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Tactical Emergency Casualty Care

Endorsed by the American College of Surgeons

Recognized by: Prehospital Trauma Life Support (PHTLS) recognized around the world as the leading continuing education program for prehospital emergency trauma care.

Today's EP agent faces a multitude of challenges, to include providing quality medical care to his/her client is the need arises. This course takes basic first aid to a whole new level, and introduces the student to intermediate to advanced first aid techniques for sustaining life.

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. This certification is good for 5 years.

TECC COURSE: 8am to 4pm

Lead Instructor: Wayne Burdette, NAEMT/NREMT PARAMEDIC,




  • Welcome / Introductions

  • Initial Written Evaluation

  • Lesson 1: Introduction to TECC

  • Lesson 2: Direct Threat Care , Part 1

  • Break

  • Skill Station: Casualty Drags and Carries

  • Lesson 2: Direct Threat Care, Part 2

  • Skill Station: Combat Application Tourniquet (C-A-T)

  • Lesson 2: Direct Threat Care, Part 3

  • Lunch

  • Lesson 3: Indirect Care, Part 1

  • Skill Station: Emergency Surgical Airway and Nasopharyngeal Airway.

  • Break

  • Scenario Rotation #1

  • End


  • Lesson 3: Indirect Threat Care, Part 2

  • Skill Stations: Hemostatic Dressing, Ruggedized Field IV Setup,

  • and Intraosseous Infusion (F.A.S.T.1)

  • Break

  • Lesson 3: Incident Threat Care, Part 3

  • Lesson 4: Tactical Evacuation Care

  • Lunch

  • Lesson 5: Pediatric Care

  • Scenario Rotation #2

  • Scenario Rotation #3

  • Scenario Rotation #4

  • Scenario Rotation #5

  • Lesson 6: Summation

  • Final Written Evaluation

  • End

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