NAEMT's Tactical Emergency Casualty Care (TECC) teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment. It is designed to decrease preventable deaths in a tactical situation. The course presents the three phases of tactical care: Direct Threat Care that is rendered while under attack or in adverse conditions. Indirect Threat Care that is rendered while the threat has been suppressed, but may resurface at any point. Evacuation Care that is rendered while the casualty is being evacuated from the incident site. The 16-hour classroom course covers the following topics: Hemorrhage control; surgical airway control and needle decompression; Strategies for treating wounded responders in threatening environments; Caring for pediatric patients; and Techniques for dragging and carrying victims to safety. The NAEMT TECC prepares the student for the new NFPA 3000 Guidelines. Co-Presenters for the course are Frank Chinn, Brian Harness, Chris Lawrence, Lynn Seward, William Jeffords, and Thomas Hollowell.