I truly enjoyed everything about this course, both the classroom teachings and the real-life simulations. The instructors were all very knowledgeable and I enjoyed learning from them not only the material, but how they used it in their own jobs and the experiences they were able to share. They provided great feedback and also good constructive criticism.
Participant, August 2022 - TECC
With roots developed in evidence-based combat medicine, TECC presents the three phases of tactical casualty care and integrates nomenclature familiar to civilian EMS, Fire, and Law Enforcement:
- Hot Zone: Direct Threat Care - Patient care rendered while under attack, in adverse, or otherwise imminently dangerous conditions.
- Warm Zone: Indirect Threat Care - Patient care rendered while the threat has been suppressed but may resurface at any point.
- Cold Zone: Evacuation Care - Patient care rendered while the patient is being evacuated from the incident site.
TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event.
The Strategic Operations, Inc. (STOPS) fully accredited, 16-hour TECC provider course includes all-new tactical casualty incident simulations. TECC at STOPS includes but is not limited to:
NAEMT's TECC course is endorsed by the American College of Surgeons Committee on Trauma, is consistent with the current guidelines established by the
Committee on TECC (Co-TECC), and meets the updated National Tactical Emergency Medical Support Competency Domains. This course is accredited by CAPCE for 16 hours of continuing education credit and recognized by NREMT.
- Hemorrhage control including immediate action drills for tourniquet application
- Comprehensive instruction on the “P-MARCH-PAWS” algorithm assessment
- Surgical airway intervention (cricothyroidotomy)
- Chest-needle decompression (chest thoracentesis)
- Strategies for treating wounded responders in high threat environments
- Caring for pediatric patients in the tactical environment
- Proven, best practices for lifting, dragging, and carrying victims to safety
- Three (3) skill-focused, Situational Trauma Exercise Lanes
- Hyper-Realistic® active shooter/mass casualty event scenarios
NAEMT is a recognized education partner of the Co-TECC. The Co-TECC establishes guidelines for the provision of prehospital care to injured patients during a tactical incident. The Co-TECC neither creates a curriculum for the prehospital provider nor does it endorse the curriculum of other organizations.
TECC is oriented to the civilian tactical medical provider, is fully aligned with the recommendations of the Hartford Consensus (I, II, III and IV), the C-TECC standards, and the principles of Tactical Combat Casualty Care. This program exceeds the 2015 amendments to the California Code of Regulations, Title 22, Division 9, Chapter 1.5, Article 3, §100017(14) and CA H&S §100017(14)(A) for individual first responder training as a State of California Advanced Tactical First Aid Course (Fire/Law/EMS).
Upon successful completion of TECC, students will receive an NAEMT certification as a TECC Provider (valid for four years from course completion) and 16 hours of Category-I CMEs/CEUs from CAPCE (formerly known as “CECBEMS”). California Law Enforcement may submit POST-2-213/213A for Continuous Professional Training (CPT) credit.
NAEMT 2nd Edition TECC course is a recognized education partner of C-TECC.
NAEMT Training Center – 6653
CA POST Presenter – 1102
4705 Ruffin Road
San Diego, CA 92123
23 & 24 April
25 & 26 June
20 & 21 August
22 & 23 October
10 & 11 December
For more information, contact the STOPS medical training office at
858-715-5265 or [email protected].
Ask for details on a custom TECC course, tailored to meet your agency’s specific operational responsibilities.
A basic TECC course for 14 of your personnel starts at $550.00 per student.
TECC 2nd Edition Course Manual (Paperback or
Order Manual Here (opens in separate tab)
Sent: Wednesday, November 3, 2021 5:56 PM
Damien and Stu,
Thank you and the entire team for having us. It was a highly beneficial day. As far as AAR items, I really only have positive feedback, as follows:
All top-notch. Everyone was professional, tactful and knowledgeable in the field of tactical medicine. They provided excellent critiques and feedback which was well-received by our folks.
As described, the STOPS equipment provided hyper-realistic training which required the students to think and act quickly, especially with regards to treating major bleeding. A lot of these folks have never received that type of hands-on training. This equipment is all fantastic and value-added. The needle decompression station was also very received and provided good "landmark" identification for the needle d procedure and it stimulated good conversation on the topic.
By far the best trauma make-up and moulage I have seen in my career. The wounds were realistic and relevant to what we do in tactical medicine. Many of the wounds required the students to think outside the box in order to properly treat, triage and move the "casualty". The folks creating the make-up and moulage were outstanding.
In summary, a completely professional staff, providing high-quality and realistic training. Our team certainly benefited from this training and all the teammates I spoke to had nothing but good things to say about the venue, staff, equipment and training. Once again, thank you very much for hosting us.
"A Federal Law Enforcement Officer" (name withheld due to confidentiality)
Read more feedback from our courses
Strategic Operations Inc. offers the following training courses:
Tactical Emergency Casualty Care (TECC)
The Second Edition of the National Association of Emergency Medical Technicians (NAEMT) Tactical Emergency Casualty Care (TECC) course is designed to present a strong foundation of topics, concepts, principles, and skills specific to delivering emergency medical care for patients in a civilian tactical environment.
Tactical Emergency Casualty Care for Law Enforcement Officers and First Responders (TECC-LEO)
An 8-hour classroom scenario-based skills course designed explicitly for law enforcement and non-EMS first responders.
Tactical Medicine Technician (TMT)
The crawl, walk, run teaching methodology will take the students from the repetitive practice of core Tactical Medicine skills through full Hyper-Realistic® stress inoculation scenarios.
Tactical Combat Casualty Care (TCCC)
NAEMT's Tactical Combat Casualty Care course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield, under the auspices of the PHTLS program. It is the only TCCC course endorsed by the American College of Surgeons.
Make-Up/Moulage Basic Course (HRMK)
Strategic Operations Inc. (STOPS) is pleased to provide instruction in the techniques of how best to safely and effectively utilize the Hyper-Realistic® Moulage Kit (HRMK) creating Hyper-Realistic wound simulations that will enhance any training scenario.
This course draws on the many years of experience of the STOPS’ Professional Special Effects Make-up Team and will provide the Training Audience with the knowledge and tools required to employ the HRMK in support of day to day training scenarios reducing those training costs and allowing high profile/final exercises to continue to be supported by Professional Special Effects Artists.
Make-Up/Moulage Advanced Course (HRMK)
The two-day STOPS HRMK Advanced Training Course conducted at the STOPS facility in San Diego, CA will delve deeper into the more complex capabilities of the wound kit. This in-depth training will instruct the Training Audience in specialized techniques developed by the STOPS Make-up Team to successfully execute everything from a single casualty with multiple injuries to a mass casualty training scenario.