Tactical Training Facility in San Antonio, TX | Call: 702-682-3475
Medical & First Responder Training at The Ranch TX
Trauma-Informed. Research-Driven. Real-World Ready.
The Ranch TX is a certified NAEMT training facility built to serve the evolving needs of civilian and tactical medical professionals. Our 300-acre campus offers an unparalleled environment for hands-on emergency medical training, first-responder certification, trauma triage simulation, and applied medical research. With partnerships that include the most respected experts and innovators in the field, we bring cutting-edge programs and solutions directly to the field—where performance matters most.
Whether you're preparing medics for deployment, training responders for mass casualty events, or advancing research in prolonged field care, our facility combines real-world training grounds with the capability to collect valuable, operationally relevant data.
Why Operators & Medics Train at The Ranch TX
NAEMT-Certified Facility
Accredited programs including Tactical Combat Casualty Care (TCCC), Tactical Emergency Casualty Care (TECC), and Bleeding Control (B-Con).
Unmatched Realism in Emergency Scenarios
Train in full-spectrum medical emergencies with live role players, simulated injuries, and environmental stressors, including smoke, explosions, and low/no light.
Integrated Medical + Tactical Training
Combine trauma medicine with force-on-force, breaching, and mobility drills for the most realistic responder experience available.
Field-Based Medical Research & Innovation
We are building the nation’s premier field medical training and research center focused on a point of injury to Role III continuum of care, empowering agencies and task forces with relevant research and mission-ready capabilities.
Custom Course Development
Collaborate with the best instructors in the industry to develop turnkey medical training packages tailored to your operational goals.
On-Site Lodging & Meals
Bunkhouse accommodations ($75/night) and catering are available for multi-day or team-based training.
Featured Programs & Capabilities
Foundations of Battlefield Medicine
Designed in collaboration with pioneers of the Prolonged Field Care Working Group, this scalable curriculum meets and exceeds training requirements for federal, state, and military responders. Combines TCCC, PCC, and annual training mandates into one data-driven course model.
DARK+WOODS: Advanced Team Medical Training
Team-based training that builds upon the Foundations curriculum with added complexity, culminating in full-mission profile medical exercises. Created for SOF, tactical teams, and high-risk deployment units operating in austere, delayed-evacuation environments.
SO+EMT: Special Operations Emergency Medical Technician
Bridges the gap between medics and non-medical teammates. Teaches life-saving trauma care, patient management, and medical decision-making for high-threat environments. Ideal for units needing non-medical personnel prepared to assist in critical moments.
AEC: Austere Emergency Care Certification
Civilian-accessible course combining online and in-person learning. Adapted from military prolonged care protocols for use by remote providers and emergency teams in resource-poor environments. Tracks include both foundational and advanced care.
Mass Casualty & Integrated Response
Custom-designed multi-agency simulations involving role players, OPFOR, and scenario-specific objectives. Ideal for EMS/fire/police integration, school shooter drills, or large-scale incident response.
Child Rescue Triage Training
Supports task forces and agencies responding to child trafficking or exploitation rescues. Programs include trauma-informed care, field stabilization, urgent care response, and secure transfer protocols. Data collection supports future response standards and policy development.
Medical Research & Data Application
We are actively supporting research initiatives to improve real-world performance, including:
- Prolonged field care outcomes
- Pediatric trauma patterns & stabilization data
- Time-to-treatment benchmarks in austere conditions
- Trauma-informed training effectiveness
- Multi-agency communication and triage workflows
Research partners receive access to anonymized data, field feedback, and collaborative program development with direct ties to operators, instructors, and survivors.
Why Research Matters: Advancing Readiness Through Data
At The Ranch TX, research is more than a buzzword—it’s a catalyst for real-world change. By collecting and analyzing performance data in live, high-pressure environments, we help identify gaps in training and create targeted improvements that increase survivability and mission success.
2 Key Data Streams We Support:
1. Human Performance Data
Track decision-making, timing, accuracy, and physiological response under stress. With access to advanced simulators and sensor-based metrics, we help research partners measure how individuals perform in the most demanding scenarios.
2. Training Outcome Metrics (Non-Human Subject)
We gather objective performance data tied to training efficacy, including timing, treatment accuracy, and mission success rates—without needing to involve human subjects. These insights allow for rapid refinement of curricula, protocols, and equipment usage.
Why This Matters:
Real-world scenarios expose where training fails. Our research shows where breakdowns occur—so we can correct them, improve outcomes, and ensure teams leave better prepared for the threats they face. Whether you’re conducting a clinical study, developing new training tools, or looking to test products in the field, The Ranch TX is your laboratory for real-world data.
Training & Research Support Services
- Live role players (victims, civilians, suspects)
- Non-lethal munitions & simulation weapons
- Smoke, effects, and explosive simulations
- Scenario-based curriculum design
- Pre/post-training data collection support
Let’s turn insight into impact.
Partner with us to conduct field-based research, develop new protocols, or validate your products in the most realistic environments possible.
World-Class Training Facilities
MOUT (Military Operations on Urban Terrain) Site
Urban Training Complex
Simulate casualty extractions, tactical triage, and urban mass casualty incidents in our multi-level, confined-space MOUT site. Ideal for testing medical response under urban stressors and pressure-filled scenarios.
Live-Fire Shoothouse
High-Threat Medical Response Integration
Conduct casualty care training in the most realistic environment possible—during and immediately after live tactical engagements. Perfect for integrating TCCC and prolonged field care into CQB and rescue operations.
High-Speed Vehicle Mobility Tracks
Ambush & Extraction Medical Drills
Practice casualty evacuation, vehicle-based trauma scenarios, and crash response under high-speed, off-road, or convoy conditions. Essential for developing response protocols for VBIEDs, IED blasts, and rapid extractions.
Field Camp Area
Field-Based Research & Remote Medical Training
Fully outfitted with power, water, and HLZ access, this area supports long-duration training, field hospitals, and austere medical operations. Ideal for trauma lane rotations, survival medicine, and mobile triage development.
Classrooms with Multimedia Support
Data Review & Medical Curriculum Delivery
Flexible classroom space equipped for AARs, lectures, simulation debriefs, and research briefings. Supports multimedia presentations, instructor-led coursework, and live data visualization.
On-Site Lodging & Dining
Train Longer. Recover Better.
Affordable bunk-style lodging and on-site catering keep your team focused and ready. Perfect for multi-day programs, extended training cycles, or research-intensive fieldwork.
Why Train at The Ranch TX?
Real-World Emergency Scenarios
Elite Instructors with Real-World Experience
Custom Medical & Research Programs
Every evolution replicates the stress, speed, and uncertainty of real emergencies—preparing medics and responders to perform under pressure when lives are on the line.
Custom Medical & Research Programs
Elite Instructors with Real-World Experience
Custom Medical & Research Programs
Whether you’re training first responders, testing new protocols, or collecting human performance data, our programs are built around your mission, your metrics, and your operational needs.
Elite Instructors with Real-World Experience
Elite Instructors with Real-World Experience
Elite Instructors with Real-World Experience
Our cadre includes special operations medics, trauma physicians, and combat-tested professionals with extensive experience in both tactical and medical disciplines.
24/7 Access for Day & Night Operations
Elite Instructors with Real-World Experience
Elite Instructors with Real-World Experience
Train in low-light, no-light, and night vision environments with no noise or timing restrictions—ideal for round-the-clock medical scenarios and research continuity.