What is TECC?
Tactical Emergency Casualty Care (TECC) is a set of guidelines and principles for providing medical care for trauma in high-threat or dynamic environments. It is a near direct correlation on the proven success of the (military) Tactical Combat Casualty Care recognizing that trauma is ‘agnostic’. It has various civilian relevant terminology, response, and process explanations specific to domestic frameworks.
TECC aims to minimize preventable deaths and reduce morbidity by providing care that is practical, effective, and relevant to the tactical, high risk or dynamic setting. TECC Training - SAVES LIVES!
Goal of TECC Training?
Providing lifesaving interventions to bridge the gap until higher level medical care is available.
What does TECC address that other guidelines do not?
The TECC guidelines take into account the requirements of a civilian population. This includes pediatric, geriatric, and special needs patients, as well as considerations for underlying medical conditions common in a civilian population, the characteristics and limitations of civilian EMS, and the varied types of threats that responders face.
Military treatment guidelines were developed for a very specific purpose and population – fit and healthy 18-45 year olds in a combat environment. They have been extremely successful, but these guidelines cannot be directly carried over into the civilian population without taking these differences into account.
Who supports or endorses TECC?
Several federal agencies (including FEMA, DHS–Office of Health Affairs and multiple federal law enforcement agencies) have a role in the work of C-TECC, and representation on the Committee. TECC is prominently featured in the Joint Counter Terrorism Workshop Series (JCTAWS) initiative, which helps prepare urban areas for major mass casualty events.
In order to support the efforts of implementing TECC into response paradigms, the FEMA Office of Counter Terrorism and Security Preparedness is sponsoring one-day seminars conducted by Technical Assistance teams composed of members from the C-TECC. The seminar is focused on providing an executive briefing on the development and uses of the guidelines, application design into existing and new response protocols, curriculum design and implementation strategies, and instructor train-the-trainer information.
Who is TECC for?
TECC has applications for ALL high-risk operations, where there is a real and on-going risk to both the patient and provider.
• Active Shooter Response Teams
• Wilderness Rangers
• Confined space, rope and other technical rescue operations
• Law enforcement ‘officer down’ response
• Tactical Response Teams (SWAT, HRT, ERT etc)
• Close Protection/Executive Protection Personnel
• Response Teams to Explosive Mass Casualty Event
• Fire & Rescue Teams
• Immigration, Border Protection & Customs Enforcement
• Department of Correctional & Prison Services
• Airport Security Response Teams
• Large Resort/Theme Park Property Personnel (Security, Response Teams, etc)
• Private Security Response Teams (gated communities etc.)
TECC has become the standard lifesaving intervention training for law enforcement, fire & rescue and EMT's across the North America. Recognized and accredited by NAEMT - National Association of Emergency Medical Technicians
Tactical Emergency Casualty Care (TECC) for Law Enforcement and First Responders
TRAINING PROSPECTUS
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Direct Threat Care
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Indirect Threat Care
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Evacuation Care
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Trauma Response Protocols
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Massive Hemorrhage Control
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Cardiac and Respiratory Trauma
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CPR/AED
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Advanced First Aid
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Warm vs. Hot Zone Care
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Multiple Victim Triage
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Victim movement/transportation
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Maintain tactical supremacy
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Threat mitigation techniques
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Minimal trauma interventions
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Stress Inoculation Drills
COURSE DETAILS:
DURATION: 18hrs (2 day course)
LOCATION: Nassau, The Bahamas
NEXT CLASS DATE: June 25 & 26 2026
COST: $650.00
Certificate on successful completion.
*Includes theory/classroom training, hands-on
simulations, and field training.
REGISTRATION FORM
MAY 2026 | TECC-LEO
This cohort represented a diverse cross-section of the nation's security sectors, including: Officers from Central Bank of the Bahamas Internal Security, R.B.P.F SWAT, Close Protection Operations team and Bahamas Department of Corrections.
"This cohort ranks among the top-performing classes we have ever instructed. Their attention to detail, passion for learning, academic test scores, and hands-on skill execution were truly exemplary." - James Roth
Upon successful completion of the course, participants earned both National Certification and International Certification under the National Association of Emergency Medical Technicians (NAEMT). These highly respected, dual-layered credentials ensure that officers hold globally recognized qualifications that are valid and respected anywhere in the world.
Equipping law enforcement professionals with advance international training like the TECC tactical medical training is a core mission for Paratus Tactical.Which is vital for enhancing officer readiness and survivability in high-risk situations. Following the overwhelmingly positive feedback and immediate peer recommendations from this cohort, Paratus Tactical looks forward to a long-term commitment to supporting Bahamian law enforcement agencies with consistent, high-quality TECC training opportunities.
TECC-LEO INSTRUCTORS
Cory Lanier - Tactical Medical Instructor
NAEMT Instructor #422112 | NREMT AEMT #A2006143
Tampa Bay, Florida
With over 15 years of specialized experience in high-stakes tactical and emergency medical environments including combat deployments as a U.S. Army Tactical Medic in Afghanistan, protective security operations in Iraq and Afghanistan as an Advanced EMT, and current leadership of mobile training teams around the world, I deliver elite, operationally focused advanced medical and tactical training that directly translates to mission success and life-saving outcomes. As a certified TCCC Instructor, TECC-MP provider, and subject-matter expert in firearms, marksmanship, land navigation, and crisis response, I design and deliver customized curricula using proven ISD methodologies, build certified training centers complete with multimedia aids, hands-on scenarios, and rigorous performance evaluations that ensure measurable skill mastery. I bring not just technical expertise but the ability to rapidly build readiness, enhance team cohesion, and equip personnel with the precise tactical combat casualty care and security skills needed for real-world success.
James Roth - Tactical Medical Instructor
NREMT Paramedic #M5120897 | NAEMT Instructor #727158
Tampa Bay, Florida
James Roth is a NAEMT Certified TCCC, TECC, AMLS, and PHTLS Instructor and Affiliate Faculty. James is a retired US Army Special Forces medic with 7 combat deployments resulting in his treatment of numerous combat casualties. He is an English and Arabic speaker, previously instructed in Panama, Jordan, United Arab Emirates, Quatar, Kuwait, Bahrain, Iraq, Afghanistan, Burkina Faso, Ethiopia, Djibouti, Mozambique, Senegal, Democratic Republic of Congo, and Cote d’ Ivoire. He has been a National Registered Paramedic since 1998 and is a Florida Licensed Paramedic. He has managed multi-million dollar security contracts and has been the Deputy Project Manager for the a seven year U.S. Department of State contract training Tactical Combat Casualty Care Medical Provider, Combat Lifesaver, and Combat Medic/ Corpsmen’s courses throughout Africa. He is currently the Operations Manager for West Coast Florida CPR in Tampa, Florida.