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Tactical EMS

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https://www.readbyqxmd.com/read/27858502/prehospital-providers-perceptions-on-providing-patient-and-family-centered-care
#1
Emily M Ayub, Esther M Sampayo, Manish I Shah, Cara B Doughty
BACKGROUND: A gap exists in understanding a provider's approach to delivering care that is mutually beneficial to patients, families, and other providers in the prehospital setting. The purpose of this study was to identify attitudes, beliefs, and perceived barriers to providing patient and family centered care (PFCC) in the prehospital setting and to describe potential solutions for improving PFCC during critical pediatric events. METHODS: We conducted a qualitative, cross-sectional study of a purposive sample of Emergency Medical Technicians (EMTs) and paramedics from an urban, municipal, fire-based EMS system, who participated in the Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPS) course...
November 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27689382/tactical-combat-casualty-care-top-lessons-for-civilian-ems-systems-from-14-years-of-war
#2
Frank K Butler
No abstract text is available yet for this article.
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/26125175/a-descriptive-analysis-of-us-prehospital-care-response-to-law-enforcement-tactical-incidents
#3
Sara J Aberle, Christine M Lohse, Matthew D Sztajnkrycer
BACKGROUND: Law enforcement tactical incidents involve high-risk operations that exceed the capabilities of regular, uniformed police. Despite the existence of tactical teams for 50 years, little is known about the frequency or nature of emergency medical services (EMS) response to tactical events in the United States. The purpose of this study was to perform a descriptive analysis of tactical events reported to a national EMS database. METHODS: Descriptive analysis of the 2012 National Emergency Medical Services Information System (NEMSIS) Public Release research data set, containing EMS emergency response data from 41 states...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/25591664/situational-awareness-and-information-flow-in-prehospital-emergency-medical-care-from-the-perspective-of-paramedic-field-supervisors-a-scenario-based-study
#4
Teija Norri-Sederholm, Heikki Paakkonen, Jouni Kurola, Kaija Saranto
BACKGROUND: In prehospital emergency medical services, one of the key factors in the successful delivery of appropriate care is the efficient management and supervision of the area's emergency medical services units. Paramedic field supervisors have an important role in this task. One of the key factors in the daily work of paramedic field supervisors is ensuring that they have enough of the right type of information when co-operating with other authorities and making decisions. However, a gap in information sharing still exists especially due to information overload...
2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/25344707/management-of-external-hemorrhage-in-tactical-combat-casualty-care-chitosan-based-hemostatic-gauze-dressings-tccc-guidelines-change-13-05
#5
Brad L Bennett, Lanny F Littlejohn, Bijan S Kheirabadi, Frank K Butler, Russ S Kotwal, Michael A Dubick, Jeffrey A Bailey
Hemorrhage remains the leading cause of combat death and a major cause of death from potentially survivable injuries. Great strides have been made in controlling extremity hemorrhage with tourniquets, but not all injuries are amenable to tourniquet application. Topical hemostatic agents and dressings have also contributed to success in controlling extremity and compressible junctional hemorrhage, and their efficacy continues to increase as enhanced products are developed. Since the addition of Combat Gauze™ (Z-Medica Corporation, Wallingford, CT, USA; http://www...
2014: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/25006975/emergency-medical-services-response-to-active-shooter-incidents-provider-comfort-level-and-attitudes-before-and-after-participation-in-a-focused-response-training-program
#6
Jerrilyn Jones, Ricky Kue, Patricia Mitchell, Gary Eblan, K Sophia Dyer
INTRODUCTION: Emergency Medical Services (EMS) routinely stage in a secure area in response to active shooter incidents until the scene is declared safe by law enforcement. Due to the time-sensitive nature of injuries at these incidents, some EMS systems have adopted response tactics utilizing law enforcement protection to expedite life-saving medical care. OBJECTIVE: Describe EMS provider perceptions of preparedness, adequacy of training, and general attitudes toward active shooter incident response after completing a tactical awareness training program...
