NAEMT TECC
NAEMT Tactical Emergency Casualty Care (TECC)

The 2nd edition of NAEMT’s Tactical Emergency Casualty Care (TECC) course teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment.
The course presents the three phases of tactical care and integrates parallel EMS nomenclature:
- Hot Zone/Direct Threat Care that is rendered while under attack or in adverse conditions.
- Warm Zone/Indirect Threat Care that is rendered while the threat has been suppressed but may resurface at any point.
- Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site.
The 16-hour classroom course includes all new patient simulations and covers the following topics:
- Hemorrhage control including immediate action drills for tourniquet application throughout the course;
- Complete coverage of the MARCH assessment;
- Surgical airway control and needle decompression;
- Strategies for treating wounded responders in threatening environments;
- Caring for pediatric patients;
- Techniques for dragging and carrying victims to safety; and
- A final, mass-casualty/active shooter event simulation.
NAEMT’s TECC course is endorsed by the American College of Surgeons Committee on Trauma, is consistent with the current guidelines established by the Committee on TECC (Co-TECC), and meets all of the updated National Tactical Emergency Medical Support Competency Domains. This course is accredited by CAPCE for 16 hours of continuing education credit, and recognized by NREMT.
NAEMT is a recognized education partner of the Co-TECC. The Co-TECC establishes guidelines for the provision of prehospital care to injured patients during a tactical incident. The Co-TECC neither creates curriculum for the prehospital provider, nor does it endorse the curriculum of other organizations.
Course Overview
The 2nd edition of National Association of Emergency Medical Technicians (NAEMT) Tactical Emergency Casualty Care (TECC) course teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment. This is also great for law enforcement, executive protection details, and any security personnel.
The course presents the three phases of tactical care and integrates parallel EMS nomenclature:
- Hot Zone/Direct Threat Care that is rendered while under attack or in adverse conditions.
- Warm Zone/Indirect Threat Care that is rendered while the threat has been suppressed but may resurface at any point.
- Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site.
Course Curriculum
The 16-hour classroom course includes all new patient simulations and covers the following topics:
- Hemorrhage control including immediate action drills for tourniquet application throughout the course;
- Complete coverage of the MARCH assessment;
- Surgical airway control and needle decompression;
- Strategies for treating wounded responders in threatening environments;
- Caring for pediatric patients;
- Techniques for dragging and carrying victims to safety; and
- A final, mass-casualty/active shooter event simulation.
Certification Details
Certification is valid for 4 years, expiring at the end of the month.
Instructor Information
Our instructors are active healthcare providers to include nurses, EMTs, firefighters, law enforcement, and paramedics.
Training Format
This course is 100% in-person and is littered with hands-on skills. Plan to get sweaty & dirty during one of these courses. *This course does not have live fire ammunition involved. Any type of medical provider will participate in the 2-day provider/1-day renewal course. This course has advanced procedures and deep discussions on pharmacology. Law enforcement & security personnel will participate in the 1-day LEO course.
Benefits of Certification
This course provides the most up to date information on safety tactics and medical care in volatile situations, designed to keep you safe and save lives. NAEMT TECC is accredited by CAPCE for 16 hours of continuing education credit, and recognized by NREMT.
Student Resources
NAEMT’s TECC course is endorsed by the American College of Surgeons Committee on Trauma, is consistent with the current guidelines established by the Committee on TECC (Co-TECC), and meets all of the updated National Tactical Emergency Medical Support Competency Domains.
NAEMT is a recognized education partner of the Co-TECC. The Co-TECC establishes guidelines for the provision of prehospital care to injured patients during a tactical incident. The Co-TECC neither creates curriculum for the prehospital provider, nor does it endorse the curriculum of other organizations.
Purchase your NAEMT TECC provider manual HERE
Testimonials and Reviews
FAQs
Will I get dirty, sweaty, or messy during the TECC course?
Yes.
Why is there so much physical activity during the TECC course?
We believe in practical application training. Everyone’s body responds to stress differently. We simulate this stress so you may understand your body & your capabilities better. Have you ever ran up a flight of stairs and your hands shake when you sign-in on the class roster? Does your finger twitch or do you get tunnel vision when you’re performing a needle decompression to save someone’s life? Well, we’re about to find out!
Do I have to participate in the physical activity?
Not necessarily. Participants get what they want out of the course. If you just want knowledge, that’s perfectly fine. If you’d like to test yourself with a plate carrier & med kit, that’s cool too.
Who can take this course?
Literally, anyone. Whether you work for a large venue, church, law enforcement agency, or are a firefighter, this course can be adaptable for you. Even if you’re just a forward thinking citizen, you may use this knowledge to help keep yourself & others safe. Our 1-day course is perfect for you. *Only certified personnel will receive education credit.
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Our Locations
- San Antonio, TX, USA
- Austin, TX, USA
- Dallas, TX, USA
- Houston, TX, USA

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National Association of Emergency Medical Technicians
Formed in 1975 and over 75,000 members strong, the National Association of Emergency Medical Technicians (NAEMT) is the only national association representing the professional interests of all EMS practitioners, including paramedics, emergency medical technicians, emergency medical responders, and other professionals providing prehospital and out-of-hospital emergent, urgent or preventive medical care.
NAEMT members work in all sectors of EMS, including government service agencies, fire departments, hospital-based ambulance services, private companies, industrial and special operations settings, and in the military.
NAEMT serves its members by advocating on issues that impact their ability to provide quality patient care, providing high quality education that improves the knowledge and skills of practitioners, and supporting EMS research and innovation.