Today is Giving Tuesday 2021 and we kindly ask you to consider donating to the Committee of Tactical Emergency Casualty Care (C-TECC) this year. Donations to the Committee will fund projects in the areas of pre-hospital trauma care to better equip our first responders and civilian active bystanders to treat the injured and prevent loss of life.



If you're unable to donate today, please consider selecting C-TECC as your charity of choice through the AmazonSmile program, which donates money every time you make a purchase on Amazon at no additional cost to you.

C-TECC has identified several areas of patient care that still need significant research conducted before definitive guidelines can be drafted and provided to public safety and community partners for implementation in the response to violent incidents. Some of these areas of research include: pediatric tourniquet use, resuscitation guidelines for pediatrics, wounding patterns from active shooter, methods of evacuation and effect on survival, effect of obesity on TECC equipment and guidelines, physiologic monitoring of casualties in mass casualty, and more.

C-TECC is a non-profit committee of pre-hospital and emergency medicine experts convened to speed the transition of military medical lessons learned from the battlefield to civilian crisis response in order to reduce preventable causes of death in both our first responders and civilian population.

Thank you in advance for your consideration as well as your support throughout the years!
Please mark your calendars for the January 2022 C-TECC Meeting will be held on Tuesday, January 11 from 9am to 5pm in San Diego, CA in conjunction with the National Association of EMS Physicians (NAEMSP) Annual Meeting at the Manchester Grand Hyatt.  Additional details will be provided as they become available.

More information, including speaker/topic suggestions, available here.
C-TECC is launching a virtual speaker series, which will highlight pertinent topics in the high threat medical response arena. These quarterly sessions will begin on September 9th.
As we approach the twentieth anniversary of the 9/11 attacks, join FBI Special Agent in Charge Christopher Combs and retired Arlington County Fire Chief Jim Schwartz as they recount their experiences leading the unified command effort at the attack on the Pentagon in 2001. They will discuss the lessons learned from that experience and how those lessons can be applied to the threats of today. They will also provide a look forward on how public safety agencies can improve their preparedness efforts for the future.

  • Date & Time: Thursday, September 9 at 4pm (EDT)
  • Speakers: FBI Special Agent in Charge Christopher Combs and Retired Arlington County Fire Chief Jim Schwartz
  • Price: Free (donations accepted)
  • Length: 1-hour
  • Platform: Virtual (Zoom)

The C-TECC Guidelines Committee has published the TECC CBRN Annex titled Tactical Emergency Casualty Care (TECC) Guidelines for BLS/ALS Medical Provider: Response to Chemical Warfare Agents/Events. This annex serves to augment the TECC guidelines by addressing treatment required to patients during a CBRN event. Primarily focused on illness and injury sustained through the use of chemical agents, this document aims to provide guidance to medical providers rendering treatment during the three phases of care. Additionally, guidance and treatment recommendations are provided for patients exposed to Pharmaceutical Based Agents (PBA's), having been identified by civilian and counter-terrorism experts as a threat. The large quantities and rise in availability of synthetic opiates pose a significant risk of deliberate release during dynamic acts of violence.

Please access the Guidelines document below.

CBRN Guidelines
We need your help! C-TECC has been selected as a finalist in the Land Rover Defender Above & Beyond Service Awards in the fire safety & response category. The contest, which recognizes nonprofits who go above and beyond to serve their communities every day, awards winning organizations with a customized Defender.

As a finalist, C-TECC's submission video is now open for public voting. The voting period remains open until Monday, August 23 at 11:59pm (EDT), and individuals can vote once per day until voting closes. We call on you to help us secure the most votes! Please click on the link below to vote (today and every day) and encourage your friends, colleagues, and other supporters of C-TECC to do the same. The organization with the most votes wins!


C-TECC plans on utilizing the Defender to bring light to our mission and draw much needed attention to the importance of casualty management. The vehicle will help C-TECC travel more frequently to public safety conferences to meet responders face-to-face and discuss the ever-evolving medical response recommendations to high risk emergencies.

Don't forget to vote today and every day until Monday, August 23. Thank you in advance!

June 2021 C-TECC Meeting — Charlotte, NC

Please find below the proposed agenda for the June 2021 C-TECC Meeting. Note, all time slots listed are in U.S. Eastern Daylight Time (EDT) and are tenative. 

C-TECC SOMSA June 2021 Agenda

Virtual Participation

We invite everyone to participate virtually, please register below (choosing "virtual attendance") to receive the meeting link and details:
The C-TECC Meeting will be held at SOMSA 2021 on Monday, June 28 from 9:00 a.m. to 5:00 p.m. (ET) at the Charlotte Convention Center (Room E219BCD) in Charlotte, NC. A virtual option will be available to those unable to attend in-person. The meeting agenda is currently in progress. 

Please click the link below to RSVP:
Characteristics of survivors of civilian public mass shootings: An Eastern Association for the Surgery of Trauma multicenter study

The purpose of this study was to describe these characteristics to inform ideal preparation for Civilian Public Mass Shooting events. A multicenter, retrospective study of CPMS survivors who were treated at designated trauma centers from July 1, 1999 to December 31, 2017, was performed. Prehospital and hospital variables were collected. Thirty-one events involving 191 patients were studied. The median number of patients seen per event was 20 (5, 106), distance to each hospital was 6 (6, 10) miles, time to arrival was 56 (37, 90) minutes, number of wounds per patient was 1 (1, 2), and Injury Severity Score was 5 (1, 17). The most common injuries were extremity fracture (37%) and lung parenchyma (14%). Twenty-nine percent of patients did not receive paramedic-level prehospital treatment. Following arrival to the hospital, 27% were discharged from the emergency department, 32% were taken directly to the operating room/interventional radiology, 16% were admitted to the intensive care unit, and 25% were admitted to the ward. Forty percent did not require advanced treatment within 12 hours. The most common operations performed within 12 hours of arrival were orthopedic (15%) and laparotomy (15%). The most common specialties consulted were orthopedics (38%) and mental health (17%). Few CPMS survivors are critically injured. There is significant delay between shooting and transport. Revised triage criteria and a focus on rapid transport of the few severely injured patients are needed.

Dr. David Calloway transitioned from the Co-Chair position into a Founder position on the Executive Committee. Current Vice-Chair Geoff Shapiro was elevated to Co-Chair with Dr. Rich Kamin and current Board Member Michael Marino was elected to assume the Vice-Chair position.
Please mark your calendars for the C-TECC Meeting to be held at SOMSA 2021 on Monday, June 28, 2021 at the Charlotte Convention Center in Charlotte, NC. Additional details will be provided as they become available.

June 2021 C-TECC Meeting