WHAT'S THE DIFFERENCE IN TCCC, TECC AND TEMS??? WHY IS IT IMPORTANT YOU KNOW WHO THEY ARE?
• It all started with Tactical Combat Casualty Care (TCCC) and the development of “battlefield” medical treatment guidelines
• Tactical Emergency Casualty Care (TECC) recognized the critical need to make appropriate adaptation of the TCCC guidelines and to develop relevant guidelines for the civilian EMS provider
• With careful attention being paid to the medical disciplines, such as TCCC and TECC, Tactical Emergency Medical Services (TEMS) developed their intensive training programs for police officers and special operation teams (SWAT, etc.)
TCCC: Tactical Combat Casualty Care:
• “The Committee on Tactical Combat Casualty Care (CoTCCC) is the prehospital arm of the Joint Trauma System for the Department of Defense (DoD). The TCCC Working Group is composed of the CoTCCC and hundreds of subject-matter experts across many domains and liaisons from DoD, Government and Partner nation organizations.”
• The development of the TCCC Guidelines began back in 1993 when the commander of the Naval Special Warfare command called for a study on Special Operations combat casualty care. The original TCCC guidelines were published in the supplement to Military Medicine in 1996. The 1st update was published in the revised 5th edition, military version, of the Prehospital Trauma Life Support textbook in 2003. In April 2018 the U.S. DoD issued a statement that to comply with “new guidance in the recently published DoD Instruction that established TCCC as the standard for battlefield trauma care”, the TCCC Guidelines will now only be updated once each year.
TECC: Tactical Emergency Casualty Care:
• “The Committee for Tactical Emergency Casualty Care (C-TECC) was 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.” The Tactical Emergency Casualty Care (TECC) guidelines are a set of best practice recommendations for casualty management during civilian tactical and rescue operations. Based upon the principles of Tactical Combat Casualty Care (TCCC), TECC accounts for the differences in the civilian environment, resources, patient population, and scope of practice from the military combat environment of TCCC.”
• The C-TECC was formed in 2010. Their guidelines are incorporated into EMS / fire / police departments and national (U.S.) training organizations. The guideline committee includes physicians, paramedics, EMT’s, law enforcement officer and fire fighters.
TEMS: Tactical Emergency Medical Services:
• “The mission of the National Tactical Officers Association (NTOA) is to enhance the performance and professional status of law enforcement personnel by providing a credible and proven training resource as well as a forum for the development of tactics and information exchange. The Association’s ultimate goal is to improve public safety and domestic security through training, education and tactical excellence.”
• The NTOA 1st published their TEMS position statement in 1994 and in 2007 made major revisions based on the TCCC guidelines. TEMS is an internationally recognized and specialized medical practice for law enforcement. Their training programs are based on the established guidelines of TCCC and TECC.
Most of you reading this are trained medical personnel and understand clearly the need for training and guidelines. All of these guidelines and training programs have been developed based on “in field” need, product use, followed by studying clinical findings (Lessons Learned), and additional research done in laboratories.
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