Page 155 - Journal of Special Operations Medicine - Spring 2015

the common meaning of the terms, the Guidelines Com­ d. First Care Providers–Dr Josh Bobko
mittee voted to include the terms. A second motion and e. UK Line9Medic–Stewart Thomas
vote was also carried to include language in the guidelines f. Interagency Board–Captain John Delany
to clearly explain the meaning of each phase of care. The g. X­Stat–John Steinbaugh
TECC phases will now be referred to as Direct Threat h. I.V./I.O. Access–Dr Mel Harris
(Hot Zone), Indirect Threat (Warm Zone), and Evacua­ i. Public Comments–Open Forum–Dr E. Reed Smith
tion Care (Cold Zone). i. Psych working group update–Dr Rich Kamin
ii. New language, Hot/warm/cold zone–Dr E. Reed
Smith
Standardized Teaching Deck iii. TECC Standard training/slide deck–Dr E. Reed
After a large volume of requests and nearly 2 years of Smith
discussion, the Committee approved the development a iv. New working group–TECC K9–Lee Palmer
standard slide deck to teach TECC for first responders. DVM
This is not meant to be the only method for teaching j. Committee Voting
TECC but is to be a resource for agencies and personnel i. VOTE–Form K9 working group–MOTION
who have not been able to develop their own training. by Bozeman, SECOND by Anderson Vote–
It is still, and will remain, the position of the Committee Unanimous
that incorporation and training of TECC should be de­ ii. VOTE–Dr Yee to head K9 working group–
veloped locally in an agency­specific manner as opposed MOTION by Anderson, SECOND by Kamin
to rigid cookie­cutter methods. TECC is intended to be Vote–Unanimous
adaptable to each agency’s culture, scope of practice, iii. VOTE–To close discussion–MOTION by Mc­
providers, risk appetite, etc. and ideally would be op­ Kay, SECOND by Hartford Vote–Unanimous
erationalized in a manner that is unique to each agency. iv. VOTE–To change to phases of care descriptor
However, the Committee feels that full development to Direct Threat/Hot Zone, Indirect Threat/
of training may be beyond the capability of resource­ Warm Zone, Evacuation Care/Cold Zone
limited agencies and thus the standard generic TECC MOTION by Bozeman, SECOND by Ander­
training slide deck will serve as a much­needed resource. son Vote–11­4 passes
These slides should be developed and approved by the v. VOTE–To not add the phase of care descrip­
Spring 2015 meeting and will be provided to the public tor change today and wait until the May
at no cost. 2015 meeting after a white paper is writ­
ten to describe the reason for the changes–
MOTION by Bozeman, SECOND by Kamin
Vendor Presentation Vote–Unanimous

As part of the ongoing mission to keep all C­TECC vi. VOTE–To form a working group for extended
members up to date on the most current equipment and care operations–MOTION by Smith, SEC­
supplies for high threat response, John Steinbaugh from OND by Hartford Vote–Unanimous
RevMedX presented on the new hemostatic X­Stat that vii. VOTE–To form a working group for First Care
®
is now being fielded. As with all vendor presentations to Provider operations–MOTION by Anderson,
the Committee, the inclusion of X­Stat on the agenda SECOND by Callaway Vote–Unanimous
does not imply endorsement by the Committee but is for
information sharing only. A non–Committee­endorsed References
comment on the presentation and the product can be
found at http://www.itstactical.com/medcom/medical/ 1. Eastridge BJ, Mabry RL, Seguin P, et al. Death on the battle­
field (2001–2011): implications for the future of combat ca­
tccc­and­c­tecc­updates­from­soma­2014/. sualty care. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):
S431–S437.
The Chairmen and Board of Directors of the Commit­ 2. Patel S, Rasmussen TE, Gifford SM, et al. Interpreting compar­
tee for Tactical Emergency Casualty Care would like to ative died of wounds rates as a quality benchmark of combat
thank all of its members, as well as the stakeholders in casualty care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):
S60–S63.
first response who have spent much of time and effort in 3. Gerhardt RT, Berry JA, Blackbourne LH. Analysis of life­
development of the TECC guidelines. Almost all of this saving interventions performed by out­of­hospital combat
work is unsupported and thus is a true labor of love. medical personnel. J Trauma. 2011;71(1 Suppl):S109–S113.
4. Kotwal RS, Montgomery HR, Kotwal BM, et al. Eliminating
preventable death on the battlefield. Arch Surg. 2011;146(12):
C-TECC Winter Meeting Minutes 1350–1358.
I. Presentations & Reports 5. Eastridge BJ, Hardin M, Cantrell J, et al. Died of wounds on
the battlefield: causation and implications for improving com­
a. Welcome and Schedule–Dr E. Reed Smith bat casualty care. J Trauma. 2011;71(1 Suppl):S4–S8.
b. Board of Directors report–Dr E. Reed Smith 6. http://www.huffingtonpost.com/2013/04/15/heroic­first­
c. Ferguson, MO debrief–Tan/Willey responders­a_n_3088369.html.

Spring Committee for Tactical Emergency Casualty Care (C-TECC) Update 145