Tactical Emergency Casualty Care (TECC)

Tactical Emergency Casualty Care (TECC) course provides an overview of high civilian threat medical principles to be applied by all active bystanders and medical providers during active violence and intentional mass casualty events. It challenges some of our established principles of emergency response.

TECC focuses on medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to provide care outside most EMS agencies' normal operating conditions, such as responding to a mass casualty or active shooter event. In the civilian tactical environment, seconds count.

TECC: Tactical Emergency Casualty Care, Second Edition trains EMS practitioners of all levels how to safely respond to and care for patients in a civilian tactical environment, including active shootings. This program design to decrease preventable deaths in the field. Developed by the National Association of Emergency Medical Technicians (NAEMT) and endorsed by the American College of Surgeons, TECC, Second Edition reflects current medical knowledge and practice. It promotes critical thinking as the foundation for providing quality care.

The new course manual reinforces and clarifies key concepts from the course, features an engaging, interactive design, and is written so you feel like you are participating in a conversation versus listening to a lecture. -Lessons covering each component of the MARCH assessment, immediate action drills for tourniquet application, pediatric casualty care discussions, and all-new patient simulations, including a final mass-casualty, active shooter event simulation. -The Emergency Medical Services (EMS) nomenclature of Hot, Warm, and Cold Zones has integrated with tactical nomenclature of Direct Threat, Indirect Threat, and Evacuation Phases.
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The course presents the three phases of tactical care and integrates parallel EMS nomenclature:
  • Hot Zone/Direct Threat Care that is rendered while under attack or in adverse conditions
  • Warm Zone/Indirect Threat Care is rendered while the threat has been suppressed but may resurface
  • Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site
The 16-hour classroom course includes all new patient simulations and covers the following topics:
  • Hemorrhage control including immediate action drills for tourniquet application throughout the course
  • Complete coverage of the MARCH assessment
  • Surgical airway control and needle decompression
  • Strategies for treating wounded responders in threatening environments
  • Caring for pediatric patients
  • Techniques for dragging and carrying victims to safety
  • A final, mass-casualty/active shooter event simulation