Coalition in Action

On April 13, 2022, SCRHCC participated in a Virtual Tabletop Exercise (VTTX) hosted by FEMA's Emergency Management Institute. The VTTX was a four-hour, interactive, discussion-based exercise. SCRHCC partner agencies focused on their roles in response to potential consequences of a Burn Mass Casualty Incident, as well as the interdisciplinary and interagency coordination at the State and Local levels. The VTTX consisted of 3 modules including Preparation, Initial Response, and Extended Response. In attendance were 67 participants with representation from EMA, EMS/RMCC, Fire, Law Enforcement, Air Medical, TDH-Regional and State, TEMA, National Guard, Vanderbilt Burn Center, Hospitals, Behavioral Health, and multiple Non-Hospital Providers including Surgery Centers, Dialysis, LTCF, Home Health, Hospice, and Out-patient PT. SCRHCC is thankful to The Church of Jesus Christ of Latter-Day Saints in Spring Hill for allowing us to use their facility for this important regional exercise.

SCRHCC sponsored a TECC training event October 25-26,2021. The event consisted of lecture, hands on skills, and practical scenarios.  The 2nd edition of NAEMT's Tactical Emergency Casualty Care (TECC) course teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment.

The course presents the three phases of tactical care and integrates parallel EMS nomenclature:

  • Hot Zone/Direct Threat Care that is rendered while under attack or in adverse conditions.

  • Warm Zone/Indirect Threat Care that is rendered while the threat has been suppressed but may resurface at any point.

  • Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site. 

The 16-hour classroom course includes all new patient simulations and covers the following topics:

  • Hemorrhage control including immediate action drills for tourniquet application throughout the course

  • Complete coverage of the MARCH assessment

  • Surgical airway control and needle decompression

  • Strategies for treating wounded responders in threatening environments

  • Caring for pediatric patients

  • Techniques for dragging and carrying victims to safety

  • A final, mass-casualty/active shooter event simulation


NAEMT's TECC course is endorsed by the American College of Surgeons Committee on Trauma, is consistent with the current guidelines established by the Committee on TECC (Co-TECC), and meets all of the updated National Tactical Emergency Medical Support Competency Domains. This course is accredited by CAPCE for 16 hours of continuing education credit, and recognized by NREMT. The MERI Cadaver lab portion provided the practitioners with a unique opportunity to practice advanced, life-saving skills on human tissue. Special thanks to Maury OEM for hosting the training and the instructors, Dana McDonald with Vanderbilt Life Flight, Joe Cobble with Level 1 Accountability, and Kevin Hunt with Prepared Medical Response.

TECC Drill.jpg
Cadaver Lab_edited.jpg
TECC Course Group Photo.jpg