Accredited EMS Fire Training Inc.

Emergency Medical Services Authority

CALIFORNIA TCC ACTIVE SHOOTER

Below you will find the classes we offer for California TCC Active Shooter

Tactical Casualty Care (TCC) is the delivery of specialized adjunct tactical emergency medical services to casualties of Active Shooter and Terrorism events by first responders. Tactical Casualty Care EMS providers respond as a medical support service provider to law enforcement incidents and provide field tactical medical care to casualties usually in an area where there is minimal to no direct or immediate safety threat. Medical direction and oversight of the tactical casualty care first responder is provided by the local EMS medical director in coordination with local law enforcement. Alternatively, Tactical Medicine for Special Operations is the delivery of specialized tactical emergency medical services to casualties of any active law enforcement incident by law enforcement personnel assigned to a Special Weapons and Tactics (SWAT) operations team, as described by California Penal Code 13514.1.

Tactical Medicine for Special Operations first responders respond as an integral part of a SWAT operation team and may provide field tactical medical care to casualties in an area where there is a direct and immediate safety threat. Medical direction and oversight of the Tactical Medicine for Special Operations first responder are provided by a licensed physician in coordination with the local EMS agency as part of an established EMS system. POST is responsible for monitoring and approving Tactical Medicine for Special Operations training programs and courses with input from the EMS Authority. Additional information on the POST Tactical Medicine for Special Operations training and operation program can be found on the POST website at https://www.post.ca.gov

  • TCC Tactical First Aid/Tactical Emergency Medical Support (TEMS) First Responder Operational (FRO) Training Standards Guidelines Training Hours: a minimum of 4 hours of training; 8 hours recommended. Topics: Purpose and history of Tactical Casualty Care (TCC) , roles & responsibilities of First Responders, basic TCC, Tactical and Rescue Operations Coordination and Control, and practical skills competency assessments.

  •  TCC Tactical Life Saver/ TEMS Technician Training Standards & Guidelines

Training Hours:  A minimum of 40 hours.

Topics:  All topics noted in the TCC First Aid/TEMS FRO level in greater detail and include first responder scenario practice and competency assessments. Active Shooter and Rescue Task Force Concepts.

Active Shooter / Intentional – IMCI

8 HOURS

$70.00

Active Shooter Training – California Law AB 1598 Covers Rescue Task Force, Unified Command, Cal OSHA.

State or Government ID required. Your agency will have to fill out a form that proves you are currently employed.

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

8 HOURS

$275.00

LEFR-TCC teaches public safety first responders the basic medical care interventions that will help save an injured responder’s life until EMS practitioners can safely enter a tactical scene.

The Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC) course was developed in collaboration with the Denver Health Department of EMS Education and the Denver Police Department Metro/SWAT unit, and NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee. It teaches public safety first responders (police, law enforcement officers, firefighters, and other first responders) 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 opening an airway to allow a casualty to breathe.

Upon completion of the course participants will:

  • Understand the rationale for immediate steps for hemorrhage control

    • External hemorrhage control​

    • Direct pressure and wound packing

    • Early use of tourniquet for severe hemorrhage

    • Internal hemorrhage control by rapid evacuation

    • Transportation to major hospital/trauma center

  • Demonstrate the appropriate application of a tourniquet to the arm and leg​

  • Describe the progressive strategy for controlling hemorrhage

  • Describe appropriate airway control techniques and devices

  • Demonstrate the correct application of a topical hemostatic dressing (combat gauze)

  • Recognize the tactically relevant indicators of shock

Tactical Combat Casualty Care (TCCC) 

November 8th and 9th, 2018

18-20 HOURS

$500.00




NAEMT’S Tactical Combat Casualty Care course introduces evidence-based, live saving techniques and strategies for providing the best trauma care in an active shooter situation under the auspices of the PHTLS program.

It is the only TCCC course endorsed by the American College of Surgeons. Covers Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC) and Active Shooter California 1598.

Lectures, skills and scenarios provided by experts currently working in the field. Registration, Liability Form and payment must be completed prior to class to hold your seat.

Tactical Emergency Casualty Care (TECC)

16 HOURS

$385.00

The TECC program is based on the principles of TCCC and meets the guidelines established by the Co-TECC. The course teaches civilian tactical EMS; any EMS practitioner called upon to respond to a mass casualty or active shooter event.

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 16-hour course covers topics designed to decrease preventable death in the tactical situation.

Topics include:

  • Hemorrhage control

  • 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

At the core of the TECC program are three distinct phases that have been well-proven by TCCC-trained personnel in the war against terrorism in Iraq and Afghanistan. The phases are as follows:

  • Direct Threat Care (Care that is rendered while under attack or in adverse conditions.)

  • Indirect Threat Care (Care that is rendered while the threat has been suppressed, but may resurface at any point.)

  • Evacuation (Care that is rendered while the casualty is being evacuated from the incident site.)

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.

This class is offered throughout Northern California. Please contact us to schedule a time and location that is convenient for you.

Active Shooter Intentional - IMCI

CPR-BLS for Healthcare Provider Instructor based class shall be completed.

The psychomotor exam provides a hands-on opportunity for you to demonstrate the skills you have learned in your Emergency Medical Responder (EMR) class. In order to pass the exam, you must meet a standard level of competency. The passing standard is defined by the ability to provide safe and effective entry level emergency medical care. California EMSA Skills Verification form.

Emergency Medical Responder (EMR) cognitive exam is a 200 question written/essay/multiple choice exam. The exam will cover the entire spectrum of EMS care including: Airway, Respiration & Ventilation, Cardiology & Resuscitation; Trauma; Medical & Obstetrics/Gynecology; and EMS Operations. Items related to patient care are focused on adult and geriatric patients (85%) and pediatric patients (15%). In order to pass the exam, you must meet a standard level of competency. The passing standard is defined by the ability to provide safe and effective entry level emergency medical care.

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