800.231.9106
Tactical Emergency Casualty Care Train-the-Trainer
Important Course Information
Because of exceptionally high demand, this course is currently offered only in conjunction with the Rescue Task Force Train-the-Trainer course. This program is not offered as an open enrollment course for individual students.
Course Overview
This Tactical Emergency Casualty Care (TECC) Train-the-Trainer program is based upon the nationally recognized curriculum developed by the Committee for Tactical Emergency Casualty Care (C-TECC). Threat Suppression is a Recognized Educational Partner with C-TECC and an approved TECC training provider.
The course introduces evidence-based strategies and life-saving medical interventions designed for hostile and high-threat environments. Drawing upon military, law enforcement, fire service, and EMS best practices, the curriculum prepares responders to identify and manage preventable causes of death during traumatic emergencies. While many of these principles originated from decades of military research focused on reducing preventable battlefield deaths, they have proven equally valuable in civilian active assailant incidents, mass casualty events, tactical operations, and everyday emergency response.
Research has identified five primary causes of preventable trauma death, commonly remembered through the MARCH acronym: Massive Hemorrhage, Airway Complications, Respiratory Complications, Circulation Compromise, and Hypothermia. Participants learn to rapidly identify and address these life-threatening conditions while operating in dynamic and potentially dangerous environments.
Tactical Emergency Casualty Care Principles
The TECC curriculum is organized around three phases of care. Direct Threat Care focuses on treatment provided while under attack or while an imminent threat exists. Indirect Threat Care addresses patient care after the immediate threat has been suppressed, while recognizing that danger may still emerge or re-emerge. Evacuation Care focuses on the treatment and movement of casualties from the area of danger to higher levels of medical care. Understanding how priorities change during each phase is a critical component of the course.
Participants learn practical tactical medical concepts that can be applied in active assailant incidents, mass casualty events, tactical operations, and routine emergency response. Topics include rapid trauma assessment, hemorrhage control using tourniquets, hemostatic agents and wound packing, airway management, respiratory emergencies including tension pneumothorax recognition, blast and burn injuries, hypothermia prevention, casualty movement techniques, casualty collection point operations, and pediatric trauma considerations.
Practical Skills Training
Depending on course length and host agency requirements, participants may complete practical skill stations involving patient assessment, airway management, tourniquet application, wound packing, pressure dressings, chest seals, casualty movement techniques, and casualty management procedures. These practical exercises are designed to build instructor confidence and prepare participants to teach the material within their own organizations.
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 info@ThreatSuppression.com, or call 1-800-231-9106.
Last updated June 22, 2026.
