Accredited EMS Fire Training Inc.

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

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.

Course Content

  • Principles of PHTLS and Tactical Combat Casualty Care (TCCC)
  • Consistent with the Tactical Emergency Casualty Care (TECC) guidelines
  • Meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events.
  • Bleeding control with a tourniquet
  • Management of acute coronary syndromes (ACS) and stroke
  • Bleeding control with gauze packs or topical hemostatic agents
  • Opening an airway to allow a casualty to breathe.

Additional Information

Materials of Interest

Course Format/Time

  • Classroom-based (instructor and video, with skills conducted throughout)

    • Course requires approximately 8 hours to complete, including skills practice and skills testing.
     * course time based on 1 instructor: 6 students: 2 manikins


Upon completion of the course participants will:

  • Understand the rationale for immediate steps for hemorrhage control

    1. External hemorrhage control​

    2. Direct pressure and wound packing

    3. Early use of tourniquet for severe hemorrhage

    4. Internal hemorrhage control by rapid evacuation

    5. 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

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