Section outline

  • Welcome

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  • Registration

    • Accreditation and Compliance

      Hands-On, Evidence-Based Training
      This in-person course uses lectures, skills stations, case-based learning, and EMS simulation training to teach key concepts in Damage Control Resuscitation (DCR), hemorrhagic shock, prehospital trauma care, critical care transport, and field transfusion readiness.

      Approved EMS Training Center (SNHD + DHEC)
      NAR Training is an approved EMS training center through SNHD and DHEC, helping ensure high standards and current, compliant medical education.

      Learn from THOR’s Leading Experts
      ADaPT gives students the opportunity to learn from THOR’s leading experts in Damage Control Resuscitation, prehospital transfusion, trauma resuscitation, and blood-forward resuscitation practices.

      Blood products and Field Transfusion Readiness
      Learn EMS blood products, including whole blood transfusion, prehospital transfusion, field transfusion, and blood product administration EMS workflows, including transfusion protocols and low-titer O whole blood (LTOWB) considerations, plus key AABB and FDA compliance basics.

  • Affiliations

  • About This Course

    • About this course

      Prehospital blood programs are expanding across EMS, critical care transport, and hospital-based response teams. The challenge is that many agencies still need a clear and safe process for prehospital blood administration, field transfusion, documentation, quality improvement, and team-based decision-making during high-risk trauma calls. The Advanced Damage Control Resuscitation and Prehospital Transfusion (ADaPT) course helps close that gap by teaching practical, evidence-based concepts in Damage Control Resuscitation (DCR), hemorrhagic shock, trauma resuscitation, whole blood, blood products, and EMS blood program readiness.

      Co-developed by North American Rescue Training and Education (NAR-T) and the Trauma Hemostasis and Oxygenation Research Network (THOR), this immersive three-day course gives paramedics, nurses, critical care teams, EMS leaders, and prehospital clinicians the opportunity to learn from THOR’s leading experts in Damage Control Resuscitation and prehospital transfusion education. Students will connect the science of blood-forward resuscitation with real-world EMS practice through lectures, hands-on skills, case-based learning, and simulation training.

      ADaPT also focuses on the systems needed to support safe and reliable blood operations. Students will review key workflow and compliance topics, including blood product administration in EMS, transfusion protocols, documentation, quality assurance, operational readiness, and important AABB and FDA compliance basics. The course also discusses product considerations such as low-titer O whole blood (LTOWB) when allowed by local protocol. By the end of the course, students will have a stronger understanding of how Damage Control Resuscitation supports early hemorrhage control, safer transfusion practices, and better care for critically injured patients in the prehospital setting.

      Enroll now in the (ADaPT) DCR course

      North American Rescue Education and Training Advanced Damage Control Resuscitation and Prehospital Transfusion CourseTrauma Hemostasis and Oxygenation Research Network (THOR)
      North American Rescue Education and Training
      Trauma Hemostasis and Oxygenation Research Network (THOR)

      Enroll Now

    • ADaPT Course Gallery

      ADaPT Blood Cooler
      EMS Field Blood Transfusion
      NAR Training ADaPT - EMS O Positive Blood
      NAR Training ADaPT - Blood Program QA/QI Inventory

  • Full Course Overview

    • Course Overview:

      The Advanced Damage Control Resuscitation and Prehospital Transfusion (ADaPT) course is a three-day, in-person training program co-developed by North American Rescue Training and Education (NAR-T) and the Trauma Hemostasis and Oxygenation Research Network (THOR) for paramedics, nurses, critical care teams, EMS leaders, and prehospital clinicians who want to build stronger knowledge and skills in Damage Control Resuscitation (DCR), hemorrhagic shock, trauma resuscitation, and prehospital blood administration. Students will learn directly from THOR’s leading experts in Damage Control Resuscitation and prehospital transfusion, connecting current science with real-world practice. ADaPT teaches blood-forward care using whole blood, blood products, field transfusion workflows, safe blood product administration in EMS, and clear transfusion protocols. Through lectures, case-based learning, hands-on skills, and EMS simulation, students will learn what to do, why it matters, and how to apply these concepts during high-risk trauma and critical care situations.

