‡McSwain NE, Pons PT, eds. Prehospital Trauma Life Support. 8th ed. Burlington, MA: Jones and Bartlett Learning; 2014.
skill session. More information is available at www.
Tactical Combat Casualty Care (TCCC)
The NAEMT Tactical Combat Casualty Care (TCCC)
course is designed to teach strategies for the best
trauma care on the battlefield. TCCC guidelines
are endorsed by the ACS and the NAEMT through
the PHTLS program. The NAEMT TCCC course is
offered under the auspices of the PHTLS program.
It is designed for combat EMS/military personnel.
The course can be adapted for law enforcement special weapons and tactics and special response teams.
TCCC guidelines, available at
www.naemt.org/educa-tion/TCCC/ TCCC_home.aspx, provide a foundation
for the standardization of tactical emergency medical
Tactical Emergency Casualty Care (TECC)
The Committee for Tactical Emergency Casualty Care (C-TECC) was formed in 2010 to adapt
military TCCC principles to civilian high threat
prehospital environments. The C-TECC does not
offer courses but directs that its principles be used
as written by educational partners. The C-TECC
is a not-for-profit organization. Representatives
from several federal agencies, including the Federal Emergency Management Agency, Department
of Homeland Security Office of Health Affairs,
and multiple federal law enforcement agencies,
are involved with C-TECC. TECC is included in
the Joint Counter Terrorism Workshop Series,
which is a program to assist urban areas to prepare
for mass casualty incidents. More information
is available at: http://c-tecc.org/images/content/C-TECC-Overview.pdf.
Law Enforcement and First Response Tactical
Casualty Care (LEFR-TCC)
The Law Enforcement and First Response Tactical
Casualty Care (LEFR-TCC) course is offered through
the NAEMT PHTLS program. It is designed for public
safety first responders (nonmedical) to provide them
with skills for hemorrhage control and the use of
gauze packs, topical hemostatic agents, and tourniquets. The course also emphasizes opening an airway.
It conforms with the TECC guidelines and the recommendations of the Hartford Consensus. More
information about this one-day course is available
at: www.naemt.org/education/LEFR-TCC/What IsLE-FRTCC.aspx.
Bleeding Control Course (B-Con)
The Bleeding Control Course (B-Con) is a course lasting two and a half hours to teach civilians with little
or no medical training how to respond before EMS
personnel arrive. It is offered through the NAEMT/
PHTLS and is endorsed by the ACS COT. Examples
of potential students include non-tactical law enforcement officers, firefighters, security personnel, and
teachers. The course includes a lecture and skill stations for tourniquet application, wound packing,
and jaw thrust. B-Con may be used along with a
module about the Hartford Consensus to introduce
the LEFR-TCC course to law enforcement personnel. More information is available at: www.naemt.
org/education/B-Con/ WhatIsB-Con.aspx. ♦
To support the principles of the Hartford Consensus, all
responders in all disciplines and in all care environments
should be properly trained in hemorrhage control.