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Tactical Emergency Medical Services

Tactical Casualty Care and Tactical Medicine

Tactical Casualty Care (TCC) is the delivery of specialized adjunct tactical emergency medical services to casualties of active shooter and terrorism events by first responders from an established EMS system to include, but not be limited to, public safety personnel, EMT’s, Advanced EMT’s, and paramedics as described by CCR Title 22, Division 9, Chapters 1.5 and Chapters 2-4.  Tactical Casualty Care EMS providers respond as a medical support service provider to law enforcement incidents and provide field tactical medical care to casualties usually in an area where there is minimal to no direct or immediate safety threat.  Medical direction and oversight of the tactical casualty care first responder is provided by the local EMS medical director in coordination with local law enforcement.

Alternatively, Tactical Medicine for Special Operations is the delivery of specialized tactical emergency medical services to casualties of any active law enforcement incident by law enforcement personnel assigned to a Special Weapons and Tactics (SWAT) operations team, as described by California Penal Code 13514.1.  Tactical Medicine for Special Operations first responders respond as an integral part of a SWAT operation team and may provide field tactical medical care to casualties in an area where there is a direct and immediate safety threat.  Medical direction and oversight of the Tactical Medicine for Special Operations first responder are provided by a licensed physician in coordination with the local EMS agency as part of an established EMS system.  POST is responsible for monitoring and approving Tactical Medicine for Special Operations training programs and courses with input from the EMS Authority.  Additional information on the POST Tactical Medicine for Special Operations training and operation program can be found on the POST website at https://www.post.ca.gov.

Image of California Tactical Casualty Care and Tactical Medicine for Special Operations Training Program levels, access guidelines found on this page for more information.

Approved Tactical Casualty Care and Tactical Medicine Programs

 California TCC Guidelines and Resources

  • TCC Tactical First Aid/Tactical Emergency Medical Support (TEMS) First Responder Operational (FRO) Training Standards Guidelines [pdf]

Training Hours: a minimum of 4 hours of training;  8 hours recommended.

Topics: Purpose and history of Tactical Casualty Care (TCC) , roles & responsibilities of First Responders,  basic TCC, Tactical and Rescue Operations Coordination and Control, and practical skills competency assessments.  

Course Approval: 

  • Training programs or courses administered by statewide public safety agencies (such as the California Commission on P.O.S.T,  Department of Parks and Recreation, Highway Patrol, Department of Forestry and FIre Protection, etc.) are approved by the EMS Authority.
  • Training programs or courses administered by all other entities shall be approved by the Local EMS Agency where the program or course is headquartered.
  • TCC Tactical Life Saver/ TEMS Technician Training Standards Guidelines (in progress, pending)

Training Hours: a minimum of 40 hours.

Topics: All topics noted in the TCC First Aid/TEMS FRO level in greater detail and include first responder scenario practice and competency assessments. 

Course Approval: California EMS Authority.

California State Tactical EMS Advisory Committee
Tactical Equipment Vendors

The following is a list of recommended tactical equipment vendors:

For Further Information from EMSA

Please contact or Kim LewTactical Casualty Care Program Analyst, or Daniel Smiley, Chief Deputy Director.

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