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

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:
https://lp.constantcontactpages.com/sv/YQcrqa7/june21rsvp

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:
https://lp.constantcontactpages.com/sv/YQcrqa7/june21rsvp

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

Below are a list of resources members of C-TECC have shared:

FAQ on COVID-19 and Operational K9s

• Lee Palmer, DVM, MS, DACVECC, NRP, EMT-T, WEMT, CCRP, TP-C

The Active Bystander Guidelines have been approved and published by the C-TECC Guidelines Committee and are avalible at the link below. Updated January of 2020. 

• TECC Active Bystander Guidelines

The Semi-Annual Meeting of the Committee for Tactical Emergency Casualty Care will be held on Monday, November 11 (0800 to 1700) and Tuesday, November 12 (0800 to 1200) 2019 at Hotel Lucia in the Pettygrove room. Agenda to be published at a later date. This event is free of charge and registration is highly encouraged at the below link:

Semi Annual Meeting Draft Agenda Portland

Logistical Information

A room block and discounted rate has been secured at for C-TECC attendees. Rates include $149 on standard room types for the dates of Sunday, November 10th & Monday, November 11th. Guests of Hotel Lucia are invited to a complimentary craft beer hour each evening from 5:30 pm -6:30 pm.

Rooms can be reserved at the below link:

https://gc.synxis.com/rez.aspx?Hotel=76780&Chain=21650&arrive=11/10/2019&depart=11/12/2019&adult=1&child=0&group=0714748

To speak directly with a representative of the Hotel Lucia please contact: 503-225-1717
24x7 Reservations Department: 866-986-8086
The Group Code is: 0714748

For further questions please contact our Executive Director, Sarah Kessler at This email address is being protected from spambots. You need JavaScript enabled to view it..