Committee for Tactical Emergency Casualty Care

Committee for Tactical Emergency Casualty Care The Committee for Tactical Emergency Casualty Care (C-TECC) is a non-profit committee of pre-hospital and emergency medicine experts convened to speed the transition of military medical lessons learned from the battlefield to civilian crisis response in order to reduce preventable causes of death in both our first responders and civilian population.

The Tactical Emergency Casualty Care (TECC) guidelines are a set of best practice recommendations for casualty management during civilian tactical and rescue operations. Based upon the principles of Tactical Combat Casualty Care (TCCC), TECC accounts for the differences in the civilian environment, resources, patient population, and scope of practice from the military combat environment of TCCC. T

The Tactical Emergency Casualty Care (TECC) guidelines are a set of best practice recommendations for casualty management during civilian tactical and rescue operations. Based upon the principles of Tactical Combat Casualty Care (TCCC), TECC accounts for the differences in the civilian environment, resources, patient population, and scope of practice from the military combat environment of TCCC. T

Operating as usual

Call leagues – please take 30 seconds and click on the defender link below and vote for the Committee to win this vehicl...
08/11/2021
Fire Safety & Response | Defender Service Awards | Land Rover USA

Call leagues – please take 30 seconds and click on the defender link below and vote for the Committee to win this vehicle grant. We plan to use this vehicle to increase our outreach and efforts to further promote the committee and what we do.

 https://www.landroverusa.com/experiences/events-and-sponsorships/defender-service-awards/vote/fire-safety-and-response.html

Five incredible nonprofits were selected as finalists and the public voted for the winner of the new Defender. Though voting may be closed, you can still watch their inspiring stories and support their causes now.

Thank you all who donated to C-TECC in #GivingTuesday! If you missed that day, you can still donate at www.c-tecc.org - ...
12/04/2020
Support Committee for Tactical Emergency Casualty Care by shopping at AmazonSmile.

Thank you all who donated to C-TECC in #GivingTuesday! If you missed that day, you can still donate at www.c-tecc.org - even $5-10 dollars helps to keep the operations of the Committee going.

Also, as you shop online through Amazon this season, please register with #AmazonSmiles and choose the Committee to receive your donation. Amazon will donate 0.5% of your purchase to C-TECC!! It really adds up!

When you shop at AmazonSmile, Amazon will donate to Committee for Tactical Emergency Casualty Care. Support us every time you shop.

C-TECC meeting to start at 1pm ESTJoin Webex meeting        gwu.webex.com/gwu/j.php?MTID=me5... (ID: 1209595997, passwor...
12/03/2020
Meet virtually with Cisco Webex. Anytime, anywhere, on any device.

C-TECC meeting to start at 1pm EST

Join Webex meeting
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Join by phone
(US toll) +1 202-860-2110 (access code: 1209595997)
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C-TECC Semi-Annual MeetingWhen: Thu Dec 3, 2020, 1:00pm – 5:00pm Eastern Time - New York Joining info:Join Webex meeting...
11/30/2020
gwu.webex.com

C-TECC Semi-Annual Meeting
When: Thu Dec 3, 2020, 1:00pm – 5:00pm Eastern Time - New York

Joining info:
Join Webex meeting gwu.webex.com/gwu/j.php?MTID=me5... (ID: 1209595997, password: hrgmHhjp)

Join by phone:
(US toll) +1 202-860-2110 (access code: 1209595997)

(US toll-free) (855) 282-6330 (access code: 1209595997)
Join using SIP [email protected]

11/26/2020

Happy Thanksgiving to all! In what has turned out to be an interesting year, to the say the least, we wish all of you a nice holiday weekend, and we extend a special thanks to all on the public safety and medical front lines.

Thank you Ricky for your vision and work on this important addition to damage control resuscitation!C-TECC is proud to h...
10/16/2020

Thank you Ricky for your vision and work on this important addition to damage control resuscitation!

C-TECC is proud to have adopted this as part of the 2019 guidelines update!

