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The Committee for Tactical Emergency Casualty Care exists to develop and accelerate evidenced and best practiced-based guidance for medical response and medical treatment of the injured during high risk and atypical civilian operational scenarios.
- About Us
Modeled after the Committee for Tactical Combat Casualty...
- Our Work
The Committee for Tactical Emergency Casualty Care used the...
- Educational Partners
Educational Partners - Committee for Tactical Emergency...
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Contact Us - Committee for Tactical Emergency Casualty Care...
- Meetings & Webinars
The May 2024 C-TECC Meeting which will be held in...
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As a 501 c3 Non-Profit, the Committee for Tactical Emergency...
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Leadership & Membership Updates - Committee for Tactical...
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Call for TECC Photos - Committee for Tactical Emergency...
- About Us
The Tactical Emergency Casualty Care (TECC) guidelines are a set of best practice recommendations for casualty management during civilian tactical and rescue operations.
The Committee for Tactical Emergency Casualty Care used the military battlefield guidelines of Tactical Combat Casualty Care (TCCC) as an evidenced based starting point in the development of civilian specific medical guidelines for high threat operations.
The goal of this training course is to provide evidence-based Tactical Emergency Casualty Care (TECC) skills during an active shooter or other mass casualty event. This course should take approximately 40 minutes to complete. Select this link to access a printable version of the course.
- Direct Threat
- Indirect Threat
- Major Hemorrhage
- Airway
- Respiration
- Circulation
- Head Injury
- Hypothermia
- Everything Else
- Evacuation Care
A Direct Threat or Hot Zone is any dynamic area where the risk of harm to the patient or provider is imminent and may be greater than the risk of death posed by the injury itself. This may be a static geographically defined area with perimeters such as seen in traditional hazardous materials or police tactical response, but the Hot Zone may also be...
Indirect Threat (Warm Zone) care begins once the patient and provider are in an area where there is still the potential for harm, or there is a chance that the dynamic situation may deteriorate back to a Direct Threat situation. Because of the dynamic and changing nature of high-threat environments, the care provider must maintain constant situatio...
Major exsanguinating external hemorrhage remains the initial focus of care in this phase as well. This includes reassessing the efficacy of any tourniquets applied in a Direct Threat (Hot Zone) phase and immediately addressing any unrecognized or uncontrolled bleeding and/or any bleeding not amenable to tourniquet use, such as junctional bleeding i...
Once all significant bleeding is controlled, the next medical priority is airway maintenance. Clearing the oropharynx of obstruction, the use of simple airway adjuncts such as nasopharyngeal airways, and proper body positioning are emphasized over definitive airway techniques such as orotracheal intubation. These interventions can easily be incorpo...
The primary focus of maintaining adequate respirations is through addressing and maintaining the integrity of the chest wall and pleural space. This includes covering open pneumothoraces (“sucking chest wounds”) with an occlusive dressing and early recognition and treatment of tension pneumothoraces. Simple recognition of developing tension pneumot...
Early recognition of shock and implementation of damage control resuscitation is the tenet of circulation and shock management during the Indirect Threat Care (Warm Zone) phase. Judicious administration of fluids is recommended only when it is determined that the patient is in profound shock. Normal measurement of vital signs will be difficult at b...
In the case of suspected traumatic brain injury, it is imperative to maintain an adequate cerebral perfusion pressure (CPP). Generally, a systolic blood pressure of at least 90 mmHg is required to maintain a CPP of 60 or more. Fluid resuscitation to achieve or support this blood pressure should supersede permissive hypotension that would otherwise ...
Prevention of hypothermia is a key component of reducing the effects of the lethal trauma triad (cold, coagulopathy, acidosis). In the prehospital and high-threat setting, it is easier to prevent hypothermia from occurring than it is to reverse it. TECC places emphasis on both the awareness of the effects of and the prevention of hypothermia throug...
As with any model of trauma care, proper sequencing is essential to assure no essential interventions are overlooked and that all are completed in an order that will address life-threatening conditions ahead of other important injuries. As such, TECC defers decontamination, treatment of burns, pain control, musculoskeletal injuries, and splinting u...
The Evacuation Care phase describes actions taken to continue providing appropriate trauma care once the patient has been moved from an Indirect Threat (Warm Zone) area to any area where there is minimal if any further risk. Evacuation Care (Cold Zone) principles also apply during transport to definitive medical care and the initial phases of traum...
- Geoff Shapiro, Babak Sarani, E. Reed Smith
- 2017
The Committee for Tactical Emergency Casualty Care (C-TECC) adapted the lessons of TCCC to the civilian high-threat environment and provided important all-hazards response principles for austere, dynamic, and resource-limited environments.
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.
