Raven EMS Education Program Manual
RAV-491 Tactical Emergency Casualty Care (TECC) Course

The 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 (NAEMT, 2024).

Course Description

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 (Combined course library, 2024; NAEMT, 2024). This course is accredited by CAPCE for 16 hours of continuing education credit and recognized by NREMT. Emphasis is on immediate reaction to all types of injuries and accidents. Primary and secondary survey and identifying life threatening injuries and conditions with immediate actions being taken to correct the conditions are covered. The student will be proficient in managing chest wounds/injuries, severe bleeding, airway obstruction and one-man CPR. The student will also become proficient in splinting fractures/dislocations, bandaging wounds/injuries and knowledgeable in transportation techniques. The course is designed to increase the knowledge and skill level of the emergency medical professional in assessing and treating any trauma-related injury. It is designed for the student to better recognize possible trauma injuries due to mechanism of injury, better assess the patient and more aggressively treat shock and trauma in general. 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.

Prerequisites

Course Options

• Provider Course: 16-hour classroom course for EMTs and paramedics. Upon successful completion of the course, students receive a certificate of completion, a wallet card recognizing them as TECC providers for 4 years, and 16 hours of CAPCE credit.
• Refresher Course: 8-hour course 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.
• TECC for Law Enforcement Officers and First Responders (TECC-LEO): An 8-hour classroom course 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.

Course Topics

The 16-hour classroom 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

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