The ITLS Combo course is for experienced providers who have completed a prehospital trauma course in the past. The ITLS Combo Course requires completion of online didactic prior to class which is offered through the ITLS website. This Combo Course, offered by OptimuMedicine, covers the follow up to the online didactic training. This intense one day session includes lecture, hands on skills stations, and testing. Please join us to brush up on your prehospital trauma skills! ITLS is an approved provider by the Commission on Accreditation of Pre-Hospital Continuing Education (CAPCE) [formerly CECBEMS] and all ITLS courses are CAPCE certified. ITLS satisfies the prehospital requirement for the State of Nevada and the Southern Nevada Health District.