Tactical Emergency Casualty Care for EMS, fire, and law enforcement who respond to active shooter and other hostile events. Hemorrhage control, airway, and casualty movement under threat.

Civilian tactical medicine taught to the current guidelines of the Committee for Tactical Emergency Casualty Care (C-TECC). Third edition.
Taught at an authorized NAEMT Training Center in RenoTap Register on any date to book online. Dates update live from our schedule.
TECC is scheduled on request. Tell us your head count, whether you need the 16-hour provider course or the 8-hour TECC-LEO course, and the dates that work.
TECC classes meet at 255 W Moana Ln, Suite 200 in Reno or at your station, and serve fire, EMS, and law enforcement from Sparks, Carson City, Fernley, Fallon, and Lake Tahoe.
TECC takes the lessons of military casualty care and adapts them to civilian responders working an active shooter, bombing, or other hostile event.

NAEMT's Tactical Emergency Casualty Care course teaches EMS clinicians and other prehospital responders how to care for patients in a civilian tactical environment. The course is consistent with the current guidelines of the Committee for Tactical Emergency Casualty Care (C-TECC), and NAEMT is a recognized education partner of that committee. You learn to deliver the right care at the right time across the phases of a tactical incident: direct threat care, indirect threat care, and evacuation.
The third edition is built around real-world active shooter and hostile event scenarios in every lesson, with shorter lectures and more time at the skill stations. Expect hands-on practice with tourniquets and tourniquet conversion, wound packing, airway and chest injury management, casualty movement, triage, and casualty tracking and reunification, plus new content on the psychological response to mass casualty incidents and clinician mental health.
Looking for the military course instead? TCCC follows the Committee on Tactical Combat Casualty Care guidelines for uniformed personnel. Ask us which course your role calls for.
Text us about TCCC vs TECCThree NAEMT TECC courses, one standard of care. We will help you pick the one that matches your role.
The full 16-hour classroom course for EMTs, AEMTs, and paramedics: interactive lectures, skill stations, and patient simulations. Earns the NAEMT TECC provider card, valid 4 years, and 16 CAPCE hours.
See TECC datesAn 8-hour course for law enforcement officers and other non-EMS first responders that covers the provider material at a first-responder level. Earns the TECC-LEO provider card, valid 4 years, and 8 CAPCE hours for qualified participants.
Ask about TECC-LEOAn 8-hour course for providers who completed the 16-hour TECC provider course within the past 4 years. Bring your current TECC certificate or card. Earns a new certificate and 8 CAPCE hours.
Ask about the refresherThe course follows NAEMT's third edition TECC curriculum and the current C-TECC guidelines.
Direct threat, indirect threat, and evacuation care, and what changes in each.
Tourniquets, tourniquet conversion, wound packing, and pressure dressings, drilled until they are automatic.
Positioning, basic and advanced airways, chest seals, and needle decompression, with an optional simple thoracostomy lesson.
Recognizing shock early and preventing the lethal triad.
Drags, carries, and moving patients to safety with limited hands.
MCI triage timed to how real incidents unfold, with tracking and reunification.
Real-world ASHE scenarios in every lesson, from the classroom to full simulations.
The psychological response to mass casualty incidents and how to care for your own crew.
TECC is for anyone who may provide care while a threat is still present.
Teaching an entire department? We can run the provider course and TECC-LEO back to back so your medics and officers train to the same guidelines.
Text us to plan a department classTECC here is taught by instructors with military combat medic and flight medicine experience, with the scenarios run the way the calls actually go.
Every NAEMT course here is taught by instructors NAEMT has approved and monitored, using the current NAEMT materials, under our medical director.
Our instructors are experienced educators and working clinicians who have worked the ambulance, the helicopter, and the hospital.
TECC is CAPCE accredited for 16 hours of continuing education and recognized by the National Registry for recertification.
Pass the course and NAEMT issues your TECC or TECC-LEO provider card, valid for 4 years.
Real equipment, realistic scenarios, and plenty of time at the stations and for your questions.
Train in our Reno classroom on Moana Lane, or we bring the course to your station, hospital, or agency.

