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 principles of emergency response and focuses on managing trauma in the civilian tactical or hazardous environment.

TECC is designed to provide guidelines for managing trauma in situations where seconds count, such as mass casualty or active shooter events, and takes an all-hazards approach to provide care outside most EMS agencies' normal operating conditions. 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 and promotes critical thinking as the foundation for providing quality care.

The new course manual reinforces and clarifies key concepts from the course, featuring an engaging, interactive design that makes you feel like you are participating in a conversation rather than listening to a lecture. The course covers 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 course integrates the Emergency Medical Services (EMS) nomenclature of Hot, Warm, and Cold Zones with tactical nomenclature of Direct Threat, Indirect Threat, and Evacuation Phases. This training program is designed to decrease preventable deaths in the field and is suitable for EMS practitioners of all levels.

More information? get in touch
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