ADS and ITTS present Tactical Operations Manikin (T.O.M. Man): a rugged patient care simulator capable of surviving the harsh treatment of tactical trauma training. The video shows how the manikin is designed to move like a human and simulates massive bleeding. Plus, breathing is optionally controlled by recovery position for Care Under Fire. Several areas of massive and minor bleeding throughout the main arteries and face are managed via a single controller that provides a number of features to support TAC Med and TCCC training with “live responses”.