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// Tactical Emergency Casualty Care - 16 hour courses for medics and 8 hour courses for First Responders.


We are a very long-standing NAEMT PHTLS Centre, with excellent testimonials. The  2 day TECC course for medical and the 1 day TECC First Responder course for non medics are civilian version tactical close relatives of the TCCC courses (Tactical Combat Casualty Care). This offering is the logical extension of our wider work bringing cutting edge courses to the UK for the wider benefit - including the Stop The Bleed course - which we brought to the UK. These courses would be relevant to NGO's and Media sector as well as UK HART team, Police Medics and more.

The TECC First Responder course would be suitable for security and other staff working at venues where a Tactical situation could exist including Journalists working in war zones or leisure venue staff as part of counter terrorism preparedness.

Please note that this is not a Tactical Operator's course - it is specifically for medics or first responders operating in a situation that needs tactical safety and treatments priorities/ considerations and where security is being provided by others. 

Our Why?


Team members had acquaintances at the Bataclan attack in Paris and family members were meant to be at the concert in Las Vegas that was fired upon by a gunman based in a nearby hotel. Luckily, the family member was jet lagged and didn’t attend the concert - but things could have been different. Team members also had vehicles commandeered by the Police during the (failed) second London bombing attempt. Other occasions have included team members being present at bomb scares at major national events in the UK and whilst overseas. The point being, these incidents aren’t too far removed from any of us. A big part of why R2Ri was set up was to give something back. We want to make a positive difference.

We run Stop the Bleed Courses - we brought it to the UK and have been running it, for free, for years. However, we wanted to offer fit for purpose, internationally recognised courses at a higher level- for the benefit of medics and also first responders at venues and NGO's working overseas, as well as offering Tactical medical CPD to those that need it.

Why choose us? Because our Faculty is unique - they are deeply immersed Subject Matter Experts.

With a Faulty made up of very experienced tactical medics in both military and civilian tactical medical spheres, this course, like every course we run, is delivered by subject matter experts. We deliver the UK localised edition of the NAEMT TECC Course, using a (official NAEMT approved) UK version of the NAEMT manual. Half of the editors of the UK edition are Faculty members and were trained and qualified as TECC providers and TECC instructors with us.


Our Faculty includes the experience below. Which instructor is teaching on the days will depend on Faculty rotas:

  • HART team Paramedic

  • Ex SF medic

  • Faculty members who are ex Police (after a military career) and have since qualified as Paramedics

  • U.K. civilian tactical medicine Subject Matter Experts (with experience of planning medical response for major U.K. events)

  • Specialist advisor UK Dept of health - close firearms support 

  • Author, UK concept of operations - operation Plato, UK lead clinical delivery - marauding terrorist attack - Conventional firearms .

  • SMA clinical operations in hot zones - UKDOH 

  • Very experienced medics with very longstanding experience teaching D13 courses to UK Police and overseas CP teams

  • UK Tactical medical environment policy subject matter experts

  • Medics with significant experience working overseas with NGO's in hostile and austere environments

  • A and E doctor

  • Paramedic trained Close Protection Officers with significant experience in Hostile Environments

  • Military Doctors

  • Military Paramedics

  • Military

  • Anaesthetist

  • Senior Firefighter and CBRNE subject matter expert

Half of the Editors for the UK localised edition of the TECC manual are members of our Faculty and were trained in TECC and qualified as TECC instructors with us.






This course also ties in very nicely with the All Hazards Disaster Response course. We also delivered the first AHDR course in the UK, with input from CBRNE subject matter experts on the Faculty.



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. This would also be suitable for NGO's as well as our Media Safety sector clients.

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 2 day 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.

TECC for Law Enforcement Officers and First Responders (TECC-LEO):

TECC for Law Enforcement Officers and First Responders (TECC-LEO): An 8-hour classroom course specifically designed for law enforcement officers and other non-EMS first responders. The course would also be suitable for NGO non medics and Journalists working in remote and hostile environments. The course covers materials found in the 16-hour TECC provider course at a level appropriate for first responders. It includes 8 hours of content, which includes interactive lectures, skill stations, and patient simulations. Upon successful completion of the course, students receive a certificate of completion, a wallet card recognizing them as a TECC-LEO provider for 4 years, and 8 hours of CAPCE credit for qualified participants.

Course Dates:


New "Open" dates coming shortly.

Venue: North Wales

Cost: £495.00 per person for the 2 day course. £295.00 for the one day TECC First Responder 1 day course. These are very specialist and rare courses with significant instructor and centre pre requisites. 

Accommodation and food are not included but excellent, very affordable B&B accommodation and food is available at the venue itself.

How to book:

Click the link below to access the booking course pack, once 2023 dates go live - for the course you are interested in. Download the pack, save it your computer and you can complete the booking form electronically and email to us. Alternatively, print off the pack, complete and scan the booking form back to us.

Only complete and submit the booking form if you intent to attend the course and be bound by our terms and conditions. Once we send you  an invoice,  a binding contract will exist. If you later decide to cancel, the contractual booking terms (found in the booking pack attached), apply. These include cancellation  terms and conditions.


Top ratings by the whole class.


'Great instructors.'

'Excellent all round.'

'All lessons were relevant and well explained.'

'Loved it!'

'All excellent'.

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