Tactical Emergency Casualty Care (TECC)

CIRT is now teaching the new Second Edition Tactical Emergency Casualty Care (TECC) from the NAEMT. This course is intended for medical responders who want to build a strong foundation and deliver proven treatments to casualties in their time of need. TECC is a 16 hour classroom, skill-based training which can include hyper-realistic simulation.

In TECC students will learn to work through the 3 phases of care during an incident.

  • Hot Zone: Direct Threat Care – Patient care rendered while under attack, in adverse, or otherwise imminently dangerous conditions.
  • Warm Zone: Indirect Threat Care – Patient care rendered while the threat has been suppressed but may resurface at any point.
  • Cold Zone: Evacuation Care – Patient care rendered while the patient is being evacuated from the incident site.

Massive Hemorrhage: Extremity bleeding is the number one cause of preventable death on the battlefield. A casualty has a much higher chance of survival the earlier bleeding is controlled. 

In this course students will learn how to:

  • Assess for bleeding and identify different types of bleeding.
  • Quickly apply direct or proximal pressure
  • Effectively apply a CoTCCC approved tourniquet.
  • Application of a junctional tourniquet.
  • Wound packing and pressure dressings.
  • Visual and Physical Blood Sweeps. 

Airway: Airway obstructions is the third leading cause of preventable death. A casualty needs assessment and reassessment to ensure airway patency. 

In this course students will learn:

  • Assessment of the airway (airway sounds and obstruction indicators).
  • Manual airway maneuvers .
  • Use of airway adjuncts and devices.
  • Advanced Airway maneuvers and surgical intervention.
  • Casualty positioning to prevent asphyxiation.

Respiration: Tension Pneumothorax is the second preventable cause of death on the battlefield. A thorough chest exam of the casualty is important to check for penetrating chest trauma. 

In this course the student will learn:

  • How to perform a thorough yet rapid chest exam. 
  • Assess for chest wall stability.
  • Identify entrance, exit, and blast wounds.
  • How to apply an occlusive dressing.
  • Needle Decompression of the Chest (NDC)
  • Assesment of casualties breathing.

Circulation: The quicker the preventable life threats are treated the less likely a casualty will be to go into shock. Shock is the bodies inability to perfuse or oxygenate the tissues and organs. If shock continues it becomes irreversible. 

In this course students will learn:

  • How to assess a casualties circulation
  • Signs and Symptoms of the different types of shock. 
  • Vascular Access IV/IO
  • Fluid Resucitation/Damage Control Resucitation
  • Blood Products vs crystalloids and colloids

Hypothermia/Head-Injury: Hypothermia is a condition that worsens bleeding and increase the likelihood of shock.

In this course the student will learn:

  • Assessment for hypothermia.
  • Treatment to prevent hypothermia in a casualty.
  • Assessment of a head injury.
  • Positioning of a casualty with a head injury.