11/11/2025
Earlier this fall, several Squad members completed the NAEMT Tactical Emergency Casualty Care (TECC) course, hosted by Hunterdon Medical Center and taught by HMC ALS providers. The TECC curriculum is currently being updated, with the 3rd Edition (TECC‑3) preparing for global release. The HMC offering was the very first pilot to use this new edition, with NAEMT representatives on hand to observe. This distinction places our members among the first EMTs worldwide to be trained under TECC‑3.
TECC prepares EMTs and paramedics to provide care in civilian tactical environments, such as terrorism, active shooter, or mass casualty situations. Students learn how to operate effectively in hot (direct threat), warm (indirect threat), and cold (evacuation) zones. While we hope to never see these types of events in our community, preparedness is nevertheless valuable.
Across two intensive days, participants practiced a wide range of critical skills, including hemorrhage control, rapid tourniquet application, MARCH assessments, treatment strategies for injured responders in threat settings, pediatric considerations, and patient movement techniques.
Students also learned about the uses and benefits of several advanced life support (ALS) interventions performed by hospital-affiliated paramedics in the field, such as needle decompression, advanced airway management, surgical airway procedures, and IV/IO access. While EMTs do not perform these interventions, understanding their purpose and physiology allows for more informed decision-making in tactical situations.
The training culminated in a full-scale scenario simulating an EMS and law enforcement response to an active shooter and mass‑casualty incident.
Members participating in the training included EMT Chris Schrenk, EMT Collin Merz, EMT Tyler Sarich, EMT Miles Alderman, EMT Emma Hill, and EMS Captain Andrew Glowacki.
Thank you to the instructional team at Hunterdon Health for excellent training and education.