TRAUMA TRIAD OF DEATH aka "The lethal Triad"
1. HYPOTHERMIA
2. ACIDOSIS
3. COAGULOPATHY

These physiologic processes kill trauma patients. Our resuscitation in essence mitigates the lethal triad. @ricky.ditz and their team have worked hard to publish the tremendous evidence based medicine of adding hypocalcemia to the list. Now "LETHAL DIAMOND". Ricky wouldn't listen to me calling it "DEADLY DIAMOND" or "DIAMOND OF DEATH" ha!

CALCIUM: easily forgotten, but critical for the bleeding trauma patient that needs transfusion.

HYPOCALCEMIA: (

Hold the Date for the next full committee meeting of the C-TECC.3 December 2020This will be a virtual meeting and detail...
10/07/2020

Hold the Date for the next full committee meeting of the C-TECC.

3 December 2020

This will be a virtual meeting and details as to platform and logon will be posted in the near future.

We are looking forward to seeing everyone and getting some work done.

03/22/2020

CANCELED - C-TECC Annual Meeting: May 12, 2020, Raleigh, NC

The Annual Meeting of the Committee for Tactical Emergency Casualty Care was scheduled to be held on Tuesday, May 12 (0800 to 1700) 2019 at the Raleigh Convention Center has been canceled. This is following the decision from SOMA to also cancel their meeting.

Potential for a virtual meeting is being discussed - more to follow.

Great article by Dr. Clare Park, one of our international Advisors!
02/01/2020
Australian Tactical Medical Association

Great article by Dr. Clare Park, one of our international Advisors!

The therapeutic vacuum in terror attacks and other complex and high threat incidents is the driving force behind what we do in tactical medicine.

This paper, championed by Dr Claire Park, an amazing London HEMS doc, British Army Officer and all-round legend with a stellar line-up of coauthors, outlines contemporary approaches and future directions of high-threat medical care.

London's Air Ambulance
British Army
Committee for Tactical Emergency Casualty Care
BMJ

12/06/2019

Thank you to all who donated to support CTECC on #GivingTuesday. You are helping us to continue our work to save lives in the aftermath of intentional mass casualty events.

Don’t forget - for those of you who missed #GivingTuesday - you can get a great tax donation by donating by the end of the year. Anything helps - even $5 or $10!

Help to support the Committee during Black Friday, CyberMonday and throughout the entire holiday season (and the year fo...
11/29/2019
Support Committee for Tactical Emergency Casualty Care by shopping at AmazonSmile.

Help to support the Committee during Black Friday, CyberMonday and throughout the entire holiday season (and the year for that matter)!

If you shop on Amazon, always start at smile.amazon.com (choose Committee for Tactical Emergency Casualty Care - click link below) and Amazon will donate 0.5% of the price of your eligible AmazonSmile purchases to the Committee.

Bookmark https://smile.amazon.com/ch/45-4756162.

When you shop at AmazonSmile, Amazon will donate to Committee for Tactical Emergency Casualty Care. Support us every time you shop.

11/27/2019
#GivingTuesday is only one week away! This is a grand opportunity to show the world your support of the important work o...
11/27/2019
Donations

#GivingTuesday is only one week away! This is a grand opportunity to show the world your support of the important work of the Committee. Donate to the Committee - even $5 makes a difference!

Donate at http://www.c-tecc.org/donations

09/06/2019

The Board of Directors had an in-person meeting last week in Washington , DC and I wanted to give you all an update on some important changes to the Committee. We decided to have an in-person meeting instead of our quarterly conference call in order to kick off what I termed was a 're-organization and re-invigoration' of C-TECC. Over the last 8 years, we as a group of grassroots volunteers have created a national standards development organization providing evidenced- and focused empiricism-based medical guidelines for operational and high threat medical response. Due to the hard work and dedication of our members, TECC is now arguably the high threat standard of care across the United States, has been referenced in multiple federal guidance documents, has been featured in large federal terrorist and complex attack response training events, has been featured as guidance for both the FEMA Continuing Training Grants as well as the FEMA CCTA grant, and is now being taught in over 35 countries worldwide. Congratulations on getting us to this point!

