The Competition
One day. Nine scenarios. Teams of four medics tested on patient care, decision-making, equipment and teamwork under pressure.
How the day works
The format that ran NMC26, and the starting point for 2027.
Two heats of nine
Nine teams start at nine different scenarios and rotate through all of them. After a pause, the next nine teams complete the second rotation.
35 minutes per scenario
Five minutes of in-brief at the scenario, twenty minutes of play, ten minutes of transport to the next scenario.
Liaison and C2
Every team is followed by a liaison who makes sure they are in the right place at the right time. A command and control centre tracks all teams and issues rotation orders.
Judged at every station
At least two judges score every team at every scenario on a MARCH-based digital form. How judging works.
Your team
Requirements as they applied for NMC26. Confirmed requirements for 2027 are published when applications open.
- Four medics per team. Mixed teams across organizations are allowed and welcome.
- At least two of the four members hold competence at Advanced First Responder or Combat Life Saver level (roughly 40 hours of training) or higher.
- All members are affiliated with a relevant organization: military, police, fire and rescue, health services, volunteer organizations or private actors in the total defence concept.
- You do not need to follow TCCC or TECC. Teams provide care according to their own organization's clinical guidelines and are judged on good patient care and sound tactics.
The NMC26 scenario archive
The nine scenarios of 2026. New scenarios are being developed for 2027 - expect the same breadth, from single-casualty tactical care to mass casualty triage.
Low and Slow
A mission to retrieve a casualty turns into a drone attack on the medics.
Tropic Thunder
An EOD operator injured by an explosion while clearing mines and UXO in a minefield.
Stay and Play
Mass casualty event at a stabilization point after a drone attack on civilians. Evacuation is not possible.
C-BERNIE
Treatment and evacuation of patients exposed to chemical contamination and blast injuries.
Cold Plunge
A civilian in the sea, run over by a boat, with hypothermia and propeller injuries.
Sparkles
Medical support to a hostage rescue operation from a torture chamber.
USAR
A casualty trapped under debris after an attack on a building. Field amputation is required to evacuate.
He Ain't Heavy
Handover of a patient with a surgical airway, transported through an obstacle course while reporting a 9-liner and ventilating with a bag valve mask.
Sea Hawk
Sea rescue of a helicopter crew member after ditching. Cardiac arrest on retrieval from the water.
Ready to compete?
Team applications for NMC27 open in September 2026. Places are limited and demand has exceeded capacity every year.