      What You’ll Learn (3 Days)

      • Day 1–2: Shock physiology, hemorrhage control, airway + resuscitation skills, and decision-making for early blood-forward care
      • Hands-On Training: Skills stations and EMS simulation training with trauma and non-trauma cases, including pediatric and geriatric considerations with THOR's expert clinicians teaching.
      • Day 3 (Systems + Compliance): Program governance, documentation, QA, and key AABB and FDA considerations for safe operations for administering blood products in the field or pre-hospital environment

      Who This Course Is For

      • Medical directors, clinical supervisors, and program administrators overseeing blood product transfusion standards
      • Paramedics, RNs, Critical Care/Transport clinicians (ground or air), Flight Paramedics and Flight Nurses, Tactical and Offshore medics, Military corpsmen, DoD/USAR teams, and disaster response providers administering blood products in the field.
      • Teams supporting compliance, documentation, QA, and program sustainability

      What Problem This Solves

      • Standardizes prehospital transfusion and field transfusion workflows
      • Improves readiness, monitoring, traceability, and reaction response during blood product transfusion
      • Bridges evidence-based practice for safety, EMS whole blood and blood product administration and operations

      What You’ll Walk Away With

      • A repeatable operational workflow to build or improve a blood program
      • Practical skills and scenario experience you can apply immediately
      • Tools for patient selection, timing, monitoring, and documentation
      • CAPCE CE documentation

      Training Format

      • Lecture 75% | Skills 15% | Scenarios 10%
      • Small-group coaching from leading experts at THOR, case discussion, and structured debrief
      • Realistic workflows for storage, administration, monitoring, and complication management

      Logistics (3 Full Days of Training)

      • Time: 8:00 AM – 5:00 PM (full training days)
      • Dress Code: Professional, comfortable clothing; closed-toe shoes required. Scenarios will include simulated blood.
      • Food/Drinks: Bring your own. Water stations are available. Coffee/tea provided. Fridge + microwave on-site. Food truck available at lunch.
      • Materials: No pre-course work required. Bring pen/paper; laptop optional. Materials provided on-site.
      • Other: ADA accessible. Parking available. Photo ID is required at check-in. Travel/lodging not included.

      Course Objectives

      • Apply evidence-based Damage Control Resuscitation (DCR) principles to identify patients in hemorrhagic shock who may benefit from early blood-forward resuscitation during prehospital trauma care and trauma resuscitation.
      • Demonstrate safe blood administration EMS workflow steps for prehospital transfusion and field transfusion, including preparation, initiation, monitoring, reassessment, and documentation in accordance with established transfusion protocols.
      • Maintain operational readiness and patient safety by verifying blood product handling requirements and applying cold chain and traceability practices relevant to blood product and blood product transfusion, including considerations for low-titer O whole blood (LTOWB).
      • Recognize and manage suspected transfusion-related complications by identifying early warning signs, initiating immediate response actions, and documenting events to support quality assurance and medical oversight.
      • Describe the program-level elements required to implement and sustain a compliant, high-reliability prehospital blood program, including governance, documentation, quality assurance processes, and key AABB and FDA compliance considerations.

      Enroll Now

  • Enrollment

    • Register today

      Register today for the Advanced Damage Control Resuscitation and Prehospital Transfusion (ADaPT) course, co-developed by North American Rescue Training (NAR-T) and the Trauma Hemostasis and Oxygenation Research Network (THOR). Build real-world skills for Damage Control Resuscitation (DCR), hemorrhagic shock care, and safe blood administration workflows, including blood product, whole blood transfusion, prehospital transfusion, and field transfusion concepts with simulation training and practical transfusion protocols.

      For enrollment or documentation questions, contact the Registration Office:
      Email: registration@narescue.com
      Phone: 888-374-7808

      Register Now

      “Lessons Learned. Lives Saved.”

  • CAPCE Statement

    • This continuing education activity is approved by the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) for 24.0 of Trauma/Advanced continuing education hours, activity number 26-NARE-F2-0102.

  • FAQs

    • ADaPT is designed for EMTs, AEMTs, Paramedics, critical care/transport clinicians, and operational leaders. It is also a strong fit for medical directors and program leads who oversee transfusion protocols, prehospital trauma care, and trauma resuscitation programs.

      You will train on Damage Control Resuscitation (DCR), hemorrhagic shock, and blood-forward care in the field. This includes blood products, blood transfusion, prehospital transfusion, field transfusion, and safe blood product administration EMS workflows, plus EMS simulation training and scenario-based decision-making. 

      No. ADaPT is built for both new and experienced teams. If you are launching a program or improving an existing one, you will learn a clear, step-by-step approach to patient selection, workflow, monitoring, documentation, and quality assurance.

      Yes. ADaPT covers key considerations for low-titer O whole blood (LTOWB) and how it fits into field operations when allowed by your local policy. The course focuses on safe processes, monitoring, and decision-making that support reliable whole blood transfusion care.

      You will leave with practical tools to support high-reliability prehospital transfusion programs, including standardized workflows, decision support for timing and patient selection, scenario experience, and systems-level guidance tied to compliance and documentation needs for safe field transfusion operations.

  • Training a Team?

    • NAR-T Agency Solutions

      Enhance your medical training with our standard  courses or a custom course tailored specifically to your Agency's needs

      Our solutions provide industry-leading, current medical education and training designed to fit your team’s unique requirements. Contact us today to learn more!

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