It is now time for the Committee to move from a 'start up' to a sustained and well established non-profit. We have a commitment to our end-users and to the citizens and communities we serve to continue this work, pushing forward our goal of creating medical guidance for what is an ever-evolving threat. As such, we made some structural changes to the Board of Directors including creating 3 Co-Founder positions in the Executive Committee for the original co-founders, creating a Vice Chair position, and developed a plan for term limits for Board positions.

One of the more important changes that came about at the meeting was the return of Dr. Dave Callaway to the Co-Chairman's position. In 2015, Dr. Callaway took a leave of absence to serve as the Chair for the ACEP High Threat Task Force; at that time, Dr. Nelson Tang was elected as the interim Co-Chair and has served us well in that capacity. With the end of the work of the ACEP task force, Dr. Callaway returns from his leave of absence, and Dr. Tang now moves to one of the two past-Chair spots in the Executive Committee. We thank Dr. Tang for his leadership and guidance as the Co-Chair over the last 4 years - he has served us well and will continue to serve the Executive Committee and Board of Directors in his new Past Chair position.

Additionally, as a founder of the Committee and the Co-Chairman of the Board of Directors for the past 8 years, I felt that it was time for leadership change. So, as of last week, I announced that I am transitioning from the Co-Chair spot on the Committee and will assume one of the newly established Co-Founders positions in the Executive Committee. According to our bylaws, I nominated Dr. Richard Kamin for my Co-Chairman spot - I am proud to say that the Board of Directors unanimously accepted this nomination! Dr. Kamin is now one of the new Co-Chairman of the C-TECC and will be working with Dr. Callaway as we move the committee forward. I will still function as an executive committee member and look forward to working to support our new Co-Chairs in this position.

The C-TECC Board of Directors is now:
Co-Chairs: Rich Kamin and David Callaway
Vice Chair: Geoff Shapiro
Executive At Large: Sean McKay
Secretary: Brendan Hartford
Co-Founder: Reed Smith
Past Chair: Nelson Tang
Director: James Schwartz
Director: Allen Yee
Director: Michael Marino
Director: Carol Cunningham
Director: Peter Taillac
Director: Babak Sarani
Director: Matt Mika
Special Advisor: Randy Stair


In the meantime, continue the good work that you all are doing! Thank you for your support and dedication to this work, and for helping to make the world a better place. Welcome to Dr. Kamin and Callaway as your new Co-Chairs! I look forward to seeing all of you in Portland!

Reed

E. Reed Smith, MD
Co-founder
Executive Committee

Semi-Annual Meeting Registration & DetailsThe Semi-Annual Meeting of the Committee for Tactical Emergency Casualty Care ...
07/31/2019
C-TECC Mid-year Meeting 2019

Semi-Annual Meeting Registration & Details
The Semi-Annual Meeting of the Committee for Tactical Emergency Casualty Care will be held on Monday, November 11 (0800 to 1700) and Tuesday, November 12 (0800 to 1200) 2019 at Hotel Lucia in the Pettygrove room. Agenda to be published at a later date. This event is free of charge and registration is highly encouraged at the below link:

https://c-tecc_2019_semi_annual.eventbrite.com

Logistical Information
Hotel information:
Hotel Lucia
400 SW Broadway
Portland, OR 97205

A room block and discounted rate has been secured at for C-TECC attendees. Rates include $149 on standard room types for the dates of Sunday, November 10th & Monday, November 11th. Guests of Hotel Lucia are invited to a complimentary craft beer hour each evening from 5:30 pm -6:30 pm.

Rooms can be reserved at the below link:

https://gc.synxis.com/rez.aspx?Hotel=76780&Chain=21650&arrive=11/10/2019&depart=11/12/2019&adult=1&child=0&group=0714748


To speak directly with a representative of the Hotel Lucia please contact: 503-225-1717
24x7 Reservations Department: 866-986-8086
The Group Code is: 0714748

For further questions please contact our Executive Director, Sarah Kessler at [email protected].

