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Developed by NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee, the TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC) and theTactical Combat Casualty Care (TCCC) program. TECC uses lessons learned from our military and applies them to the civilian world of tactical medicine.


This 16-hour course covers topics designed to decrease preventable death in the tactical situation.


Topics include: Hemorrhage control; surgical airway control and needle decompression; strategies for treating wounded responders in threatening environments; caring for pediatric patients; and techniques for dragging and carrying victims to safety.


At the core of the TECC program are three distinct phases that have been well-proven by TCCC trained personnel in the war against terrorism in Iraq and Afghanistan. The phases are as follows:

Direct Threat Care

Indirect Threat Care

Evacuation Care


TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.  TEMS Medics are a direct medical asset to the actual SWAT/ERT team they are assigned to.


TECC graduates are tasked with rendering aid to EVERYONE.

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