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Prehospital Trauma Life Support (PHTLS)

NAEMT's Prehospital Trauma Life Support (PHTLS) is recognized around the world as the leading continuing education program for prehospital emergency trauma care. The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care.  PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma. The Committee provides the medical direction and content oversight for the PHTLS program. 

PHTLS courses improve the quality of trauma care and decrease mortality. The program is based on a philosophy stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The course utilizes the internationally recognized PHTLS textbook and covers the following topics:

  • Physiology of life and death

  • Scene assessment

  • Patient assessment

  • Airway

  • Breathing, ventilation and oxygenation

  • Circulation, hemorrhage and shock

  • Patients with disabilities

  • Patient simulations

 

PHTLS is the global gold standard in prehospital trauma education and is taught in 64 countries. PHTLS is appropriate for EMTs, paramedics, nurses, physician assistants, physicians, and other prehospital providers. PHTLS is accredited by CAPCE and recognized by NREMT.

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Tactical Emergency Casualty Care (TECC)

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; and

  • 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.

NAEMT is a recognized education partner of the Co-TECC. The Co-TECC establishes guidelines for the provision of prehospital care to injured patients during a tactical incident. The Co-TECC neither creates curriculum for the prehospital provider, nor does it endorse the curriculum of other organizations.

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Tactical Combat Casualty Care (TCCC)

Tactical Combat Casualty Care (TCCC) is developed by the U.S. Department of Defense Defense Health Agency (DHA) Joint Trauma System to teach  evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT conducts TCCC courses as specified by the DHA-JTS. NAEMT currently offers three types of TCCC courses.

  • TCCC-MP (TCCC for Medical Personnel) is a 16-hour course for military medical personnel  including medics, corpsmen, and pararescue personnel deploying in support of combat operations.

  • TCCC-CLS (TCCC Combat Lifesaver) is a 40-hour course for non-medical military personnel deploying in support of combat operations.

  • TCCC-ASM (TCCC All Service Members) is a 7-hour course for all service members. 

 

The foundational medical science upon which TCCC is based is published in NAEMT’s PHTLS Military textbook in which the military chapters are written by the Co-TCCC. TCCC courses offered by NAEMT are endorsed by the Joint Trauma System and the American College of Surgeons. NAEMT’s TCCC-MP and TCCC-CLS courses are accredited by CAPCE and recognized by NREMT.

 

NAEMT's TCCC courses are taught by a global network of experienced, well-trained instructors. To support training centers, instructors and students, NAEMT maintains a network of affiliate faculty both in the U.S. and internationally, and staff at its Headquarters Office.
 

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