Tactical Emergency Casualty Care (TECC)

The Active Shooter Incident Management Checklist provides for an integrated response to an Active Shooter Event designed to get medical personnel to victims more quickly and then get those victims transported quickly. This should NOT be construed as a lack of endorsement for the need to provide medical training to law enforcement personnel, specifically Tactical Emergency Casualty Care (TECC).

It is the position of C3 Pathways that ALL personnel involved in responding to Active Shooter Events, law enforcement AND fire/EMS, should be training in the TECC curriculum. The US Military has done incredible work in bringing hard-learned lessons from the battlefield into evidenced-based medicine for use in civilian response to shootings and other traumatic events (e.g. IEDs). One should absolutely NOT ASSUME that medically trainined and certified fire/EMS responders are knowledgeable in the latest procedures, equipment, or techniques. EVERYONE should get the TECC training to a level appropriate for them (e.g. basic training for law enforcement, advanced care for paramedics, etc).

Law enforcement officers will be by a victim’s side sooner than an EMT or Paramedic. It is NOT enough to simply stop the killing. We must also stop the dying that’s occurring from uncontrolled bleeding.

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