What is emergency tactical care?

Emergency Contingency Emergency Care (ERT) is a set of evidence-based, best practice trauma care guidelines for high-risk civilian prehospital settings. The TECC guidelines are based on the critical medical lessons learned by US and Allied military forces over the last 15 years of conflict and codified in Tactical Combat Surgical Care (TCCC) doctrine. Using the TCCC Military Guidelines as a starting point, the Committee creates medical guidelines for high-risk civilians through a process of desk research, evidence evaluation, expert discussions and review. best civilian practices. CETC guidelines are based on the foundation of TCCC, but are different to meet the unique needs of civilian medical and operational environments. The differences concern the specific language of the civilian, the provider's scope of practice, the population,

How are TECC and TCCC similar?

Tactical Emergency Assistance is a set of civilian medical guidelines for high-risk operations. Tactical Combat Casualty Care is a set of military medical guidelines for the management of casualties in military combat operations. The two sets of guidelines are naturally linked, but each with a necessary difference of language, scope, applicability and flexibility.

There are two key unifying principles of TCCC and TECC. The first is the guideline development process. Both committees are composed of doctors, doctors, academics and operational leaders. Both committees started with previous operational and medical lessons - for the CoTCCC, it was Vietnam and Somalia, for C-TECC, it was TCCC and OIF / OEF - and their recommendations quickly evolved based on immediate lessons. Second, it must be understood that success requires the development and deployment of a health care system. In the military, TCCC's success resides in the fact that all the personnel deployed on a combat theater have been trained in the principles of TCCC. Operational care and trauma systems were built around this training.

This second fact is also the main factor limiting the deployment of TCCC in a civilian environment. As a system, TCCC can not be deployed in a civilian setting, as many recommendations go against the civilian scope and medical standards (eg, use of hextend for resuscitation, pre-hospital antibiotic therapy, decompression of needles performed by non-medical staff, etc.).

How are TECC and TCCC different?

Emergency tactical care is the evolution and civilian application of military tactical combat care guidelines. When discussing the differences between the two, it is important to note that TECC and TCCC do not compete. Although, as the images of the recent Boston Marathon bombings show, bullets and explosives may be similar in civilian contexts to military combat, the military guidelines do not make them directly applicable to civilian applications.

The two sets of guidelines are naturally linked, but each with a necessary difference of language, scope, applicability and flexibility. There are three main differences between TECC and TCCC: guideline terminology, trauma care recommendations and operational priority.

Terminology / Language: TCCC was written by the Military Special Operations Community to specifically address the specifics and conditions surrounding combat operations. These guidelines are researched, developed and written on the assumption that the patient is an otherwise healthy soldier, aged 18 to 45, and that the provider works within the scope of practice defined by the military. The TCCC guidelines are based on a military medical support system, military rules of engagement, and a military legal precedent. Although individual recommendations such as the use of the tourniquet are valid, TCCC, as a system, has limited application in a civilian setting. The TCCC courses currently taught are not intended for civil application. The TCCC Pre-Hospital Resuscitation Trauma Course comes from the PHTLS Military Manual,