Tactical Medicine Programs

Casualty Management for Active Threats (CMAT)

CMAT is a 3-day program encompassing the 2-day NAEMT Tactical Emergency Casualty Care (TECC) program, which focuses on lessons learned from our military and applies them to the civilian world of tactical medicine. This course covers topics designed to decrease preventable death in the tactical situation, which include hemorrhage control, advanced airway management and needle decompression, strategies for treating wounded responders in threatening environments, and techniques for dragging and carrying victims to safety. In addition, Rescue Task Force concepts, firearm safety and the medical effects of less lethal weapons will also be discussed. Participants will endure three days of intense training, with each day building upon lessons from the previous day, enhancing their ability to work as a team and to provide medical care to victims of active threat scenarios.  The third day provides students an opportunity to work together amongst law enforcement, fire, and EMS first responders in various realistic scenarios. The course combines the principles of the National Association of EMTs (NAEMT) - Prehospital Trauma Life Support (PHTLS) and Bleeding Control for the Injured (B-CON) programs, as well as the U.S. Military Tactical Combat Casualty Care (TCCC) and American College of Surgeons Advanced Trauma Life Support (ATLS) and is also consistent with Committee of Tactical Emergency Casualty Care (TECC) and the Hartford Consensus: Improving Survival from Active Shooter Events guidelines and recommendations.

Tactical Emergency Medical Support (TEMS)

The Tactical Emergency Medical Support 4-day program expands the 2-day TECC program, which focuses on lessons learned from our military and applies them to the civilian world of tactical medicine. This course covers topics designed to decrease preventable death in the tactical situation, which include hemorrhage control, advanced airway management and needle decompression, strategies for treating wounded responders in threatening environments, and techniques for dragging and carrying victims to safety, team health & management, chemical & non-chemical restraints, firearm safety, basic SWAT Tactics, explosives & bomb squad support, hostage survival & negotiations medical support, and the medical effects of less lethal weapons. Participants endure four days of intense training, with each day building upon lessons from the previous day, enhancing their ability to provide medical support to a law enforcement team.  The last day provides students an opportunity to work with tactical operators during four different scenarios.

Bleeding Control for the Injured (B-Con)

B-Con is a 3½ hour course developed by NAEMT's PHTLS Committee. The course was developed in response to efforts by the U.S. Departments of Homeland Security and Health and Human Services to increase collaboration between law enforcement, the fire service and EMS in responding to active shooter/IED/mass casualty events. B-Con is consistent with the recommendations of the Hartford Consensus on Improving Survival from Active Shooter Events. The Hartford Consensus Group recommends the response to a traumatic incident, whether involving an active shooter or some other cause of injury, in fact begins with bystander response. This course teaches participants the basic life-saving medical interventions, including bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breath. The course is designed for NON tactical law enforcement officers, firefighters, security personnel, teachers and other civilians requiring this basic training.

Law Enforcement & First Response Tactical Casualty Care (LEFR-TCC) 

LEFR-TCC is a 1-day program that teaches law enforcement officers the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene. The course combines the principles of PHTLS and Tactical Combat Casualty Care (TCCC), with the training provided to military medics by all branches of our Armed Services. It is consistent with the Tactical Emergency Casualty Care (TECC) guidelines, and meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events. Course participants will learn life-saving medical actions such as bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and basic airway management.

Tactical Emergency Casualty Care (TECC)

TECC is a 2-day program developed by NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee. The TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC) and the Tactical Combat Casualty Care (TCCC) program. TECC uses lessons learned from our military and applies them to the civilian world of tactical medicine. This course covers topics designed to decrease preventable death in the tactical situation. Topics include: Hemorrhage control, advanced airway management and needle decompression, strategies for treating wounded responders in threatening environments, and techniques for dragging and carrying victims to safety. TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.

Courses are taught by certified instructors using curricula from the National Association of Emergency Medical Technician’s (NAEMT). TECC is a registered trademark of the NAEMT.