National Center for Medical Readiness

Rufus Smith, M.S.A., Director

Training Approach: The Calamityville® Experience

Course opportunities accommodate the varying levels of expertise and experience of the student. NCMR strives to increase the skill level of the student by offering an escalation of experiences in both content and intensity, from novice-level courses offering traditional classroom and basic hands-on activities, through advanced-level courses, in which professionals must apply their own experiential knowledge while performing tasks in “worst day” scenarios and settings.

Courses Families

NCMR courses are categorized into course families by content, and then further categorized by course sets defined by students’ level of understanding, role (non-medical vs. medical), and intensity of the activity. Through this approach, students can build upon their existing background, as well as add new experiences to their career portfolio.

Readiness and Preparedness Principles: Readiness and Preparedness Principles are designed to assist community medical assets plan for emergency events and disasters. These courses target healthcare system readiness and help these community partners meet existing accreditation requirements and make good decisions in their preparedness planning.

Calamityville aerial view Calamityville® is located on 55 acres in Fairborn, Ohio.

Response Concepts: The Response Concepts family of courses addresses topics specific to the deployment of medical care in emergency events of all types. Training will include medical and non-medical topics.

Wilderness and Expeditionary Medicine: These courses take the student beyond civilization and teach them the critical principles of providing prolonged care in rugged and extreme settings.

Trauma Care: The trauma care courses will provide the baseline for many of NCMR’s more intense experiences and thus will be pre-requisite for other courses. Content is specific to mechanism of injury, multi-system insult, shock management, bleeding control, and other trauma-specific topics.

Rescue Skills: Rescue skills provide instruction to first responders and/or military personnel in the various disciplines of technical rescue with particular emphasis on patient care. Although the core skillsets of rescue will be the focus of the course, additional content will be dedicated to patient packaging and providing care during the rescue operation.

Sustained Austere Medical Interventions (SAMI): This family of courses is the pinnacle of the Calamityville® experience and is designed to push the professional to his/her maximum capacity to provide care in dynamic and difficult scenarios. Utilizing Calamityville®’s advanced Technical Training Zones the student is exposed to their “worst day.”

Community Resiliency: These courses are targeted to the community at large and provide content designed for the general audience to help them prepare and react to serious emergencies.

In September 2011, the FBI used the Calamityville silos and training center building for tactical training.

Tactical and Law Enforcement Medicine: This course set looks to strengthen the medical capability of local, state and Federal law enforcement agencies. Specifically, these courses provide valuable content that can improve outcomes for those who may find themselves wounded in the dangerous process of enforcing laws.

Decision-Making in Practice: Making timely, accurate, and appropriate decisions are a hallmark of community response. These courses guide the student through advanced simulations in command and control with a focus on the neuro-cognitive process and decision-making.


Chemical, Biological, Radiological, Nuclear, and Explosive Practices: These courses address the multitude of complex emergencies that can arise from these hazards in industrial and terrorist situations.