Tactical Emergency Casualty Care (TECC)


The Tactical Emergency Casualty Care (TECC) course is an essential training program that teaches 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 established emergency response principles and focuses on managing trauma in the civilian tactical or hazardous environment.

Developers and Endorsements: TECC was developed by the National Association of Emergency Medical Technicians (NAEMT) and endorsed by the American College of Surgeons. It reflects current medical knowledge and practice and promotes critical thinking as the foundation for providing quality care.

Training Objectives:

  • Provide guidelines for managing trauma in situations where seconds count, such as mass casualty or active shooter events.
  • Take an all-hazards approach to provide care outside most EMS agencies' normal operating conditions.
  • Reinforce and clarify critical concepts from the course through an engaging, interactive design.
  • Cover 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.
  • Integrate the Emergency Medical Services (EMS) nomenclature of Hot, Warm, and Cold Zones with tactical nomenclature of Direct Threat, Indirect Threat, and Evacuation Phases.
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Course Components:

  • The TECC course manual features an engaging, interactive design that makes participants feel like they are participating in a conversation rather than listening to a lecture.
  • The course presents the three phases of tactical care:
    • Hot Zone/Direct Threat Care: Rendered while under attack or in adverse conditions.
    • Warm Zone/Indirect Threat Care: Rendered while the threat has been suppressed but may resurface.
    • Cold Zone/Evacuation Care: Rendered while the casualty is being evacuated from the incident site.

It integrates parallel EMS nomenclature with tactical nomenclature, providing a comprehensive understanding of managing trauma in various environments.

    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.

    Target Audience: This training program is designed to decrease preventable deaths in the field and is suitable for EMS practitioners of all levels, as well as active bystanders and medical providers who may find themselves in high-threat situations.

    Conclusion: The Tactical Emergency Casualty Care (TECC) course equips participants with essential skills and knowledge to provide immediate medical care in high-threat environments, such as mass casualty or active shooter events. By challenging established principles of emergency response and integrating EMS and tactical nomenclature, TECC ensures that participants are prepared to manage trauma effectively when seconds count.

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