Tactical Combat Casualty Care

Instructor: Greg Suter
Course length: 8 hours

Tactical Emergency Casualty Care (TECC) and Law Enforcement & First Responder Tactical Casualty Care (LEFR)

This Tactical Combat Casualty Care course will be of interest to law enforcement officers, pre-hospital medical providers, and other personnel, including civilians, who are called to act in an emergency.

News reports of police officers being assaulted with firearms seem to be on the rise. When a victim is shot, the care they receive in the moments immediately following the incident can determine whether they will live or die. In cases where law enforcement responds to these shootings, especially in those cases where the victim is another law enforcement agent, the aid they render is critical. Proper training can be a factor in whether the first responder can save the victim’s life. This course is presented to introduce the student to the fundamentals of basic Tactical Combat Casualty Care (TCCC) and the triage, assessment, and treatment of patients in a tactical environment.
Students attending this course will be able to effectively assess victims of traumatic injuries and treat life threats they have identified in both hostile and non-hostile environments. They will be able to identify and treat several causes of preventable combat death. Students will learn the objectives of TCCC and the phases of care in its implementation. Students will also learn the SIM model (Security, Immediate Action Plan, and Medical.) Techniques for care under fire and moving casualties in care under fire will be stressed.

The following medical topics will be included in this course:
1.         Preventing and Treating Hemorrhagic Shock
2.         Tourniquet Use and Techniques
3.         Bleeding Control with Dressings and Pressure
4.         Establishing and Maintaining the Patient Airway
5.         Treatment of Head Injuries and Dealing with Altered Mental States
6.         Preventing Hypothermia
7.         Cervical Spine Stabilization
8.         Administration of CPR in Battlefield Trauma Care
9.         Medical Equipment Maintenance and Related Concerns

Individual Skill Evaluations:
The students will be evaluated on a selection of the following skills during the course:
1.         Tourniquet Application (2 types)
2.         Direct Pressure and Israeli Bandage
3.         Combat Gauze
4.         Drags and Carries
5.         Head-Tilt, Chin-Lift with NPA Insertion
6.         Recovery Position
7.         Chest Seal Application

Greg Suter

Actively holding certifications and teaching both inside and outside his Department in multiple disciplines including pre-hospital emergency medicine, firearms, tactics, and other SWAT-specific courses, Greg Suter is currently a full-time Patrol Sergeant with the Sugar Land Police Department in Texas. He is also active on a multi-agency SWAT team where he serves as an Assistant Team Leader and Medic.

He has taught over 49 Tactical Combat Casualty Care courses to about 500 students resulting in approximately 2,000 training hours. He is also an American Heart Association CPR/AED Instructor and has taught at least 34 of these courses to about 300 students resulting in over 1,000 training hours.

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