In the civilian tactical environment, seconds count. TECC: Tactical Emergency Casualty Care trains EMS practitioners of all levels how to safely respond to and care for patients in a civilian tactical environment, including active shootings. This program is designed to decrease preventable deaths in the field. Developed by the National Association of Emergency Medical Technicians (NAEMT) and endorsed by the American College of Surgeons, TECC, Second Edition reflects current, medical knowledge and practice, and promotes critical-thinking as the foundation for providing quality care. The content in the updated TECC course meets the current Tactical Emergency Medical Services (TEMS) Competency Domains and is consistent with the Committee on Tactical Emergency Casualty Care (Co-TECC) guidelines. Upon successful completion of the course, students receive a certificate of completion, a wallet card recognizing them as a TECC provider for 4 years, and 16 hours of CAPCE credit for qualified participants.