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Tactical Emergency Casualty Care Train-the-Trainer

***Note: Because of extremely high demand, this course is currently ONLY offered with the Rescue Task Force Train-the-Trainer course. We do not offer this course for individual students to attend.***

This curriculum is based upon the foundation of the Tactical Emergency Casualty Care created by the Committee for Tactical Emergency Casualty Care (C-TECC). Threat Suppression is a Recognized Educational Partner with the Committee for Tactical Emergency Casualty Care. For more information, please click here.

This course introduces evidence-based, life-saving techniques and strategies for providing optimal trauma and medical care on the battlefield and in the streets. The blending of military, law enforcement, and EMS best practices results in an enhanced ability of the provider of to identify and treat life threats encountered in any setting.

The principles taught in this course are the result of decades of research conducted by the United States military to reduce preventable deaths on the battlefield. Many of the lessons learned in combat are applicable to civilian medicine. Research has identified five primary causes of preventable death. The “MARCH” acronym identifies each of these causes:

  • Massive hemorrhage

  • Airway complications

  • Respiratory complications

  • Circulation compromise

  • Hypothermia


The TECC curriculum focuses on three distinct phases of care in a hostile environment. Direct threat care is care provided while under attack or in an area with imminent hostile threats. Indirect threat care is care provided when the threat is suppressed; however, a threat may emerge or reemerge at any time. The evacuation phase is the movement and care provided to the injured while they are removed from the area of threat.


In this course, participants will learn many concepts of basic tactical medicine. These concepts include the following:

  • Rapid assessment of the trauma patient

  • Mass hemorrhage control using tourniquets, hemostatics, and wound packing

  • Basic airway management including the use of nasopharyngeal airways

  • Prevention and treatment of respiratory emergencies, including tension pneumothoraxes

  • Bomb blast/burn injuries and treatments

  • Prevention of hypothermia

  • Drags, carries, and other means to rapidly move the wounded to safety

  • The use of casualty collection points

  • Pediatric trauma care


Depending on class length, students may also complete the skill stations listed below:

  • Patient assessment

  • Basic airway management (recovery position, nasopharyngeal airway)

  • Tourniquet application

  • Wound packing

  • Pressure dressings

  • Chest seals

  • Marking of the dead

  • Patient drags and carries


Threat Suppression is an approved Committee for Tactical Emergency Casualty Care training provider. This course is offered as both an eight-hour or 16-hour course. Participants do not have to have prior medical training to attend and pass this course. Upon successful completion, the providers can become TECC instructors if their agency becomes an approved TECC provider with the Committee for Tactical Emergency Casualty Care. For more information on becoming an agency provider, please visit The TECC certification will lie within the individual agency (e.g. the agency is the certifying body, with the TECC approved logo on the certificate)

At the completion of this course, the host agency will be provided with the following material:

  • 300-slide PowerPoint on Tactical Emergency Casualty Care

    • There are two PowerPoints, one is a voice-over explaining each of the slides. The other is a non-voice over that can be used to edit in any way that you would like.

  • TECC training material

    • Position statements

    • Resource articles

    • Skill checkoff sheets

    • TECC guidelines

      • Direct threat care

      • Indirect threat care

      • Bleeding control

      • Airway management

    • Training resources

    • Training PowerPoints


This course is a minimum of eight hours in length and is only taught in conjunction with the eight-hour course, "Rescue Task Force Train-the-Trainer".

To download a PDF description of this training, please click the course PDF below. If you would like more information on booking this course, please email, or call 1-800-231-9106.


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