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Firsthand XR

Casualty care practice for people who go towards the danger

Combat medics and paramedics need reps on the sequence, under pressure, with a team. Run a casualty in a patrol base or an arrest in a switchroom, then debrief it properly.

Who this is for: Defence health training units, ambulance service educators, fire and rescue trainers and emergency response teams.

Soldier with night vision mount standing over a wounded casualty in a sandbagged compound

What gets in the way today

Live exercises are expensive
Field exercises take people, places and planning. Casualty care gets a slice of the time.
Moulage only goes so far
Actors and makeup help, but the casualty does not deteriorate on cue when you get it wrong.
Teams train apart
Individual skills are signed off separately from the team that will use them.

How defence and emergency services teams use it

Wide view of a casualty lying in a compound with a medical kit nearby
Combat casualty care
A structured casualty care sequence in a patrol base, with a buddy beside you.
Cardiac and electrical emergencies
ACLS cardiac arrest, electrical low-voltage rescue and workplace collapse for paramedics and emergency responders.
Team roles on one network
Several headsets join one scenario so a team can practise together.
Mixed reality
Passthrough mode lets you place a casualty in your real training space and work around real kit.

Scenarios for defence and emergency services

Full library
  • Defibrillator render showing an ECG trace and vital signs on its screen
    AvailableHospital ward

    ACLS cardiac arrest (VF)

    A ward patient arrests in ventricular fibrillation. Call for help, assign roles, run compressions, shock, give drugs on time and manage the patient after return of circulation.

  • Wall oxygen flowmeter and suction set up at the bedside
    AvailableHospital

    Pregnancy cardiac arrest

    Cardiac arrest in a pregnant patient. Adapt resuscitation for pregnancy, coordinate the team and call the right specialists early.

  • Switchroom with a casualty on the floor, a co-worker kneeling and an AED nearby
    AvailableSwitchroom

    Electrical low-voltage rescue and CPR

    A worker is in contact with live equipment in a switchroom. Isolate the supply, free the casualty safely, start CPR and use the AED.

  • Soldier standing over a wounded casualty lying on the ground in a compound
    AvailablePatrol base

    Combat casualty care

    A casualty with a serious bleed in a patrol base. Work through a structured casualty care sequence under pressure with a buddy beside you.

  • ComingMine site

    Mines first aid and rescue

    Casualty care and rescue in a mine environment, built with the needs of rescue brigades in mind.

How it maps to your training

Scenarios support practice for structured casualty care and emergency response.

Unit or programWhere it shows up
Tactical combat casualty care (TCCC-style sequence)Combat casualty care scenario in a patrol base.
Tactical emergency casualty care (TECC)Civilian high-threat care follows similar phases. Scenario adaptation can be scoped with your team.
Advanced life supportACLS cardiac arrest (VF) and pregnancy cardiac arrest.
Rescue and resuscitationElectrical low-voltage rescue and CPR, workplace collapse with AED.

Mapping to your service’s clinical practice guidelines is done during a pilot.

Tactical emergency casualty care

Tactical emergency casualty care (TECC) adapts combat casualty care guidance for civilian high-threat operations. The Committee for Tactical Emergency Casualty Care organises its guidelines into three phases: direct threat care, indirect threat care and evacuation care.

Our combat casualty care scenario already trains a structured sequence under pressure. For police, fire and ambulance teams working to TECC, we can scope a civilian version of the scenario with your educators.

Source: ASPR TRACIE, TECC Guidelines for BLS/ALS Medical Providers

Reading for defence and emergency services teams

Need it built around your own site, equipment or procedures? See custom VR training development.

The technology behind it

Questions people ask

Can it run on a closed network?

Scenarios run on standalone headsets. Team sessions use the local network. Talk to us about your security requirements.

Can you build scenarios for our environment?

Custom environments and scenarios can be scoped. Tell us what you need on a call.

Pilot it with your team

Book a 30-minute demo. We will run a scenario live, talk through your training units and scope a pilot that fits your team.

Wide view of a casualty lying in a compound with a medical kit nearby