Based on the NAEMT's (National Association of Emergency Medical Technicians) TECC (Tactical Emergency Casualty Care) training program, which teaches EMS practitioners, as well as responsible citizens and law enforcement officers how to respond to and provide pre-hospital care for casualties in a civilian tactical environment. This introductory course is designed to decrease preventable deaths in a tactical situation such as an active shooter event, but is equally applicable to everyday life such as traumatic automobile accidents and active lifestyle, sports and hunting related incidents.
Prerequisite: Stop the Bleed or equivalent basic bleeding control course.
This 4-hour classroom / hands on lab work course focuses on the three phases of tactical care:
Direct Threat Care - rendered while under attack or in adverse conditions, with emphasis on mitigating the threat, moving the wounded to cover or an area of relative safety, and managing massive hemorrhage utilizing tourniquets. Additional emphasis is placed on the importance of various rescue and patient movement techniques, as well as rapid positional airway management if operationally feasible.
Indirect Threat Care - rendered while the threat has been suppressed, but may resurface at any point. The ITC phase is initiated once the casualty is in position of relative safety, such as one with proper cover or one that has been cleared but is not yet secured. Application of the full MARCH assessment protocol is performed during this level of care.
M – Massive Bleeding at Extremities (hemorrhage control)
A – Airway
R – Respiratory (breathing)
C – Circulation
H – Hypothermia
Evacuation Care - during this final phase of care, an effort is being made to move the casualty toward a definitive treatment facility whereby the major emphasis is placed on reassessment of interventions and hypothermia management.
This course promotes critical thinking strategies for the rapid assessment and treatment of wounded first responders and / or civilian victims in all three aforementioned stages of care and includes drags, lifts and carrying techniques for the purposes of relocating casualties in order to apply a higher level of care and / or evacuation.
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