemostasis
Learners begin by exploring the physiology of hemostasis, including vascular spasm, platelet plug formation, and the coagulation cascade. The course examines factors that interfere with clot formation, including hypothermia, anticoagulant medications, excessive fluid administration, and unnecessary patient movement. Participants develop proficiency in evidence-based bleeding control techniques, including direct pressure, wound packing, topical hemostatic agents, tourniquet application, and implementation of the national Stop the Bleed initiative.

Shock & Trauma Resuscitation
The course examines recognition and management of both external and internal hemorrhage while reviewing the physiologic progression of hemorrhagic shock. Participants learn modern trauma resuscitation principles, including permissive hypotension, balanced fluid administration, IV and IO access, crystalloid therapy, whole blood, blood substitutes, and the role of tranexamic acid (TXA). Emphasis is placed on current evidence supporting early hemorrhage control while avoiding interventions that may worsen bleeding.

Central Nervous System Injuries
Participants develop a comprehensive understanding of traumatic brain and spinal cord injuries through detailed review of neuroanatomy, skull anatomy, meninges, cerebrospinal fluid, vertebral anatomy, spinal cord function, and autonomic nervous system physiology. The course explains how anatomy influences injury patterns and why rapid recognition is critical for preventing secondary neurologic injury.

Traumatic Brain & Spinal Injury Assessment
Learners examine common skull fractures—including linear, depressed, basilar, and open fractures—along with associated findings such as Battle’s sign, raccoon eyes, cerebrospinal fluid leakage, and evolving neurologic deficits. The course also reviews cervical spine injuries, spinal cord syndromes, motor and sensory assessment using myotomes, and clinical findings that help localize neurologic injury during prehospital assessment.

Evidence-Based Trauma Management
Throughout the course, participants integrate current trauma research into clinical practice by applying evidence-based decision-making to hemorrhage management, fluid resuscitation, neurological assessment, and transport priorities. Emphasis is placed on prioritizing interventions that improve patient outcomes while avoiding outdated practices that may increase morbidity or mortality.

Who Should Take This Course?
This course is designed primarily for EMTs, AEMTs, and Paramedics who care for injured patients in the prehospital environment. It is particularly valuable for providers seeking to strengthen their understanding of modern trauma care, hemorrhage control, shock management, neurologic assessment, and evidence-based treatment strategies that improve survival in critically injured patients.