Upcoming C-TECC Spring/Summer 2017 Full Committee Meeting

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 http://www.specialoperationsmedicine.org/Pages/scientificassembly.aspx.

New Scope-Specific TECC Guideline

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.

C-TECC Mid-Year Meeting Agenda

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

C-TECC Mid-Year (Fall/Winter 2016) Full Committee Meeting

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

November C-TECC Bulletin

  • 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

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


August Awareness Bulletin

  • Webster, New York (2012) - A lone gunman ambushed firefighters as they responded to a house fire. The gunman was a 62YOM who set fire to the house and vehicle to lure in firefighters, and then opened fire on them from across the street. Two firefighters were killed and two others injured.
  • Tallahassee, Florida (2014) - Police and Fire responded to a report of a structure fire which was intentionally set by the gunman. Police arrived first on scene where an officer was ambushed and killed immediately. The gunman then took the officer’s service weapon and began shooting at the responding fire department units. One police officer was killed and one officer was shot and wounded.
  • Milwaukee, Wisconsin (2015) - A firefighter was grazed with a bullet to his head, and the ambulance shot multiple times as crews tended to a medical emergency. The firefighter was transported to a local hospital where he was later released.
  • Baltimore, Maryland (2015) - A firefighter was shot in the hand by a male suspect outside of a cell phone store. The suspect reportedly had an argument inside the store and when he left, shot at the on duty firefighter as well as a civilian nearby. Both suffered non life threatening injuries.
  • New York, New York(2015) - As a warrant was being served, a suspect barricaded himself in his home and set off a smoke bomb. Police officers called for the fire department unaware it was only smoke. The FDNY lieutenant entered the apartment and was shot twice by the suspect.

Best Practices

  • Fire and rescue members should never travel alone, regardless of the situation. Utilize a buddy system at all times in uniform.
  • Ensure radios are within reach. Members often store the radio in their back pocket with no lapel mic, making it difficult to access in a time of need. Members should consider attaching lapel mic to radio to be able to communicate quickly.
  • Members are reminded that the fire department must now consider ourselves as potential targets and act accordingly. We are not only targets of international terrorism, but also from homegrown violent extremists.

Download the PDF >

New member of the Guidelines Committee

The C-TECC Board of Directors is pleased to announce that Dr. Gina Piazza will be joining Guidelines Committee as a voting member. Dr. Piazza, who has extensive experience in pre-hospital and law enforcement medicine, has been a member of the Board of Advisers for the past year. We look forward to great insight and active participation from Gina!

Awareness Bulletin

On July 16, 2015—24 year old Mohammad Abdulazeez opened fire with a high powered assault rifle on a military recruiting station in Chattanooga, TN. The suspect fired between 30—45 rounds at the building be-fore fleeing as police responded.

The suspect then traveled 7 miles down the road to a nearby US Navy / Marine Reserve Center, opening fire and killing 5 service members before being shot and killed by responding law enforcement.

This is not the first time a military recruitment station has been targeted within the US. In 2009 a service member was killed in Little Rock, Arkansas at a recruitment station and in 2012 Yonathan Melaku shot at sev-eral military installations across the region including the Pentagon .

The shooter had two long guns in his possession as well as a handgun, the multiple weapons indicates the shooter was prepared for a gunfight with his targets and first responders.

  • As indicated in prior bulletins the military recently raised their security level to FPCON Bravo, indicating an in-creased probability for terrorist attacks.
  • Military recruitment stations are a soft target for a shooter to attack military personnel. The service members are often unarmed, and there is no security between the recruiter and the outside world.
  • Practice and become familiar with TECC equipment and concepts prior to attacks, you will fall back on your training during a time of crisis.
Download the PDF

Revered trauma physician Dr. Norman McSwain dies at 78

We are deeply saddened by the passing of Dr. Norm McSwain. He was a pioneer in the field of EMS and prehospital medicine. His legacy will not be lost.

Read the full article >