The CTECC Board of Directors is pleased to release the new "Be The Help" public information flier for citizen First Care Providers. It is intended to further CTECC's commitment to the initial link in the chain of survival by empowering citizens to act to address the known preventable causes of death in the immediate aftermath of trauma and mass casualty. This flier also supports and builds on the collaborative message of the FEMA You Are The Help and the White House Stop The Bleed campaigns.

Please post this flier and distribute this flier widely! We need to empower our communities and empower our citizens to help to save lives. Together, by building a care system that reaches across the entire community, we can improve survival!

Download Here
CTECC FCP Bystander Flyer copy
Please mark your calendar to join us in beautiful Rancho Cucamonga, CA for the 2017 Annual meeting scheduled for December 4th (all day) and 5th (1/2 day). As with all C-TECC meetings, this session will be open to the public and all are encouraged to attend. We want as much input and involvement from our end users as possible.

More meeting details and logistics will be forthcoming in the next few weeks.

We look forward to seeing you there.

Charlotte Convention Center room 212 AB 

Monday, May 22, 2017

0730-0800   Sign-in

0800-0820   Pledge of Allegiance and Introductions

0820-0840   Key Note: Division Chief Paula McDaniel, Charlotte Fire Department

0840-0920   Board of Directors update

0920-0940   Case Review #1: Townville, SC elementary school shooting

0940-0950   Break

0950-1010   Case Review #2: Westminster Terror attack

1010-1040   BCC-TCP discussion

1040-1110   ASTM Tourniquet standard discussion

1110-1130   International TECC programs

1130-1200   California First Care Provider update

1200-1300   Lunch

1300-1400   Working Group Updates

1400-1415   Public Comment

1415-1430   Break

1430-1700   Open Guidelines discussion

1700            Adjourn

1800 – 2000 Social at Fahrenheit Restaurant (222 S. Caldwell Street)
The Spring/Summer full committee of the Committee for Tactical Emergency Casualty Care will be held in room 212 AB at the Charlotte Convention Center. Sign-in will begin at 0745 and the meeting will go from 0800 until 1700. We look forward to seeing you all there.
The Executive Committee and the Board of Directors is happy to announce the date of the  C-TECC Spring/Summer 2017 Full Committee meeting. This year, we will hold our meeting all day on Monday, May 22 in conjunction with the Special Operations Medical Association Scientific Assembly (SOMSA) in Charlotte, North Carolina.

The registration site for SOMSA 2017 is
The Executive Committee and Board of Directors is proud to release the next set of scope-specific TECC guidelines: TECC Guidelines for First Responders with a Duty to Act. These guidelines are intended for the scope of practice of any first responder who is not trained to the level of an EMS provider. These guidelines can be found under the Resources tab.

Tuesday December 13th George Mason University Founders Hall Room 120

0830 - 0900          Coffee and sign-in

0900                     Call to Order and Pledge of Allegiance

0900 - 0930          Welcome and Introductions (Smith/Tang)
                            -- Key Note Welcome: Deputy Chief John Snider, Arlington County Fire

0930 - 1000          Board of Directors Report (Smith/Tang)
                            - Bylaws 
                            - New Members
                            - Changes to Committee Structure
                            - Website

1000 - 1030         Update: ACEP High Threat Committee (Piazza)

1030 - 1100         Discussion: TECC as a part of the Model EMS Guidelines (Kamin)

1100 - 1130         Discussion: Boston Fire Department and TECC implementation

1130 - 1230         Working Group Reports
                           - K9 TECC working group (Lee)
                           - First Care Provider (Bobko)
                           - Psychiatric care working group (Kamin)

1230 - 1345         Lunch (on your own)

1345 - 1415         TECC and CBRNE Operations (McAvenia)

1415 - 1730         Guidelines Discussion
                           - Discussion and approval First Receivers with a Duty to Act Guidelines
                           - Discussion and approval ALS/BLS Guidelines
                           - Discussion and approval TECC ALS/BLS training slide deck
                           - Open guidelines discussion

1730                    Save Rounds and Happy Hour (location TBA)

Wednesday December 14th George Mason Founders Hall Room 121

0830 - 0900         Coffee and sign-in

0900                   Call to Order

0900 - 1200         Continued: Open Guidelines Discussion and voting

1200                    Adjourn
The Fall/Winter 2016 meeting of the Committee for Tactical Emergency Casualty Care will occur on Tuesday, December 13 (0800 to 1700) and Wednesday, December 14 (0800 to 1200) on the campus of the George Mason Law School in Arlington, VA.

Linked below are directions, maps and pertinent logistics as well as information regarding the recommended hotel.

The agenda for the meeting is being developed and will be forthcoming.

We will be populating a Dropbox with materials for review prior to the meeting to facilitate a productive discussion.  This will be distributed to members out a few weeks prior to the meeting.

Special thanks to Guidelines Committee member Mark Anderson for coordinating the planning and logistics for the meeting.  Please let Reed or Mark (This email address is being protected from spambots. You need JavaScript enabled to view it.) know if you have any questions or need any assistance with your planning.

Meeting Logistics

Directions to Founders Hall

Directions to Hyatt Place

Directions to the Arlington Campus

Founders Hall Floor Plan

GMU Arlington Campus Map

  • Between 2000 and 2013, the FBI performed a study of the 160 active shooter incidents that took place in the United States. In these incidents, there was 486 lives lost as well as 557 wounded.
  • An average of 11.4 incidents took place every year, with an increasing trend. This alarming data point shows the ever growing chance of this incident occurring within your jurisdiction.
  • Nearly all active shooter events involve only 1 shooter. In fact, of all the 160 events studied by the FBI only 2 incidents involved more than 1 shooter.
  • In 40.6% of all active shooters studied during this timeframe, the shooting was over prior to police arrival. In fact, law enforcement has engaged a suspected active shooter with gunfire 28.1% of the time.
  • 60% of active shooters utilize pistols, followed by 27% utilizing rifles. In 41% of the events, the shooter had multiple weapons. Further data collected shows assailants have worn body armor in 4% of all events and utilized IED’s in 2%.
  • According to the Washington Post between 1/1/15 and 10/1/15, there were 294 mass shootings in only 274 days. The data categorized mass shootings into events where more than 4 people were injured or killed.
  • According to Newsweek, there have been 45 school shootings in 2015. This number would have been significantly higher if not for the early detection of potential attacks. Nearly all school shootings have an extensive planning period in which early detection can lead to the prevention of an attack. Some pre-attack indicators are; acquisition of new weapons, social media postings, as well as maps of the target. According to Dr. Gonzalez-Mayo from the VA Medical Center, 93% of all school shooters displayed some form of the above mentioned indicators prior to attacking.
  • In the month of October alone, there was multiple failed school shootings with at least 3 of these shootings involving more than 1 gunman. One incident was in Spotsylvania County involving 2 high school students who planned calling in a bomb scare. Other examples include 3 teenagers in Michigan who planned attacks on multiple schools, as well as 4 individuals planning an attack on a Northern California high school.

Bringing It Home

  • Rescue Task Force equipment should be designed in a specific way to treat the average number of victims in active shooting events. The median range found for these events are 0—5 injured and 0-5 killed.
  • Responding personnel should be mentally prepared to encounter various obstacles enroute to their RTF location.
  • IED’s as well as Fire utilized as a weapon are growing trends that can easily become a reality.

Download the PDF
Joint Agency White Paper supporting the First Care Provider initiative released today by C-TECC,, and the Koshka Foundation for Safe Schools.