DAILY BILINGUAL - PEC SafeLand Basic Orientation

DAILY BILINGUAL - H2S Awareness Training | PEC H2S Clear


DAILY - Fit Testing & Medical Evaluation

DAILY - Rapid Cup, DOT & Hair Follicle Drug Testing​


*All of the above classes are available anytime upon request.

MEDIC First Aid BasicPlus is a combined adult CPR, AED, and first aid training program designed specifically for the occupational first aid provider. This extremely flexible program will help employers meet OSHA and other federal and state regulatory requirements for training employees how to respond and care for medical emergencies at work.

Domestic & International Safety & Consulting Services
Training Center Location - 855 Central Drive, Suite 31-A, Odessa, Texas 79761

(432) 553-9659      •      Odessa / Midland, Texas

Comparative Effectiveness of Cardiac Resynchronization Therapy Among Patients With Heart Failure and Atrial Fibrillation: Findings From the National Cardiovascular Data Registrys Implantable Cardioverter-Defibrillator Registry [Original Article]


Atrial fibrillation is common in patients with heart failure, but outcomes of patients with both conditions who receive cardiac resynchronization therapy with defibrillator (CRT-D) compared with an implantable cardioverter-defibrillator (ICD) alone are unclear.

Methods and Results—

Using the National Cardiovascular Data Registry’s ICD Registry linked with Medicare claims, we identified 8951 patients with atrial fibrillation who were eligible for CRT-D and underwent first-time device implantation for primary prevention between April 2006 and December 2009. We used Cox proportional hazards models and inverse probability-weighted estimates to compare outcomes with CRT-D versus ICD alone. Cumulative incidence of mortality (744 [33%] for ICD; 1893 [32%] for CRT-D) and readmission (1788 [76%] for ICD; 4611 [76%] for CRT-D) within 3 years and complications within 90 days were similar between groups. After inverse weighting for the probability of receiving CRT-D, risks of mortality (hazard ratio, 0.83; 95% confidence interval, 0.75–0.92), all-cause readmission (hazard ratio, 0.86; 95% confidence interval, 0.80–0.92), and heart failure readmission (hazard ratio, 0.68; 95% confidence interval, 0.62–0.76) were lower with CRT-D compared with ICD alone. There was no significant difference in the 90-day complication rate (hazard ratio, 0.88; 95% confidence interval, 0.60–1.29). We observed hospital-level variation in the use of CRT-D among patients with atrial fibrillation.


Among eligible patients with heart failure and atrial fibrillation, CRT-D was associated with lower risks of mortality, all-cause readmission, and heart failure readmission, as well as with a similar risk of complications compared with ICD alone.

Bloodborne Pathogens in the Workplace training program teaches the information every employee who has occupational exposure needs to know to avoid accidental exposure to potentially infectious materials and to manage an accidental exposure if one occurs.

Medic First Aid CPR/AED Certification

General Industry or Construction Industry, OSHA mandates your employees be trained in First Aid and CPR. Many companies prefer to remove themselves from the liability and time consuming task of training there employees. We recommend adding this program to your New Employee Orientation (NEO) class. We are ready and have the experience necessary for proper training. So weather your in the Oilfield, Child Care, Senior Care, EMS, Fire, Law Enforcement, Education or just coaching your childs baseball team. This training is essential. Call for a quote and schedule your onsite training class today!​

OSHA's standard for first aid training in general industry, 
29 CFR 1910.151(b), states:

In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons shall be adequately trained to render first aid.

TEXAS Training Center 

(432) 553-9659 

Odessa, Texas 79763
www.TTCSafety.com   Training@TTCSafety.com 

Medic First Aid CPR/AED Training​

Child/Infant CPR and AED Supplement is designed to give students the knowledge and skills necessary to manage a cardiac arrest emergency for children and infants.

Texas Training Center