Finish the course and pass the skills and written evaluations, and NAEMT issues your TECC certificate of completion and provider card, good for 4 years, with 16 hours of CAPCE credit. Students who complete an NAEMT course are also eligible for a free introductory NAEMT membership.
TCCC (Tactical Combat Casualty Care) is the military standard, written by the Committee on Tactical Combat Casualty Care for uniformed personnel. TECC adapts those principles for civilian responders and follows the Committee for Tactical Emergency Casualty Care guidelines. If you are a civilian EMS provider, firefighter, or officer, TECC is the course for you.
No. The 16-hour provider course is for EMTs, AEMTs, and paramedics. Law enforcement officers and other non-EMS first responders take the 8-hour TECC-LEO course, which covers the same material at a first-responder level.
The provider course is 16 hours, usually taught over two days. TECC-LEO and the refresher are each 8 hours.
When you pass, NAEMT issues a certificate of completion and a TECC provider card that is valid for 4 years.
Yes. TECC is accredited by CAPCE (the Commission on Accreditation for Pre-Hospital Continuing Education) for 16 hours of continuing education credit and is recognized by the National Registry of EMTs (NREMT) for recertification. TECC-LEO and the refresher each earn 8 hours.
Yes. Plan to complete the pre-course reading from the TECC materials before the first day, and in some courses a pre-test as well. We send the details and any online access codes after you register, so give yourself at least a week.
Yes. You must have access to the current NAEMT TECC course manual before, during, and after class. You can add it when you register. If you decline the book at registration, you are confirming that you already have access to the current edition by other means, for example a copy from your employer.
Clothes you can kneel, drag, and carry in. Skill stations and scenarios are physical, and a duty uniform or station wear works well. Bring your own tourniquet if your agency issues one.
Registration is online only. When a TECC date is posted, pick it at the top of this page and tap Register to finish on our secure checkout. For a course scheduled on request, text (775) 235-2117 or email Info@HinsonCPR.com and we will set a date and send you the registration link. We cannot take registrations or payments over the phone.
Contact us before your class. TECC reschedules are $50, and all purchases are nonrefundable. Full details are in our terms and conditions.
Yes. Most TECC classes run as private courses for fire departments, ambulance services, hospitals, and other groups. We can teach at our Reno classroom or at your station or facility. Text (775) 235-2117 or email Info@HinsonCPR.com with your head count and the dates that work for you.
Yes. Hinson CPR is the new name for Sierra BLS. Same owner, same classroom on Moana Lane, and the same authorized NAEMT Training Center.
TECC and the Tactical Emergency Casualty Care logo are trademarks of the National Association of Emergency Medical Technicians (NAEMT), used here to promote registered NAEMT courses taught by Hinson CPR, formerly Sierra BLS, an authorized NAEMT Training Center. Use of the NAEMT name or course logos does not imply NAEMT endorsement of Hinson CPR or its other services.
Rated 5.0 stars on Google from more than 330 student reviews.
Larry was fantastic! Class was broken into easily digestible sections, the mannequins & equipment was perfect for learning. Larry is so knowledgeable from his education and experience in the military and medical facilities. Highly recommend his courses.
Excellent experience overall. Instructor was prepared and able to answer all questions throughout. The instructor has a ton of experience and was able to properly correct our efforts without making us feel dumb. He was both patient and professional in all dealings.
Needed my BLS card for my EMS academy at TMCC. Terry... is a really knowledgeable person... Terry has a good set up, he means business and is ready to answer questions and give great advice. Highly recommended
You can tell Terance genuinely cares about his students' success. Such a professional and supportive environment... As a ICU nurse I recommend the BLS & ACLS classes!
The class was very informative and the hands-on were great. Larry is a very thorough teacher and was eager to answer any and all questions and explained different situations to help us understand the “why”. I would recommend his class to anyone.
It was so nice to find an on site course in a snap. I searched and found on a Tuesday and was completing my recert that Friday.
Hands-on tactical casualty care to the current C-TECC guidelines, an NAEMT card good for 4 years, and 16 hours of CAPCE credit. Text us to schedule TECC for your department.