The train of thought/planned use of this kind of training in a civilian context is that some event happens, you respond and either you or someone else you find has massive blood loss, piercing wound or massive body trauma. How do you get them to live long enough to make it to a hospital? From what I’ve heard from guys who have taken a MARCH/Stop the Bleed/TCCC class in person the course instructors are happy to play the “what if” game with the students during breaks and after class to further help them understand what kind of situational awareness is needed for this kind of medical care. I’ve read some stuff recently that made a strong case against the prevailing idea that TQ’s are responsible for the loss of a limb. They point out that in a lot of cases the trauma that caused the need for the TQ was the reason for the loss of limb and not just the TQ. I also saw it pointed out that in a military context a TQ could be on several hours before the patient gets to a place safe enough for further aid to be rendered, at which point the TQ is just as dangerous to the limb as the initial trauma. TQ’s certainly not the answer to everything, but it’s that bad of an idea to be ready to use one. This is why I want an in-person class though. I would like to find a decent set of instructors and pick their brains for half an hour. I do have a very close friend who is EMT certified in the state of California and spent 8 months working in the Stockton and Fresno areas. EMT’s are field nurses for Paramedics. The course material has a much larger focus on the legal liabilities than one would initially think and a lot of the trauma stuff is suppose to be handled by the Paramedic leading the team with the EMT being there to support the care the Paramedic is providing to the patient. If he has some solid recommendations for training groups and certifications for civilians that would be awesome.