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

Education

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

Tactical Combat Casualty Care (TCCC)

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.

Course Content

  • TCCC-MP (TCCC for Medical Personnel) is a 2-day classroom course for military medical personnel including medics, corpsmen, and pararescue personnel deploying in support of combat operations.
  • TCCC-AC (TCCC for All Combatants) is a 1-day classroom course for non-medical military personnel and includes first responder skills appropriate for soldiers, sailors, airmen and marines.

Additional Information

Materials of Interest

Course Format/Time

NAEMT’s TCCC courses are taught by a global network of experienced, well-trained,  instructors. In order to support training centers, instructors and students, NAEMT maintains a network of tactical affiliate faculty both in the U.S. and internationally.

Continuing Education

NAEMT’s TCCC courses are accredited by CAPCE and recognized by NREMT.

**CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after the 6-month claiming period

Tactical Emergency Casualty Care (TECC)

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.

Course Content

  • 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

Additional Information

Materials of Interest

Course Format/Time

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

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.)

Continuing Education

16 hours of CAPCE credit. 

NAEMT’s TECC course meets the guidelines established by the Committee on TECC and the updated National Tactical Emergency Medical Support Competency Domains. This course is accredited by CAPCE and recognized by NREMT.

**CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after the 6-month claiming period

Bleeding Control for the Injured (B-CON)

B-Con 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 breathe.

Course Content

  • Explain the rationale for early use of a tourniquet for life-threatening extremity bleeding
  • 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)

Additional Information

Materials of Interest

Course Format/Time

This 4 hour course is designed for NON tactical law enforcement officers, firefighters, security personnel, teachers and other civilians requiring this basic training

A separate, additional PowerPoint module is included in the course materials specifically for law enforcement participants. This module provides an orientation to the content of the Hartford Consensus and the changing approach to active shooter and other complex and hazardous responses.

Continuing Education

This course is accredited by CAPCE and recognized by NREMT.

**CAPCE credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after the 6-month claiming period

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