A non-permissive environment describes and environment which has a complex degree of uncertainty and instability. Any environment which presents the challenge of performing duties safely and effectively would be described as no- permissive. Typically, when one hears the phrase non-permissive environment, they are brought to the idea of an austere wilderness setting or military medicine. While all of this is 100% a non-permissive situation, this type of environment can present itself outside of those realms and trying to develop and perform medical duties in this sort of environment can be extremely challenging.
Typically, within a normal clinical setting, you have a team of professionals with a plethora of experience and training along with an abundance of resources needed to provide high level patient care. In a non-permissive environment, resources are almost always limited and you may be the only provider in the situation providing care beyond the scope of your training. This kind of environment can be in the austere or wilderness setting such as a back country backpacking trip, a SWAT team serving a remote warrant, a military deployment setting or could be more local as a hospital without power as a result of a natural disaster or an active shooter situation.
This 3 day course is designed to teach a different way of thinking about patient care. Day 1 is based off of the Tactical Combat Care model of point of injury care. It goes over how and when to treat life threatening injuries in a dangerous or situation filled with uncertainty. Day 2 goes past point of injury care and how to treat casualties in a prolonged care setting with limited resources. Day 3 is a day of hands on skills testing and situational based scenarios designed to get the providers to develop the critical thinking skills needed to perform and succeed in a non permissive medical event.