The Semi-Annual Meeting of the Committee for Tactical Emergency Casualty Care will be held on Monday, November 11 (0800 to 1700) and Tuesday, November 12 (0800 to 1200) 2019 at Hotel Lucia. in the Pettygrove room Agenda to be published at a later date. This event is free of charge and registraiton i...

The Winter TECC Committee meeting is scheduled for Nov 11-12 in Portland, Oregon.   You can fly into PDX and take the li...
07/29/2019
Hotel Lucia - Search Criteria View

The Winter TECC Committee meeting is scheduled for Nov 11-12 in Portland, Oregon. You can fly into PDX and take the light rail into downtown, avoiding a car rental & parking. Once there, the meeting will be at Hotel Lucia.

There are 58 craft breweries in Portland, which currently has the most breweries of any city in the world. While here you can shop tax free and maybe stop in for a goat yoga class. Powells, the largest independent bookseller in the world is also a quick walk or streetcar ride away from the hotel. You would not be the first person to bring an extra checked bag just for books.

A room block has been secured at Hotel Lucia. TECC Winter Meeting attendees will receive a discounted rate of $149 on standard room types for the dates of Sunday, November 10th & Monday, November 11th. Guests of Hotel Lucia are invited to a complimentary craft beer hour each evening from 530-630. Perfect timing for a post meeting beer.

TECC Winter Meeting Booking Link

https://gc.synxis.com/rez.aspx?Hotel=76780&Chain=21650&arrive=11/10/2019&depart=11/12/2019&adult=1&child=0&group=0714748

To speak directly with a representative of the Hotel Lucia please contact: 503.225.1717 24 Hour Reservations Department: 866.986.8086
The Group Code is: 0714748

The 2019 ALERRT Conference is now open for registration. C-TECC has several members presenting at this year's conference...
07/16/2019
ALERRT Conference

The 2019 ALERRT Conference is now open for registration. C-TECC has several members presenting at this year's conference, and we encourage all to attend what has developed into a premiere event. ALERRT 2019 represents a fantastic opportunity for education, CME (including AMA physician CME), and networking for all personnel and experts that work in the high threat arena.

https://www.alerrtconference.org

We hope to see you there!

Crisis Medicine
05/18/2019
Crisis Medicine

Crisis Medicine

Unfortunately, cheap civilian cravats are flimsy, considerably more uncomfortable as improvised tourniquets, and don’t do nearly as good of a job forming a tight wound packing bandages. This left us without a “Goldilocks” option of one cravat that could adequately perform all cravat tasks and be “just right.” See the blog for our current solution. https://www.crisis-medicine.com/your-ifak-is-not-complete-without-cravats/

#TECC #TCCC #NSTBM #medic #firstaid #beprepared #firstresponders #bystanderintervention #immediateresponder #ems #emt #swat #paramedic #emergencymedicine #crisismed_ Chinook Medical Gear

FYI - make sure you purchase from a reputable vendor. Thanks Crisis Medicine for the heads up
05/13/2019

FYI - make sure you purchase from a reputable vendor. Thanks Crisis Medicine for the heads up

School District Issues Counterfeit Tourniquets. Although initially imported as toys for the airsoft community, they’re now making their way into legitimate medical kits and systems.

The counterfeit tourniquets have failed operationally in the United States. See more on today's blog. https://www.crisis-medicine.com/school-district-issues-counterfeit-tourniquets/ #fake #dontbeacheapskate #savinglives #firstaid #crisismed_ #lessonslearnedinblood North American Rescue Element Rescue Andrew D Fisher Skinny Medic Savage Paramedics

05/06/2019
05/06/2019
Thanks Crisis Medicine
05/06/2019

Thanks Crisis Medicine

Starting the Committee for TECC meeting with a reminder that there are no official TECC courses. The committee publishes guidelines for everyone to use and teach from. The NAEMT TECC course is not an official TECC course. #SOMA #TECC #medic #NAEMT

05/06/2019

Breaking for lunch
Be back up in an hour

05/06/2019
05/06/2019
05/06/2019
05/06/2019
05/06/2019
Committee for TECC on Twitter

Committee for TECC on Twitter

“Looking forward to seeing everyone at the Annual Meeting today! If you traveled To Charlotte, room 207. If you couldn’t make it, Facebook Live!”

