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Tactical Emergency Casualty Care (TECC)

Tactical Emergency Casualty Care (TECC)


Developed by the National Association of Emergency Medical Technicians (NAEMT) Pre-hospital Trauma Life Support (PHTLS) Committee, this programme is based on the guidelines from the Committee on Tactical Emergency Casualty Care (C-TECC) and the Tactical Combat Casualty Care (TCCC) programme. TECC uses lessons learned from the military and applies them to the civilian world of tactical medicine. This 16-hour, 2-day course covers topics designed to decrease preventable death in a tactical situation.

NAEMT TECC teaches first responders, ambulance technicians, paramedics, nurses, doctors, hostile and remote medics how to respond to, and care for, patients in a civilian tactical environment. 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 at any point
  • Cold Zone/Evacuation Care – rendered while the casualty is being evacuated from the incident site replicate real world events and can be adjusted to accomplish specific organisational learning objectives.


The 16-hour classroom course covers the following topics:

  • Haemorrhage control – tourniquets and wound packing
  • Surgical airway control and needle decompression
  • Strategies for treating wounded responder in threatening environments
  • Comprehensive instruction on the “MARCH” algorithm assessment
  • Techniques for lifting, dragging, and carrying victims to safety.


Scenarios for the TECC course final exercise will utilise hyper-realistic and immersive training methods – special effects pyrotechnics, special effects makeup, role players, and medical simulation devices. Scenarios are developed to closely replicate real world events and can be adjusted to accomplish specific organisational learning objectives.


QUALIFICATION: NAEMT’s TECC course is accredited by the American College of Surgeons Committee on Trauma, is consistent with the current guidelines established by the Committee of TECC (Co-TECC) and meets all of the updated National Tactical Emergency Medical Support Competency Domains. This course is accredited by CAPCE for 16 hours of continuing education credit and recognised by NREMT.

This course provides 16 CPD hours, externally accredited by the UK CPD certification service.


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