Tactical Emergency Casualty Care (TECC)

Similar to what TCCC did for the medical care in the military combat setting, civilian and federal first responders needed a new paradigm, a framework that defined the environment and resource constraints, and provided guidance that would allow best evidence-based management of patients to accomplish the life-saving mission. To address this need, a diverse group of first responder experts called the Committee for Tactical Emergency Casualty Care (C-TECC) was formed and, in May 2011, held their inaugural meeting to create the Tactical Emergency Casualty Care guidelines (TECC). The TECC guidelines are a set of best practice recommendations for casualty management during high threat civilian tactical and rescue operations. Based upon the principles of Tactical Combat Casualty Care (TCCC), TECC guidelines account for differences in the civilian environment, resources allocation, patient population, and scope of practice.

TECC for Active Bystanders


Basic life saving interventions

with focus on bleeding control and hypothermia prevention.

TECC for Active Bystanders Advanced

Building on the basic course with more interventions and new challenges.