The Annual Meeting of the Committee for Tactical Emergency Casualty Care has been scheduled for Monday, May 6 from 0800 ...
02/25/2019
Committee for Tactical Emergency Casualty Care (C-TECC)

The Annual Meeting of the Committee for Tactical Emergency Casualty Care has been scheduled for Monday, May 6 from 0800 to 1700 in Charlotte, NC. The specific location along with the agenda, directions, RSVP information, and pertinent logistics for the meeting will be forthcoming and posted to our website at http://www.c-tecc.org. If you have a specific topic you would like to hear about please email our Executive Director, Sarah Kessler at kessler-c-tecc.org.

Address


General information

EXECUTIVE SUMMARY OF THE TECC GUIDELINES The first phase of care under TCCC is Care Under Fire (CUF). To meet the various operational scenarios and terminology utilized in the civilian sector, CUF, or the first phase of care under TECC was renamed “Direct Threat Care (DTC).” The priorities of DTC remain relatively unchanged from CUF; emphasis remains on mitigating the threat, moving the wounded to cover or an area of relative safety, and managing massive hemorrhage utilizing tourniquets. Additionally, emphasis was placed on the importance of various rescue and patient movement techniques, as well as rapid positional airway management if tactically feasible. Treatment and operational requirements are the same for all levels of providers during this phase of care. The second phase of care under TCCC is Tactical Field Care. For the same reasons listed above, this phase was also renamed for TECC; it is called “Indirect Threat Care.” Indirect Threat Care phases of care can be initiated once the casualty is an area of proper cover or relative safety, and there is less of chance of rescuers being injured or patients sustaining additional injuries. Assessment and treatment priorities are similar those under TCCC TFC; Major Hemorrhage, Airway, Breathing/Respirations, Circulation, Head & Hypothermia, and Everything Else (MARCHE). Four different levels of providers were assigned to scope of practice and skill sets based on level of training and certification. The final phase of care under TECC is called “Evacuation Care.” During this phase of care, an effort is being made to move the casualty toward a definitive treatment facility. Most additional interventions during this phase of care are similar to those performed during normal EMS operations. However, major emphasis is placed on reassessment of interventions and hypothermia management.

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Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 12pm
Sunday 8am - 9pm

