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Northern Virginia Consortium for Community Development is proud to partner with Battle Proven Foundation in offering Tactical Emergency Casualty Care (TECC) training.

What is Tactical Emergency Casualty Care?

Tactical Emergency Casualty Care (TECC) is a set of evidenced-based and best practice trauma care guidelines for civilian high-threat pre-hospital environments.  The TECC guidelines are built upon the critical medical lessons learned by US and allied military forces over the past 15 years of conflict and codified in the doctrine of Tactical Combat Casualty Care (TCCC). Using the military TCCC guidelines as a starting point, the Committee creates the civilian high threat medical guidelines through a process of literature research, evidence evaluation, expert discussion, and civilian best practices review. The TECC guidelines are built upon the foundations of TCCC but are different to meet the unique needs of the civilian medical and operational environments.  The differences address civilian specific language, provider scope of practice, population, civilian liability, civilian mission and operational constraints, logistics, and resource acquisition.


‘Twas the night before Christmas, when all through the world,
Stood the guardians of Freedom, some young and some old.

Their rifles were spotless and zeroed with care,
Looking for the danger they know will be there.

They fear for their children at home in their beds,
Yearning for the touch of a kiss on their heads.

And there I was, prepared for the fight,
Wondering when the evil of war would ignite.

When out of the dust there arose such a clatter,
I swiveled around to see what was the matter.

Outside the window I saw a huge flash,
The air tasted rancid, of fuel and of trash.

The sound of my comrades cries in the air,
Sent chills down my spine, to cold to bare.

When, what to my angered eyes should appear,
But a valiant young Soldier, showing no fear!

With bullets whizzing over his head,
I knew in a moment the bad guys were dead.

Out of the smoke, more Soldiers they came,
Young warriors who knew that this was no game.

We deftly maneuvered, aiming to kill,
Secretly saddened by the blood that we spill.

After the battle, on edge and so tired,
We relive the moments each bullet was fired.

Back at the FOB, I lay down and stare,
Thinking of all of the reasons I’m there.

Wiping my face with my own bloodied glove,
I think of my family and all of their love.

I think of their faces with a tear in my eye,
Glad that today was not my turn to die.

I think of America, and all of her beauty,
Honored to serve her, it’s not just my duty.

As I lay in my bed thinking of Christmas,
I smile from the thought of the joy that it brings us.

I know you can’t hear me, but I’m just out of sight,

“Merry Christmas to all, and to all a good-night.”

This is a poem I wrote for all my fellow Troops! I am proud of you all!

SSG John Spencer
26 November 2010

Thank you for your selfless service to our Country.

May you have a joyful Holiday Season, knowing how much you are loved and appreciated.

Merry Christmas and a Happy New Year!