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Proceedings of the 2023 Spring/Summer Meeting
of the Committee for Tactical Emergency Casualty Care (C-TECC)
and Committee Updates
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Geoffrey L. Shapiro ; Michael Marino ; David Callaway, MD ;
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Richard Kamin, MD ; Allen Yee, MD ; Carol Cunningham, MD ; James Schwartz ;
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Claire Park, MBChB ; Reed Smith, MD ; Nelson Tang, MD *
Introduction
Founded in 2011, the Committee for Tactical Emergency Ca- members on the Guidelines Committee include Dr Jason Jones
sualty Care (C-TECC) continues to operate as a stand-alone (University of Florida Emergency Medicine), Dr Brian Wal-
non-profit organization. It is comprised of operational and ac- ters (Cattaraugus County, NY Sheriff’s Dept.), Capt. Ryan
ademic leaders with a unified mission to develop and maintain McGovern (Boston Fire Dept. Special Operations), Mr. Joshua
best practice guidelines (BPGs) for the provision of trauma Knapp (Bureau of Alcohol, Tobacco, Firearms & Explosives,
care in high-threat environments. Translating key lessons Washington, D.C.), and Mr. Tim Curtis (University of Chicago
learned from its military counterpart, the Tactical Emergency Medicine). The Co-Chairs thanked and recognized all outgo-
Casualty Care (TECC) guidelines promote evidence-based ing members who now serve on the Board of Advisors or the
management of casualties during tactical and rescue opera- Board of Advisors Emeritus.
tions under different civilian environments, resource alloca-
tions, patient populations, and responder scopes of practice. Significant changes to the Recognized Educational Content
The full C-TECC convenes formally twice annually to present (REC) Partner program were successfully instituted in 2022,
scientific advances, review emerging technologies, and update and program updates were presented. All existing and new
TECC guidelines to further life-saving care. Recognized Educational Partners will be required to complete
an annual application process to maintain recognition. Fu-
The 2023 Spring/Summer C-TECC Full Committee Meeting ture affiliation with the REC program will require certain re-
was held in conjunction with the Special Operations Medical porting standards. Recognized Educational Content partners
Association Scientific Assembly (SOMSA) on May 15, 2023 in are neither endorsed by C-TECC, nor are considered official
Raleigh, North Carolina. The meeting was robustly attended C-TECC programs, but are entities that have agreed to present
and included participation by leaders, subject matter experts, TECC material in an appropriate manner and abide by the
presenters, and stakeholders from domestic and international parameters of recognition. C-TECC does not guarantee the
law enforcement agencies, emergency medical services (EMS), quality of educational materials or methods of instruction by
fire/rescue personnel, military, industrial, and other interested recognizing any partner.
parties.
The past C-TECC Chair, Dr Nelson Tang established and will
lead the newly formed C-TECC Student, Resident, and Fel-
C-TECC Updates
low Section along with Dr Andrew Garrett, Board of Advisors.
In accordance with C-TECC Bylaws, positions on the Board This section will serve as an access point for learners at all
of Directors and Guidelines Committee are reviewed annu- levels of medical training to appreciate the fundamental con-
ally with changes made based on appointment terms. Mem- cepts of operational medicine and better understand the TECC
ber changes this year reflect the ascension of former Guideline mission. This section will additionally provide a platform to
Committee members, Dr David Tan and Dr Andy Pennardt, to foster continued academic, research, and investigative efforts
the Board of Directors. Dr Allen Yee was appointed Vice-Chair that inform the TECC guidelines. C-TECC membership is ex-
upon the conclusion of Co-Chair Dr Richard Kamin’s term. pected to offer a robust base of subject matter experts to serve
Mr. Michael Marino now serves as a Co-Chair. New voting as mentors and points of contact for interested learners.
*Correspondence to ntang@jhmi.edu
1 Geoffrey L. Shapiro is affiliated with the Emergency Health Services Program at the George Washington University School of Medicine & Health
Sciences. Michael Marino is affiliated with the George Washington University School of Medicine & Health Sciences. Dr David Callaway is
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affiliated with the Department of Emergency Medicine at Atrium Health in Charlotte, NC. Dr Richard Kamin is affiliated with the Department
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of Emergency Medicine at the University of Connecticut Health Center. Dr Allen Yee is affiliated with the Chesterfield County (VA) Fire and
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EMS. Dr Carol Cunningham is affiliated with the Division of EMS at the Ohio Department of Public Safety. James Schwartz is affiliated with
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the Office of the County Manager in Arlington County, Virginia (RET). Dr Claire Park is affiliated with London’s Air Ambulance and Barts
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Health NHS Trust in the UK. Dr Reed Smith is affiliated with the Arlington County (VA) Fire Department. Dr Nelson Tang is affiliated with
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the Center for Law Enforcement Medicine at Johns Hopkins University School of Medicine.
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