Page 155 - Journal of Special Operations Medicine - Spring 2016

on TECC will be further discussed at the May 2016 full Tentative 2016 May Schedule
committee meeting at the Special Operations Medical Given recent research by Dr Reed Smith, Dr Babak Sa-
Association Scientific Assembly (SOMSA).
rani, and Mr Geoff Shapiro, presented at the January
2016 EAST conference in San Antonio, Texas, suggest-
Committee Business ing that torso and truncal trauma result in the majority
of active shooter incident-related mortality, the C-TECC
The Texas State University Advanced Law Enforcement meeting will focus on strategies to address this complex
Rapid Response Training (ALERRT) program hosted trauma management challenge. Further discussion on
the November 2015 C-TECC meeting in San Marcos, this topic and how to continue to influence and support
Texas. The meeting primarily focused on identifying efforts such as the White House “Stop the Bleed” cam-
update areas, accessibility, and formatting of the exist- paign and Hartford Consensus will be on the agenda.
ing TECC guidelines. Working groups were established
to begin templating tiered recommendations for skill The C-TECC appreciates the ongoing support and part-
sets and trainings based upon the TECC Chain of Sur- nership of the InterAgency Board, FEMA, National Tac-
vival Model and the Whole of Community approach to tical Officers Association, Special Operations Medical
TECC integration, as recently articulated by Fisher et Association, and the ALERRT team.
al. These recommendations will be presented for review
4
at the May 2016 C-TECC Meeting in Charlotte, North
Carolina. References
1. Champion HR, Bellamy RF, Roberts CP, et al. A profile of
Guideline Recommendations combat injury. J Trauma. 2003;54:S13–19.
2. Eastridge BJ, Mabry RL, Seguin P, et al. Death on the battle-
The C-TECC trauma Chain of Survival has been broadly field (2001-2011): implications for the future of combat casu-
endorsed as an effective policy and training tool for alty care. J Trauma Acute Care Surg. 2012;73:S431–437.
whole-community integration of TECC. A key compo- 3. Committee for Tactical Emergency Casualty Care, FirstCare
Provider.org, The Koshka Foundation for Safe Schools. Build-
nent of this program is the first care provider (FCP). ing community resilience to dynamic mass casualty incidents:
The FCP Working Group, led by Dr Bobko, has helped a multiagency white paper in support of the first care provider.
to drive research, publications, and public policy dis- http://www.c-tecc.org/images/content/Joint_FCP_White_Paper
5,6
cussion on the topic of FCP. Recently, the group .pdf. Accessed 1 October 2015.
published recommendations in JSOM and the Journal 4. Fisher AD, Callaway DW, Robertson JN, et al. The Ranger
First Responder Program and Tactical Emergency Casualty
of Trauma. In summary, as noted in the original 2011 Care implementation: a whole-community approach to reduc-
TECC guidelines, appropriately trained and equipped, ing mortality from active violent incidents. J Spec Oper Med.
the FCP can be the first link in the trauma chain of sur- 2015;15:46–53.
vival. Public safety and first response agencies should 5. Smith ER, Sarani B, Bobko J, et al. Building community resil-
acknowledge this operational reality and should lead ience to dynamic mass casualty incidents: a multiagency white
paper in support of the first care provider. J Trauma Acute Care
the effort to integrate the FCP into whole-community Surg. 2016 Jan 21. [Epub ahead of print]
crisis response plans built upon the tiered application 6. Committee for Tactical Emergency Casualty Care. Joint inter-
of the civilian TECC medical guidelines. The C-TECC agency white paper supporting the first care provider initiative.
Working Groups are also drafting recommendations for http://www.c-tecc.org/news/48-joint-agency-white-paper
nonmedical first responders and basic life support pro- -supporting-the-first-care-provider-initiative. Accessed 30 Jan-
uary 2016.
viders. These recommendations will be discussed and
voted on at the 22 May 2016 meeting at SOMSA.

C-TECC Spring Update 139