TACTICAL EMERGENCY CASUALTY CARE

Treating Violent and Traumatic Injuries

(TECC) is a set of best practice treatment guidelines for trauma care in the high-threat prehospital environment. These guidelines are built upon critical medical lessons learned by the US and allied military forces during the Global War on Terror. They are appropriately modified to address the specific needs of civilian populations and civilian EMS practice. These needs account for active shooter incidents officer/citizen down rescues, and terrorist attack.

PHASES OF CARE

Care Under Fire- Hot Zone: Direct Threat Care – Patient care rendered while under attack, in adverse, or other dangerous environments.

Tactical Field Care- Warm Zone: Indirect Threat Care – Patient care rendered while the primary threat has been suppressed but secondary threats have not been mitigated.

Tactical Evacuation- Cold Zone: Evacuation Care – Patient care rendered while the patient is being evacuated to a higher level of care.

These phases are intended to correlate directly with the contemporaneous threat level and are not solely geographic in nature. The curriculum aims to prepare students to render care with the goal of reducing mortality by emphasizing the following points during all phases.

• Rapid life-saving interventions at or near the point of injury

* Rapid evacuation and transport to a higher level of care

MARCH ALGORITHM

MAJOR HEMMORAGING

• Tourniquet Use
• Wound Packing
• Direct Pressure

AIRWAY

• Head Tilt Chin Lift- Ja Thrust Method
• Nasopharyngeal
• Oropharyngeal

RESPIRATIONS

• Chest Seals
• CPR (when applicable)

CIRCULATION

• Check all interventions.
• Vitals Exam

HEAD/HEAT INJURIES

• Preventing Shock
• C- Spine Considerations
• Environmental Concerns

ADDITIONAL CONSIDERATIONS

The proposed curriculum will also address the following considerations unique to a tactical environment. These topics can be changed as needed to fit the needs of the host organization.

• Establishing Security / Force Protection Considerations
• Forming and deploying a Rescue Task Force (Active Attacker Incidents)
• Lifts and Carries
• Rescue and Extraction Techniques
• Mobile Evacuation Techniques
• Gear selection and set up.
• Public Access Bleeding Control Kits

DYNAMIC SCENARIOS AND ALL HANDS TRAINING EXERCISE

This curriculum is designed to allow for three individual exercises and two group exercises. The group exercises involve all attending participants to render care in an Active Shooter simulation and a Mass Casualty Incident (MCI) required triage.

We supply the TCCC equipment for the course.  However, having your own IFAK increases your experience and familiarity with your equipment which can be a life saving advantage.  Don’t worry, you won’t use any expendable items from your kit.

We highly recommend North American Rescue products and we recommend the NAR INTERMEDIATE BLEEDER CONTROL KIT:
https://www.narescue.com/public-access-individual-bleeding-control-kit-nylon

2 – Day $550.00