Tactical Emergency Casualty Care Train-the-Trainer

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IMPORTANT: This Course is for Host Agencies Only

The Tactical Emergency Casualty Care Train-the-Trainer course is designed exclusively for agencies and organizations to purchase as instructor training. This is not a course for individual first responders or civilians. Individual participants cannot attend unless invited by the host agency.

If you are an individual first responder or civilian interested in tactical emergency casualty care training, we recommend contacting your agency's training coordinator or checking our Events page for publicly scheduled courses in your area.

This course is typically offered in conjunction with the Rescue Task Force Train-the-Trainer package as a comprehensive tactical response training solution for agencies.

The Problem: Preventable Death in Active Threats

When active assailant incidents, mass casualty events, or other hostile situations occur, the difference between survivor and fatality often comes down to immediate trauma care delivered in seconds, not minutes. Preventable deaths from hemorrhage, airway compromise, and respiratory failure account for the majority of trauma fatalities in hostile environments.

Standard emergency medical training assumes a secure scene with access to advanced equipment and transport. Tactical emergency casualty care operates in a fundamentally different environment: the scene may still be hostile, the casualty may need to move under fire, and responders must manage life threats with limited resources and under extreme stress.

If your agency's instructors and tactical medical providers haven't been trained in the Tactical Emergency Casualty Care framework, your personnel lack the structured approach to rapidly identify and manage preventable deaths in hostile environments. This course addresses that gap.

What This Course Covers

The TECC Framework and Phases of Care

The course is built on the Tactical Emergency Casualty Care framework developed by the Committee for Tactical Emergency Casualty Care (C-TECC). It translates lessons from military and civilian trauma care into a practical approach for active threats.

Participants learn three distinct phases of care: Direct-Threat Care (provided while an attack or imminent hostile threat remains), Indirect-Threat Care (provided after the threat is suppressed while recognizing it may reemerge), and Evacuation Phase Care (movement and care as casualties are removed from the threat area).

The MARCH Framework organizes the primary preventable causes of death: Massive hemorrhage, Airway complications, Respiratory complications, Circulation compromise, and Hypothermia. Participants examine how each threat manifests in active assailant incidents, mass stabbings, vehicle-as-a-weapon events, explosive attacks, chemical-weapon scenarios, and pediatric trauma.

Recognition and Management of Life Threats

Participants develop a structured approach to tactical patient assessment and management within their scope of practice. Instruction covers tourniquets (including why many improvised tourniquets fail), hemostatic agents, wound packing, pressure dressings, basic airway management with nasopharyngeal airways, chest seals, tension pneumothorax recognition and management, and hypothermia prevention.

The course also examines current debates and best practices involving triage methods, intravenous access, advanced airway management, needle decompression, sedation-facilitated airway management, and related interventions in tactical settings.

Practical Skills and Casualty Movement

Lecture material is reinforced through hands-on practical stations and applied evolutions. Depending on course scope and participant skill level, instructors practice patient assessment, recovery positioning, nasopharyngeal airway placement, tourniquet application (including pediatric techniques), wound packing, pressure dressings, chest seals, casualty marking, and evacuation techniques including patient drags and carries. Participants also evaluate casualty collection points and assess the advantages and disadvantages of using them during hostile-event response.

Instructor Pathway and Supporting Resources

Threat Suppression is an approved C-TECC training provider. Upon successful completion, instructor-participants may certify to deliver TECC training at their agencies if their agency meets the requirements to become an approved C-TECC provider (the agency retains responsibility for applicable provider and certification requirements).

The host agency receives a comprehensive resource package including a 250-slide TECC PowerPoint (voice-over and non-voice-over versions), C-TECC guidelines and training materials, position statements, resource articles, skill checkoff sheets, direct-threat and indirect-threat resources, bleeding-control protocols, airway-management resources, and additional training videos and PowerPoints for future internal instruction.

Course Logistics

Duration: 8 hours (single day), 16 hours (two days), or 24 hours (three days), depending on medical training level and selected scope.

Format: In-person, instructor-led combining lecture, facilitated discussion, practical skills stations, and applied evolutions. Available as lecture-only (host conducts medical skills internally) or lecture-plus-practicals (Threat Suppression provides instruction and manages skill stations). The 16-hour course includes a paramedic instructor. The 24-hour course includes a physician instructor.

Class Size: Capped at 25 students per session.

Prerequisites: This course is offered in conjunction with the Rescue Task Force Train-the-Trainer package. Prior medical training is not required for the 8-hour course. The 16 and 24-hour courses are designed for EMTs and paramedics.

Materials Provided: 250-slide PowerPoint, C-TECC guidelines, training materials, skill checkoff sheets, resource articles, training videos, and all instructor support documentation.

Host Responsibilities: Provide classroom and practical-training environment, computer, projector, audio system, tactical medical equipment, ballistic protective equipment, medical training equipment, wound-packing props, and minimum two mannequins (additional mannequins may be required for simultaneous practical stations).

Intended Audience

This course is designed for agencies to train their instructors and tactical medical personnel:

Agency instructors responsible for training tactical medical providers within law enforcement, fire, EMS, and public-safety organizations.
Tactical medical providers (paramedics, EMTs, combat medics) who will deliver care in hostile or high-threat environments.
Special operations commanders integrating medical response into active assailant or mass-casualty tactical operations.
Fire and EMS leadership establishing tactical medical training standards within their departments.
Military law enforcement and medics requiring evidence-based trauma care in combat environments.

Why This Course Matters for Your Agency

If your agency hasn't trained instructors on the tactical emergency casualty care framework, your personnel lack a standardized approach to managing trauma in the one environment where standard emergency care protocols don't apply. This course equips your instructors to train your entire agency in evidence-based, operationally sound trauma management that demonstrably improves casualty survival in hostile situations.

Instructor-participants return to their agencies as certified instructors with a complete curriculum package, ready to deliver ongoing TECC training to your personnel. requirements.

REQUEST A QUOTE | DOWNLOAD COURSE DETAILS

To schedule this course for your agency, discuss customization options, or learn more about instructor qualifications and delivery format, please contact us.

Email: info@ThreatSuppression.com
Phone: 800.231.9106

Download the full course description (PDF) with detailed learning objectives, topic breakdown, and host requirements.

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