Page 174 - Journal of Special Operations Medicine - Spring 2017

• The process for application and subsequent use of differ from the existing set of full TECC guidelines; in-
the term “C-TECC recognized educational content,” stead, each set of provider guidelines focuses the TECC
and the corresponding red Committee logo, were re- guidance to the appropriate skill level and scope of the
viewed and will remain, open to all, as the official specific end user. Currently, the scope-specific guidelines
procedure to obtain recognition by the Committee for for first care providers are available on the C-TECC
the TECC content that is being taught by community, website. During the 2 days of the 2016 Mid-Year meet-
public safety, and education entities and private or- ing, the present quorum developed and approved scope-
ganizations. The “Recognized Educational Content” specific TECC guidelines for non-EMS first responders
logo can be displayed by any entity that agrees to (specifically law enforcement) and EMS medical first re-
follow the Committee Principles of Guidelines Edu- sponders. These guidelines should be finalized and pub-
cation document and is a marker that the TECC con- lished on the C-TECC website in the next few weeks.
tent is true to the mission and intent as created by the
Committee. The specific guidelines for medical first receivers will be
• C-TECC announced the creation of, and selection cri- discussed at the 2017 Annual Meeting.
teria for, a Board of Emeritus Advisors. The Board of
Directors will announce the members of this presti- Program Updates
gious board in Spring 2017.
• The Committee will be establishing two new positions Dr Sandy Bogucki provided a briefing on the ongoing
of past chairman within the executive committee, as efforts of the Interagency Board (IAB) and their work on
the Board of Directors develops a succession process various high-threat initiatives relating to active violence
for the Board and the Executive Committee and other hostile incidents. Dr Gina Piazza provided a
• A recommitment process for current Board of Direc- progress report on the efforts of the American College
tors, Guidelines Committee, and Board of Advisors of Emergency Physicians, High Threat Emergency Casu-
members is forthcoming. As such, a continuing rela- alty Care Task Force, which held its inaugural meeting
tionship disclosure requirement and conflict resolu- in Las Vegas in October 2016. Captain Ryan McGovern
tion policy are being developed for all official voting of the Boston Fire Department (BFD) delivered a presen-
members involved in the Committee. tation describing integration and TECC efforts among
• A financial update was provided by C-TECC Trea- BFD, Boston EMS, and Boston Police. C-TECC Guide-
surer Geoff Shapiro. A “Friends of C-TECC” pro- lines Committee member Dr Joshua Bobko provided
posal was discussed with potential implementation by an update regarding First Care Provider (FCP), and
the Annual Meeting. Dates for the 2017 and the 2018 Mr Ryan Forsemian (Chino, CA) presented information
Special Operations Medical Association Scientific As- on the successful implementation of an FCP Program in
sembly (SOMSA) were reviewed. It is the intention of his area.
C-TECC to continue to hold its Annual Meetings in
conjunction with SOMSA.
Case Study
Chief Graham Ellis of the London Fire Brigade presented
TECC Guidelines
a critical incident response case study surrounding the
The Committee voted and approved the K-9 TECC Vauxhall helicopter crash that occurred on January 16,
Guidelines developed by the K-9 Working Group under 2013. Various issues surrounding the needed for stra-
the leadership of Dr Lee Palmer. These guidelines will tegic and tactical integrated efforts between disciplines
be available on the C-TECC website in the near future. and specific issues and risks encountered in the unique
Other working groups presented their continued efforts environment were discussed in great detail. This inci-
to include guidance on mitigating psychological issues dent provided a platform to dissect and improve various
surrounding high-impact responses, CBRNE responses, interdiscipline efforts that were either under way or be-
and pediatric guidelines and addressing the need to up- ing developed in London at the time of the crash. Rep-
date medical instruction protocols used by dispatchers/ resentatives from New Scotland Yard and the London
call takers to include TECC interventions. Fire Brigade were candid in their conversation regarding
these efforts and the progress that has been made and
In response to end-user feedback, C-TECC has developed implemented in the following years.
abridged guideline documents for each specific scope of
provider of the chain of survival. These abridged guide- National Activities
lines attempt to take into account the specific scope of
practice, nomenclature, standard of care, equipment Members of C-TECC continue to serve as Interagency
availability, training, and other issues for each of the Planning Group and Faculty members for the Joint Coun-
provider levels. These scope-specific guidelines do not ter Terrorism Awareness Workshop Series (JCTAWS)

150 Journal of Special Operations Medicine Volume 17, Edition 1/Spring 2017