Summary: The National Disaster Medical Team of NCKUH, established in 2008, was assigned by the Central Government to provide the medical response during disasters. However, we lack the rescue experience in a high-risk environment, including human-made disasters. So, we tried to develop a training course based on TECC (Tactical Emergency Casualty Care) and hope to provide the trainee in Taiwan with the capability to perform proper rescue and medical care in the under-threat circumstances. We thoroughly went through the whole TECC class and modified the modules to new ones according to Taiwan’s training and regulations. We reorganized the classes to 1. Introduction, 2. Care under threat with high risk (compress, tie, and go), 3. Care under threat with moderate risk (CABDE), 4. Care under threat with low risk (Vital signs and P.E.), 5. Mass Casualty Triage (CABDE), 6. Summary. Furthermore, we modified the skill stations about 1. Move the casualties 2. Airway, and 3. Stop-the-bleeding to be more friendly to local trainees and encourage them to ask. The Post-course Satisfaction rate is high. The comparison between pre-test and post-test shows highly educational and helpful for them to learn the concept, “evaluating the risk in the environment first”. The trainee showed a high interest in newly-designed modules, esp. the airway management. It demonstrated that this TUECC course significantly increased their self-confidence in responding the injured patients in a disaster in the future. Following the concept of TECC, reasonable modification of the templates into a new TUECC course seems to be very positive for the local trainee here in Taiwan. More studies to examine the effectiveness and continuous effects compared with TECC are mandatory in the future.
Chien et al. (Sun,) studied this question.