TACTICAL MEDICINE CURRICULUM
Tactical Emergency
Casualty Care
TECC-LEO
A two-day advanced course delivering the full TECC-LEO curriculum with extended instruction time — adding surgical airway management, needle decompression, IV/IO access, tranexamic acid (TXA), patient monitoring, and analgesia. Includes mandatory and optional skills stations plus live role-play scenarios.
What Is TECC-LEO?
Tactical Emergency Casualty Care (TECC) is the civilian adaptation of the military's Tactical Combat Casualty Care (TCCC) protocol — updated for the threat environments, patient populations, and legal frameworks that law enforcement and first responders operate in.
The LEO variant is specifically designed for law enforcement officers who may be the first — and only — medical provider on scene before EMS arrives. It bridges the gap between stopping the threat and delivering care.
TacMed USA's 16-hour, two-day course extends the 1-day curriculum with deeper clinical instruction — adding surgical cricothyroidotomy, evidence-based needle decompression, IV/IO access, tranexamic acid (TXA), patient monitoring, and analgesia options. More repetitions at skills stations and extended scenario time build true proficiency.
The TECC Framework
Minimal intervention under active fire. Self-aid, tourniquet application, and extraction. The priority is suppressing the threat and moving the casualty.
Full MARCH assessment once the immediate threat is suppressed. Hemorrhage control, airway management, chest seals, circulation, and hypothermia prevention.
Handoff to EMS and transport. Continued monitoring, documentation, and ensuring the right patient reaches the right facility at the right time.
Lesson Plan — 9 Lessons
Each lesson builds on the last — from foundational doctrine through advanced clinical interventions and integrated scenario work across two full days.
Introduction
Explain the differences between military tactical and civilian tactical prehospital trauma care.
Describe the key factors influencing casualty care.
Discuss the impacts that threat, time, incident, location, and available resources have on the response and care of trauma patients.
Understand how TCCC and TECC were developed.
Describe the phases of tactical casualty care.
Direct Threat Care / Hot Zone
Define characteristics of a direct threat environment / hot zone.
Discuss the rationale for limited medical interventions during a direct threat.
Discuss how mission tempo and skill sets impact provider action during the direct threat phase.
Identify drag and carry techniques.
Discuss military experience with tourniquets and review the mechanism of action, placement, and optimization techniques for tourniquet use in direct threat care.
Indirect Threat Care / Warm Zone: MARCH — Patient Assessment and Massive Hemorrhage Intervention
Define the characteristics of indirect threat care / warm zone.
Describe the need for weapon removal from casualties with altered mental status.
Identify steps in the MARCH assessment.
Explain PACE methodology.
Demonstrate the most appropriate hemorrhage control method based on physical assessment and resources.
Demonstrate safe and effective application of junctional tourniquets in anatomic locations not amenable to tourniquet placement.
Demonstrate safe and effective application of pressure dressings and hemostatic dressings.
Indirect Threat Care / Warm Zone: MARCH — Airway
Discuss indications for surgical cricothyroidotomy.
Discuss airway management modifications for pediatric casualties.
Indirect Threat Care / Warm Zone: Respirations / Breathing
Discuss the use of chest seals.
Discuss the signs, symptoms, and management of tension pneumothorax.
Discuss evidence-based changes in anatomic sites for needle decompression.
Discuss special considerations for needle decompression for pediatric casualties.
Indirect Threat Care / Warm Zone: MARCH — Circulation
Discuss application of tourniquets during indirect threat care / warm zone.
Discuss safe and effective hemorrhage control for partial and complete amputations.
Discuss types and application of pelvic binders.
Describe basic shock assessment and treatment.
Discuss safe and effective venous access.
Describe use of tranexamic acid (TXA) in casualty care.
Indirect Threat Care / Warm Zone: Head / Hypothermia and Additional Considerations
Understand the negative impact of hypothermia to a trauma patient.
Describe current interventions for traumatic brain injury (TBI).
Understand available monitoring devices and ways to reassess the patient.
Discuss analgesia options.
Describe fire used as a weapon.
Discuss the importance of eye protection and eye injury intervention.
Understand available evacuation devices and methods of effective patient communication.
Discuss CPR attempts in a multicausality event.
Discuss the importance of documentation.
Evacuation Care / Cold Zone
Describe the differences between indirect threat care / warm zone and evacuation care / cold zone.
Explore the multiple transport platforms available in a tactical event.
Understand the need to transport the right patient, to the right place, at the right time.
Describe the additional medical resources available for use in evacuation care / cold zone.
Triage
Discuss the difference between primary and secondary triage.
Identify the limitations to current triage algorithms.
Explain how triage is impacted when resources are limited.
Skills Stations & Scenarios
Classroom instruction is reinforced through mandatory and optional hands-on skills stations, plus integrated role-play scenarios combining tactical decision-making with medical intervention.
Mandatory Skills Stations
Optional Skills Stations
Role-Play Scenarios — Rendering Aid
Tactics Integration
Topics
Complicating Factors
Compare Curricula
Foundation Course
8 Hr / 1 Day
Current Course
16 Hr / 2 Day
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Schedule Your Team
TacMed USA delivers TECC-LEO training for law enforcement agencies, security teams, and first responder organizations. Contact us to schedule a course for your team.