Hostile Environment Awareness & Trauma Surgery (HEATS)

Operational medical preparation for clinicians deploying into hostile and evacuation-denied environments.

Course Overview

HEATS prepares clinicians and surgical teams to deliver care in high-threat operational environments where infrastructure is degraded, evacuation may be delayed and tactical pressures directly influence clinical decision-making.

Delivered through immersive simulation and progressive operational scenarios, the programme develops clinical capability, tactical survivability and team integration under pressure.

Learning Focus

• Clinical Lethality: Recognition and treatment of preventable causes of death
• Prolonged Field Care: Sustaining casualties without guaranteed evacuation
• Ethical & Operational Decision-Making: Triage, prioritisation and humane care under scarcity
• Team Integration: Functioning effectively as a cohesive surgical team under pressure

Programme Includes

• Austere anaesthesia
• Damage control surgery
• Blast casualty scenarios
• Siege simulation
• ICU-collapse scenarios
• Multi-casualty exercises

Who It's For

Clinicians and surgical teams preparing to deliver care in hostile, austere and evacuation-constrained environments.