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Federal and civilian tactical and emergency medical response teams now stand at the same crossroads the military special operations medical community stood at in the early 1990s. Implementing TCCC guidelines as written into civilian protocols has the same fundamental flaws as utilizing civilian ATLS principles for battlefield treatment of combat wounded. This practice is essentially basing medical care on a doctrine designed to address the specific environment and restrictions of the military battlefield, not the civilian setting.
TCCC is written for the combat medic operating in a combat theater, not for the civilian tactical medic operating in a crack house in downtown Washington, DC. There is no doubt that the weapons and wounds are similar between the two settings, and there is no doubt that federal and civilian tactical teams are indeed in combat. But, just as ATLS did not address many of the unique factors specific to the military combat environment, TCCC does not address the differences in the military setting, the federal or civilian provider, and the non-military environment.
These differences include, but are not limited to, the following:
Patient population to include geriatrics and pediatrics
Distance, the time required, resources available for evacuation to definitive care
Differences in barriers to evacuation and care
Baseline health of the population
Chronic medication use in the injured
Special populations including pregnant patients, mentally and physically handicapped
The conclusion, logically then, is that blind implementation of TCCC doctrine by federal and civilian first responders without consideration for these subtle differences will result in a practice that will not be as effective and potentially may be detrimental in some populations.
Similar to what TCCC did for the medical care in the military combat setting, civilian and federal first responders needed a new paradigm, a framework that defined the environment and resource constraints, and provided guidance that would allow best evidence-based management of patients to accomplish the life-saving mission. To address this need, a diverse group of first responder experts called the Committee for Tactical Emergency Casualty Care (C-TECC) was formed and, in May 2011, held their inaugural meeting to create the Tactical Emergency Casualty Care guidelines (TECC). The TECC guidelines are a set of best practice recommendations for casualty management during high threat civilian tactical and rescue operations.
What is our TECC training philosophy?
The training provided by our company is in full accordance with the TECC guidelines, we teach how it was meant to be taught, according to the provider skill level. We do not deviate from the curriculum nor do we teach our own "interpretation" of the guidelines.
We teach you the how's and why's, followed by the evidence-based tactical medicine research which justifies it. We show you all different kinds of gear and equipment and how they are best applied. We have numerous different types of tourniquets, bandages, hemostatic agents, stretchers, sleds, and training tools for you to evaluate.
Each course includes time for a full gear shake out, we will show you what you have that is worth keeping, what is junk, and what you need to be purchasing.
This is a "tactical medical course", not a "run-and-gun" or "edutainment" course, it is designed to enhance your medical skill set. Courses that include "tactical training" really take away from the medical didactic component. We want you to really understand the subject matter and will dedicate as long as it takes for every student to leave with the confidence needed to act during a time of crisis.
Levels of TECC courses available
TECC - Civilian First Care Provider
Designed for the responsible armed civilian who wishes to add actionable trauma care skills to their tool box
Civilian First Care Providers are empowered and trained community members who can serve a critical role during the initial moments after complex and dynamic disasters. These FCPs often have immediate access to severely injured victims and can provide time-sensitive, life-saving interventions; the FCP is the first link in the trauma chain of survival.
TECC - First Responders with a Duty to Act
For anyone with a "duty to act" or for those wishing more than "basic" first aid skills.
Designed for non-EMS responders including government, corporate, industry, lifeguards, security personnel, law enforcement, corrections personnel and other individuals who are not EMS or healthcare providers but desire or require advanced training in dealing with casualties stemming from active shooter or bombing incidents.
TECC - Tactical Emergency Casualty Care - Medical Provider Course
Designed for Tactical Team Medics at the BLS/ALS level
Similar to what TCCC did for the medical care in the military combat setting, civilian and federal first responders needed a new paradigm, a framework that defined the environment and resource constraints, and provided guidance that would allow best evidence-based management of patients to accomplish the life-saving mission.
The TECC guidelines are a set of best practice recommendations for casualty management during high threat civilian tactical and rescue operations. Based upon the principles of Tactical Combat Casualty Care (TCCC), TECC guidelines account for differences in the civilian environment, resources allocation, patient population, and scope of practice.