TECC Course

Lesson 1 • Threat Assessment and Scene Safety

Introduces systematic threat recognition before initiating care. Connects scene safety evaluation to the selection of the appropriate care phase.

Lesson 2 • Origins and Purpose of TECC

Traces TECC's development from military TCCC and its adaptation for civilian responders. Provides the historical rationale that frames all subsequent clinical decisions.

Lesson 3 • Roles of the Tactical Responder

Differentiates self-care, peer-care, and responder-care responsibilities within a team. Clarifies scope of practice boundaries relevant to each role.

Lesson 4 • Legal and Ethical Framework

Covers duty to act, consent, and documentation obligations for tactical responders. Grounds ethical decision-making in real operational constraints.

Lesson 1 • Physiology of Hemorrhagic Shock

Explains blood volume, compensatory mechanisms, and shock progression. Provides the physiological basis for urgency in hemorrhage control interventions.

Lesson 2 • Junctional and Truncal Hemorrhage

Addresses bleeding at the groin, axilla, and neck where tourniquets cannot be applied. Introduces junctional devices and improvised pressure techniques.

Lesson 3 • Tourniquet Application Techniques

Covers commercial and improvised tourniquet selection, placement, and tightening. Students practice one-handed self-application and peer application on limb models.

Lesson 4 • Wound Packing and Pressure

Teaches hemostatic gauze packing for junctional and non-limb wounds. Connects packing technique to sustained direct pressure protocols.

Lesson 1 • Nasopharyngeal Airway Insertion

Teaches sizing, lubrication, and insertion of the nasopharyngeal airway adjunct. Students practice on task trainers and identify contraindications.

Lesson 2 • Positioning and Manual Maneuvers

Covers recovery position, head-tilt chin-lift, and jaw thrust for unconscious casualties. Connects positional interventions to phase-appropriate care decisions.

Lesson 3 • Airway Anatomy and Physiology

Reviews upper and lower airway structures relevant to obstruction and intervention. Establishes anatomical landmarks used in all subsequent airway skills.

Lesson 4 • Supraglottic Airway Devices

Introduces insertion and confirmation of supraglottic devices for apneic casualties. Addresses device selection criteria and failure recognition.

Lesson 1 • Needle Thoracostomy Decompression

Teaches landmark identification and needle insertion for tension pneumothorax relief. Addresses both anterior and lateral approaches with confirmation steps.

Lesson 2 • Chest Seal Application

Covers vented and non-vented chest seal selection and application technique. Students practice on wound simulators and assess seal effectiveness.

Lesson 3 • Recognizing Chest Injuries

Teaches rapid assessment signs for pneumothorax, hemothorax, and open chest wounds. Connects clinical signs to immediate intervention priorities.

Lesson 4 • Rib Fractures and Flail Chest

Identifies clinical presentation of rib fractures and flail chest segments. Covers stabilization and ventilation support within TECC scope.

Lesson 1 • Tranexamic Acid Administration

Covers indications, dosing, timing, and contraindications for tranexamic acid use. Emphasizes the time-critical window for maximum effectiveness.

Lesson 2 • Monitoring and Reassessment

Establishes serial assessment of perfusion, mental status, and bleeding control effectiveness. Connects reassessment findings to treatment adjustments during evacuation.

Lesson 3 • Fluid Resuscitation Principles

Teaches permissive hypotension, fluid type selection, and volume targets for trauma. Connects resuscitation strategy to hemorrhage control status.

Lesson 4 • Shock Recognition and Classification

Differentiates hemorrhagic, obstructive, distributive, and cardiogenic shock presentations. Builds rapid assessment skills tied to intervention selection.

Lesson 1 • Burn Assessment and Classification

Teaches burn depth classification and body surface area estimation using field methods. Connects burn severity to fluid and airway management priorities.

Lesson 2 • Warming Techniques and Equipment

Covers passive insulation, active warming devices, and warm fluid administration. Students select and apply appropriate warming measures for field conditions.

Lesson 3 • Fluid Resuscitation for Burns

Introduces burn-specific fluid formulas and their adaptation for field resuscitation. Connects burn fluid needs to overall shock management strategy.

Lesson 4 • Hypothermia in Trauma Casualties

Explains how heat loss accelerates coagulopathy and worsens the lethal triad. Establishes prevention as a priority equal to hemorrhage control.

Lesson 1 • Fracture Assessment and Splinting

Covers open and closed fracture identification and improvised splinting methods. Connects neurovascular checks to splint application and reassessment.

Lesson 2 • Traumatic Brain Injury Recognition

Teaches rapid neurological assessment using level of consciousness and pupil response. Connects TBI indicators to airway and positioning priorities.

Lesson 3 • Ocular Injury Assessment and Care

Identifies penetrating, blunt, and chemical eye injuries and their field management. Teaches rigid eye shield application and irrigation techniques.

Lesson 4 • TBI Management in the Field

Covers oxygenation, ventilation, and hypotension avoidance for TBI casualties. Addresses the interaction between TBI management and hemorrhage control.

Lesson 1 • MIST and SBAR Handoff Reports

Teaches structured verbal handoff using MIST and SBAR communication frameworks. Ensures continuity of care information at every transition point.

Lesson 2 • Multi-Casualty Triage Principles

Introduces START and SALT triage systems for prioritizing multiple casualties. Connects triage decisions to resource allocation under operational constraints.

Lesson 3 • Full-Scenario Integrated Practice

Runs complete TECC scenarios from threat contact through evacuation handoff. Provides performance feedback against standardized competency benchmarks.

Lesson 4 • Casualty Packaging for Transport

Covers litter selection, securing techniques, and packaging order for safe transport. Addresses packaging adaptations for different evacuation platforms.