The 2^nd edition of NAEMT’s Tactical Emergency Casualty Care (TECC) course teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment.

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 that is rendered while the threat has been suppressed but may resurface at any point.
• Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site.

The 16-hour provider 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; and
• A final, mass-casualty/active shooter event simulation.

NAEMT’s TECC course is endorsed by the American College of Surgeons Committee on Trauma, is consistent with the current guidelines established by the Committee on 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 recognized by NREMT.

The TECC Refresher Course is for individuals who have successfully completed the 16-hour TECC provider course within the past four years. Current TECC provider certificate or wallet card required. Upon successful completion of the course, students receive a certificate of completion and 8 hours of CAPCE credit.

The TECC-LEO (Law Enforcement) Course is specifically designed for law enforcement officers and other non-EMS first responders. The course covers materials found in the 16-hour TECC provider course at a level appropriate for first responders. It includes 8 hours of content, which includes interactive lectures, skill stations, and patient simulations. Upon successful completion of the course, students receive a certificate of completion, a wallet card recognizing them as a TECC-LEO provider for 4 years, and 8 hours of CAPCE credit for qualified participants.

(NAEMT, 2021)