Page 163 - Journal of Special Operations Medicine - Fall 2015

reporting time frame. Additionally, the Integrated Emer- and change based upon the actions and decisions per-
gency Management Course (IEMC) now features a formed by the participant(s). MILO Range reported that
JCTAWS theme and prominently highlights TECC and they offer a full spectrum of options based on the end
integrated discipline response models built around the users’ requirements, department size, budget, and tac-
tenets of TECC and rapid point-of-wounding care. Ba- tics, techniques, and procedures.
ton Rouge, Louisiana; Winston-Salem, North Carolina;
and Milwaukee, Wisconsin, are all IEMC cities this cy- Recognizing the importance of full-spectrum TECC
cle. Both the JCTAWS and IEMC deliveries are designed training, Mr. McCue and Mr. Miller have been work-
to test response plans and capabilities to a complex at- ing with TECC experts to evaluate the integration of
tack on the jurisdiction, including the use of fire as a the TECC guidelines throughout their wide range of op-
weapon, active shooter events, and improvised explo- erational scenarios. Collectively, they are integrating a
sive devices (IEDs) in a well-planned coordinated effort multitude of potential casualty management problems
by the attackers. throughout scenario responses to active shooter events,
IED attacks, and other situations outlined by DHS in its
FEMA Technical Assistance (TA) programs are avail- publication First Responder Guide for Improving Sur-
able to any interested agency looking to increase its vivability in Improvised Explosive Device and/or Active
awareness of TECC and TECC’s operationalization. Shooter Incidents.
Local agency leadership can request the TECC TA
through standard channels. FEMA provides funding for International Application of TECC
instructor travel and lodging. Local agencies are only
responsible for providing students and classroom space. C-TECC members recently delivered presentations fo-
Atlanta, Georgia, recently hosted a TECC TA that was cused on lessons learned and planning considerations
well attended by area law enforcement, fire, EMS, and for asymmetric attacks, to a North Atlantic Treaty Or-
healthcare system personnel. ganization (NATO) Headquarters audience in Brussels,
Belgium, and held expert panel discussions. The presen-
More than 100 private-sector organizations, public service tations were based on the JCTAWS and IEMC experi-
agencies, and educational institutions have completed the ence and focused on tiered training and application of
C-TECC ethical use agreement and are providing training TECC in dynamic prehospital environments. The NATO
under the Recognized Educational Content banner. Most conference also included a brief from French officials re-
recently, the National Association of Emergency Medi- garding the response to the recent terrorist events in and
cal Technicians Prehospital Trauma Life Support unveiled around Paris, including the Charlie Hebdo shootings.
its TECC course. The C-TECC Recognized Educational
Content logo represents a good faith agreement between Administrative Updates
the vendor and the C-TECC that the training provided is
consistent with the published TECC guidelines. Impor- The next C-TECC meeting will be Sunday, 1 Novem-
tantly, the C-TECC does not endorse any particular train- ber 2015 in San Marcos, Texas, in conjunction with the
ing program. Advanced Law Enforcement Rapid Response Training
(ALERRT) Conference. The Committee is grateful to
ALERRT for its ongoing support of TECC and look
Technology and Innovation in TECC Training forward to this new collaboration.
Note: C-TECC does not endorse any training company
or product. However, our partners in the private sec- You can follow us on twitter @CommitteeTECC or on
tor are often key subject matter experts, innovators, and Facebook at Committee for Tactical Emergency Casualty
drivers of change. Care.

Robert McCue (President) and Tim Miller (Trainer) of References
MILO Range (http://www.milorange.com) briefed the
audience on the second day of the C-TECC meeting. 1. Summers D. SD 911 operator gave wrong advice in fatal crash.
MILO Range is a vendor for interactive use of force, tac- 14 January 2015. http://www.nbcsandiego.com/news/local/
Dispatcher-Tourniquet-911-Call-Crash-Palm-Avenue-San-Di-
tical judgment training, and firearms training systems. ego-288541881.html. Accessed 20 June 2015.
MILO Range Interactive Systems use interactive video 2. 911 Call in North Carolina shark attack released. http://www.
scenarios with computer-generated imagery that create cnn.com/videos/us/2015/06/15/911-call-released-north-caro-
hyper-realistic first-person environments. The scenarios lina-beach-shark-attack.cnn. Accessed 20 June 2015.
are engineered and repeatedly filmed with different vari- 3. Callaway DW, Smith ER, Cain J, et al. Tactical Emergency Ca-
sualty Care (TECC): guidelines for the provision of prehospital
ables and outcomes, using professional actors and role trauma care in high threat environments. J Spec Oper Med.
players. This allows the on-screen scenarios to bifurcate 2011;11(3):104–122.

C-TECC Fall Update 151