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Our Mission

...To empower people through the expansion of knowledge.


L1A courses are a great way to begin or continue that journey. We often find that those who enroll for our programs are unaware of their own capacities. We intend to change that. 


Hands-on learning - There is no better way to learn and retain critical care skills. L1A can offer you a unique solution, delivered to you without the need for travel. 


Request a course today.

Your instructors


Tim Bell

Director of Clinical Training, ATRAM Course Director, Chief Financial Officer

Tim has 30 years of experience as a healthcare provider with experience in Fire/Rescue/EMS, Flight Medicine, and Respiratory Therapy.  He has a passion for teaching, which drives his dedication to raising the bar for critical care skills training. Tim is a Nationally Registered, Licensed Critical Care Paramedic and Licensed Certified Respiratory Therapist.  He is one of the first Flight Paramedics in the world to obtain the FP-C Certification. During his ground EMS career, he was a Tennessee Department of Health EMS Board Member, and he has served on the Board of Directors for the Tennessee Association of Rescue Squads since 1993.  Tim was the Course Director for a Level One Trauma Center Advanced Skills Lab Training Program from 2011-2018; in which time he organized and directed over 100 training labs, which provided training skills for over 1,500 individual medical providers.



Joe Cobble

Chief Executive Officer

ATRAM Assistant Course Director

Joe is a Registered Nurse, Nationally Registered Paramedic,and former Fire Captain with experience with almost 30 years of experience in Fire, Rescue, EMS, and Nursing. His credentials include advanced vehicle rescue/extrication, structural collapse, trench rescue, low and high angle rescue, and confined space rescue. He studied Counter Terrorism tactics and became certified in Weapons of Mass Destruction for chemical, radiological, and biohazard response, and served as a technical advisor for local, regional, state, and federal operations. Joe obtained certification as a Special Response Trainer for Tactical Paramedics and Terrorist Aftermath, and started Alabama’s first Tactical Paramedic Program; a joint venture between the local Fire and Police Departments. Joe has experience as a Flight Nurse/Paramedic, Emergency Department Nursing, and has a Fire/Rescue technician background.




Dr. Scott Giles, DO

Medical Director

Originally from Reno, Nevada, Dr. Giles graduated with honors from the University of Nevada, Reno with a degree in Pre-medicine. He attended the University of Health Sciences, College of Osteopathic Medicine in Kansas City, Missouri. Dr. Giles did his post graduate training at the Oakland Naval Hospital in Oakland,California. He then served in Pensacola, Florida where he trained as an aviation medical evaluator. From there, he served as a General Medical Officer with the Marines at Camp Lejune, North Carolina where he was the assistant director of the Emergency Department and Senior Medical Officer for the branch clinics on base, picking up training for Combat Casualty Care, High Altitude and Cold Weather. After completing his military service, Dr. Giles moved to Middle Tennessee to take a job as a staff Emergency Medicine Physician at the University Medical Center in Lebanon. Dr. Giles became a preceptor for the Acute Care Nurse Practitioner and Emergency Department Nurse Practitioner programs for Vanderbilt University School of Nursing in Nashville, Tennessee. Dr. Giles was the first Tactical Medic for the Lebanon Tennessee Police Special Weapons and Tactics (SWAT) team. He served in that position for 8 years. In 2001, Dr. Giles was hired by Air Evac Lifeteam to be the Tennessee State Medical Director. Dr. Giles is a Fellow of the American College of Emergency Physicians and a Member of the Tennessee College of Emergency Physicians. Dr. Giles is currently a staff physician in the Emergency Department at Tennova Harton Hospital in Tullahoma, Tennessee.



Brittany Nix


Dana McDonald


Mike Clements


Sarah Seiler


Jon Johnson


Tina Johnson

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