Tactical Combat Casualty Care (TCCC) and Tactical Emergency Casualty Care (TECC) will be compared and contrasted in this class. Attendees will also be exposed to various forms of Tactical EMS assessment strategies in the field. When SWAT medics respond with a SWAT operator team, they must be flexible but firm with the command staff. The mission to stop the criminal, drug distribution, and gun running is paramount. However, medics also have a mission; that goal is to prevent casualties, treat casualties, and promote the treatment of preventable deaths in the tactical setting: extremity exsanguination, tension pneumothorax, and airway compromise. Junctional wounds can also be a major challenge if the medic is not familiar with how to treat these casualties. The medic's mission is to support the command staff but to be the operator and victim's advocate. Prevention of medical issues such as hypothermia and hyperthermia will also be discussed. The importance of understanding the Lethal Triad of Trauma will conclude the class.