The 2nd edition of NAEMT's Tactical Emergency Casualty Care (TECC) course teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment.

The course presents the three phases of tactical care and integrates parallel EMS nomenclature:

• Hot Zone/Direct Threat Care that is rendered while under attack or in adverse conditions.
• Warm Zone/Indirect Threat Care that is rendered while the threat has been suppressed but may resurface at any point.
• Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site. 

The 16-hour classroom course includes all new patient simulations and covers the following topics:

• Hemorrhage control including immediate action drills for tourniquet application throughout the course;
• Complete coverage of the MARCH assessment;
• Surgical airway control and needle decompression;
• Strategies for treating wounded responders in threatening environments;
• Caring for pediatric patients;
• Techniques for dragging and carrying victims to safety; and
• A final, mass-casualty/active shooter event simulation.