Page 166 - JSOM Spring 2018

Proceedings from the 2017 Mid-Year Meeting of the Committee for
Tactical Emergency Casualty Care (C-TECC) and Committee Updates

Brendan Hartford; Geoff Shapiro; Michael Marino;
Reed Smith, MD; Nelson Tang, MD

ounded in 2011, the Committee for Tactical Emergency recognizes and appreciates the dedication and continued par-
FCasualty Care (C-TECC) is a standing, independent, non- ticipation of those involved despite the lack of funds to sup-
profit organization [501(c)(3)] composed of operational and port travel and meeting attendance.
academic medical leaders with a unified mission to develop
and maintain best practice guidelines for the provision of Multiple C-TECC administrative updates and presentations
medical care during high threat incidents and atypical events. were discussed:
Translating key lessons learned from its military counterpart, • Geoff Shapiro presented an update of the White House
the TECC guidelines promote evidence-based management of National Security Council Resilience Directorate Work-
casualties during tactical and rescue operations accounting for ing Group.
differences in civilian environments, resources allocations, pa- • The C-TECC Recognized Education Content program
tient populations, and responder scopes of practice. The full was discussed. Concerns were put forth about the qual-
C-TECC convenes formally twice annually to present scientific ity of the training provided by REC’s and methods to
advances, emerging technology and update TECC guidelines ensure quality control was debated. In the future, addi-
to further enhance the life-saving mission. tional levels of C-TECC endorsement may be available
after review of content and instruction.
The 2017 Mid-Year C-TECC Full Committee Meeting was • Ofer Lichtman of the Rancho Cucamonga, CA Fire De-
held on 4–5 December 2017 and was hosted by the Rancho partment presented their active shooter response pro-
Cucamonga, CA Fire Department. The meeting was robustly gram and Terrorism Liaison Officer (TLO) program,
attended and included participation by leaders, subject matter which serves an example at the national level.
experts, presenters, and stakeholders from domestic and inter- • Both Michael Shertz and Michael Marino were nomi-
national law enforcement, EMS, fire/rescue, military, industry, nated to be the Guidelines Committee representative to
and interested parties. The meeting was streamed live on social the Board of Directors. A vote will be taken at the An-
media and viewed by 17,000 individuals. nual Meeting in May 2018 to decide who will be the
representative.
• Pete Carlo, Las Vegas SWAT, presented information on
General Proceedings
the Las Vegas shooting from his perspective as a physi-
Dr Reed Smith, C-TECC Co-Chair, called the meeting to order. cian assistant at University Medical Center in Las Vegas.
Following the Pledge of Allegiance and general introductions,
Dr Smith presented the Board of Directors report. Meeting Michael Marino presented on the High Threat Institute’s Fly
schedule and general rules of order were reviewed. Team. The fly team deployed to Las Vegas, NV in the immedi-
ate aftermath of the incident on 1 October 2017. Mike Marino
and John Delaney, representing the High Threat Institute (also
Board of Directors Updates
C-TECC guideline committee members), were on the ground
C-TECC welcomed several recent additions to the Board of and initiated a multidisciplinary after action review for rapid
Directors and Guidelines Committees. Dr Eric Vu (Vancouver, dissemination of lessons learned to the first responder com-
BC, Canada), Mr Christopher Baldini (Philadelphia Fire De- munity. The goal is to incorporate adaptive learning in near
partment, PA), Dr Matthew Sholl (State EMS Medical Direc- real-time after significant incidents to enable more effective
tor, Maine), and Dr Peter Taillac (State EMS Medical Director, responses to new threats.
Utah) were announced by the Board of Directors as new voting
members of the Guidelines Committee. Dr Carol Cunningham Dr Josh Bobko updated the Committee on the First Care Pro-
(State EMS Medical Director, Ohio) and Dr Richard Kamin vider initiative.
(State EMS Medical Director, Connecticut) were announced as
new members of the Board of Directors. Also joining C-TECC TECC Guidelines
as a special advisor to the Board of Directors is Mr Randy Stair
(United States Secret Service, Emergency Services Section). Working groups presented their continued efforts to include
guidance on mitigating psychological issues surrounding high-
Fundraising remains a concern, and concerted efforts to ex- impact responses, CBRNE responses, pediatric guidelines, and
pand campaigning efforts will be a focus area for the upcom- addressing the need to update medical instruction protocols
ing year. Ideas were solicited from members and supporters to used by dispatchers/call takers to include TECC interventions.
improve outreach and involvement. The Board of Directors New working groups were created as well, to include a burn

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