Yeah, you do the training under stress,etc. Last time I did it, they had loud speakers playing what I'm guessing to be was the saving private ryan beach head scene, a simulated helo crash scene, and a bunch of instructors around hassling you. We did night sticks under nods as well, the nose hose, and all that other happy stuff. Same principles as CLS, but under more "realistic" and stressful conditions.
Realism. If you can find a place that does the ACMS-VT recerts for Medics, they have SIMmen... basically manequins that breathe, bleed, live die etc. the operator changes settings based on your treatments. also, look up the most recent care continuum.... either Tactical Combat Combat Casualty Care (tc3) or the MARCH theory. if you need slides or pics I have that too. I teach CLS. let me know if you need any pointers.
IMHO the title COMBAT LIFE SAVER sounds comical/trivial/less than serious. I'd prefer to use the term Tactical First Responder.
Another thought occurred to me as well on this subject. Civilian EMS personnel would pay good money to learn how to be a "tactical medic" and I find soldiers in my classes that do not want to be there but were ordered to attend!
Furthermore, I went through CLS... I am an ACS certified ATLS instructor and have ample time as trauma resident, and I got some good learning out of the course. I'm sleep deprived and on call but damn that attitude of "why do I care" just pisses me off. The training is very useful especially considering it is designed for those with no medical experience.
Soory, lost my temper there. Please ignore my ranting and raving.