Tactical Emergency Casualty Care logo

Developed by NAEMT’s  Prehospital  Trauma  Life  Support (PHTLS) Committee,  the TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC)  and  the Tactical Combat Casualty  Care  (TCCC)  program. TECC  uses  lessons learned  from  our  military  and  applies  them  to  the  civilian  world of tactical medicine.

This  16-hour  course  covers  topics  designed  to  decrease  preventable  death  in  the tactical  situation.   Topics  include:  Hemorrhage  control;  surgical  airway  control  and needle  decompression;  strategies  for  treating  wounded  responders  in  threatening environments;  caring  for  pediatric  patients;  and  techniques  for  dragging  and  carrying victims to safety.

At the core of the TECC program are three distinct phases that have been well-proven by  TCCC-trained  personnel  in  the  war  against  terrorism  in Iraq and  Afghanistan. The phases are as follows:

  • Direct Threat Care
    Care that is rendered while under attack or in adverse conditions.
  • Indirect Threat Care
    Care that is rendered while the threat has been suppressed, but may resurface at any point.
  • Evacuation
    Care that is rendered while the casualty is being evacuated from the incident site.

TECC focuses on the 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  providing  care  outside  the  normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.

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