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The most recent #TCCC guidelines emphasize #hypothermia preventions where the use of a battery-powered warming device is a must to deliver IV resuscitation fluids at a flow rate up to 150ml/m with 38 ˚C output temperature. The ˚M Warmer System was designed and developed in close collaboration with the military and medical experts ensuring that the product would meet the requirements of the military. With the °M Warmer, #transfusion with warm fluid can start in less than 30 seconds and 2 liters of 5°C cold blood or 4 liters of ambient temperature fluid can be warmed on a single charge of #PowerPack+.
From a medic's perspective: breakdown of a recent LAPD SWAT team encounter with a suspect armed with a shotgun. https://youtu.be/dZZOtvyoHU0 Donut Operator Police Activity Dark Angel Medical, LLC LAPD Headquarters Committee for Tactical Emergency Casualty Care
Get TECC trained: You never know when it will come in handy… (See the article on junctional hemorrhage at the website, https://www.crisis-medicine.com/junctional-hemorrhage-the-next-frontier-for-hemorrhage-control/) #TECC #TCCC #medic #lawenforcement #Prehospital #EMS #crisismedtraining Committee for Tactical Emergency Casualty Care
Marry Christmas and Happy New Year from Greece....
Αλλη μια αναγνωριση της ποιοτητας των προγραμματων προνοσοκομειακης φροντιδας και Α' Βοηθειων Μαχης για την E.S.A. - European Security Academy : O National Association of Emergency Medical Technicians μας πιστοποιησε ως Κεντρο Εκπαιδευσης! Το παραπανω ερχεται να προστεθει σε μια σειρα συνεργασιων σε εκπαιδευση σε θεματα EMS οπως με το STOP the BLEED και την Committee for Tactical Emergency Casualty Care.
More from our new friend in South Africa, having taken our online Tactical Casualty Care class, he’s now training volunteer first responders himself in his remote area. Direct clamshell pressure on an arm can be very effective. See the article on our website, https://www.crisis-medicine.com/value-of-direct-pressure/ #stopthebleed First Care Provider Committee for Tactical Emergency Casualty Care
Αλλη μια αναγνωριση απο τις Η.Π.Α. για την E.S.A. - European Security Academy Greece. Η C-TECC Committee for Tactical Emergency Casualty Care μας περιελαβε στους εκπαιδευτικους συνεργατες της, (μεταξυ των οποιων βρισκονται Arkansas State Police SWAT, Arlington County (VA) Fire Department, Carroll County Fire Rescue Operations, Carroll County Sheriff’s Office, Grupo de Operaciones Especiales Penitenciarias, Los Angeles Sheriff’s Department, NYPD Disorder Control Unit και πολλοι ακομα), μας επιτρεπει να χρησιμοποιουμε το λογοτυπο της και να διδασκουμε την αναγνωρισμενη υλη του T.E.C.C. http://www.c-tecc.org/
Recent online student in South Africa training other volunteer first responders on the material he learned in our ONLINE Tactical Casualty Care class, including both dedicated & improvised tourniquet techniques because in their remote environment dedicated equipment is not always available. #TECC #TCCC #immediatebystander #stopthebleed First Care Provider Committee for Tactical Emergency Casualty Care
As both national and international attention has been focused on the violence in Portland, Oregon, one unique injury pattern suffered by LEO has emerged: intentional laser eye injuries. The use of lasers as a weapon violates the Geneva Convention, but their use by protestors against LEO has been reported in Portland. Prehospital treatment for these injuries is limited but the injuries can be extremely debilitating. Laser pointer injuries primarily involve photothermal damage to the eye, specifically, the retina, which receives light through the lens, converts it to neural signals and transmits those signals to the brain. “Depending on the wavelength, radiation power, exposure time, localization, and spot size, laser pointers can cause extreme photothermal injury to the eye, which can lead to blindness.”1 Although laser power output is federally regulated to keep dangerous high-power lasers from causing unintentional injury, many high-power lasers imported into both the US and Europe are either inaccurately labeled with regard to their power output, not labeled at all, or correctly labeled, but of an output that they should not have been allowed for public sale. See the article at the website. #TECC #TCCC #medic Element Rescue North American Rescue Tactical Medical Solutions Tactical Combat Casualty Care - TCCC - DoD Committee on TCCC TacMed Australia Australian Tactical Medical Association Committee for Tactical Emergency Casualty Care
One of our recent online students utilizing his new skills & the MARCH mnemonic to provide care via text in a remote area of South Africa after a driver crashed, sustaining injuries, including stabbing himself in the eye with the fork he was eating with! Great job. #TECC #TCCC Committee for Tactical Emergency Casualty Care #activebystander #activeTEXTstander #DontTextandEat
No Emergency Department is fully prepared and stocked to manage 41 trauma casualties arriving in 45 minutes as happened at Christchurch Hospital in New Zealand in 2019. Crisis Medicine’s new ONLINE First Receiver class is designed to teach non-trauma center Emergency Department personnel Tactical Emergency Casualty Care and move TECC into the ED. We explore the literature on recent “No Notice” active violent incidents, and extract lessons learned from those events in order to better manage the chaos of an ED receiving an overwhelming number of casualties. See more at the website & read the article https://www.crisis-medicine.com/what-is-a-first-receiver/ North American Rescue Tactical Medical Solutions TacMed Australia Committee for Tactical Emergency Casualty Care Robert Meyer Burnett #FirstReceivers #TECCintheED #emergencydepartment #emergencymedicine