August 2014: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/24952052/development-of-a-national-consensus-for-tactical-emergency-medical-support-tems-training-programs-operators-and-medical-providers
#7
Richard Schwartz, Brooke Lerner, Craig Llwewllyn, Andre Pennardt, Ian Wedmore, David Callaway, John Wightman, Raymond Casillas, Alex Eastman, Kevin Gerold, Stephen Giebner, Robert Davidson, Richard Kamin, Gina Piazza, Glenn Bollard, Phillip Carmona, Ben Sonstrom, William Seifarth, Barbara Nicely, John Croushorn, Richard Carmona
INTRODUCTION: Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field involves unique requirements beyond what is provided by traditional civilian emergency medical services (EMS) systems. Despite this need, the training objectives and competencies are not uniformly agreed to or taught. METHODS: An expert panel was convened that included members from the Departments of Defense, Homeland Security, Justice, and Health and Human Services, as well as federal, state, and local law-enforcement officers who were recruited through requests to stakeholder agencies and open invitations to individuals involved in Tactical Emergency Medical Services (TEMS) or its oversight...
2014: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/24308173/san-antonio-police-department-launches-tactical-medic-program-specially-trained-officers-can-deliver-emergency-care-until-ems-takes-over
#8
Richard M Smith, Craig Manifold, David Wampler
No abstract text is available yet for this article.
November 2013: EMS World
https://www.readbyqxmd.com/read/23993329/law-enforcement-and-the-long-gun-do-we-need-a-new-face-in-the-fight
#9
Mark Cannon
BACKGROUND: The threat of rifles in the hands of criminals is now well recognized within law enforcement. Current emergency response systems are not equipped to operate in this combat-like environment. Growing statistics indicate that of the peace officers that were killed in the line of duty in the United States nearly half died by gunfire evidence. OBJECTIVE: As Emergency Medical Services ("EMS") training and standards evolve, the lessons learned from the Tactical Combat Casualty Care doctrine should be incorporated to improve the safety and outcomes of injured law enforcement officers...
November 2013: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/22830127/prepared-for-the-worst-tactical-training-offers-many-be-benefits-to-ems
#10
William Justice, Kerry Massie, Jeffrey M Goodloe
No abstract text is available yet for this article.
May 2012: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/22510067/tactical-emergency-medical-support-programs-a-comprehensive-statewide-survey
#11
William P Bozeman, Benjamin M Morel, Timothy D Black, James E Winslow
BACKGROUND: Specially trained tactical emergency medical support (TEMS) personnel provide support to law enforcement special weapons and tactics (SWAT) teams. These programs benefit law enforcement agencies, officers, suspects, and citizens. TEMS programs are increasingly popular, but there are wide variations in their organization and operation and no recent data on their prevalence. OBJECTIVE: We sought to measure the current prevalence and specific characteristics of TEMS programs in a comprehensive fashion in a single southeastern state...
July 2012: Prehospital Emergency Care
https://www.readbyqxmd.com/read/22441087/medical-direction-of-wilderness-and-other-operational-emergency-medical-services-programs
#12
Craig R Warden, Michael G Millin, Seth C Hawkins, Richard N Bradley
Within a healthcare system, operational emergency medical services (EMS) programs provide prehospital emergency care to patients in austere and resource-limited settings. Some of these programs are additionally considered to be wilderness EMS programs, a specialized type of operational EMS program, as they primarily function in a wilderness setting (eg, wilderness search and rescue, ski patrols, water rescue, beach patrols, and cave rescue). Other operational EMS programs include urban search and rescue, air medical support, and tactical law enforcement response...
March 2012: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/22413695/how-to-develop-tactical-ems-protocols
#13
Elliot D Carhart
No abstract text is available yet for this article.
February 2012: EMS World
https://www.readbyqxmd.com/read/22092068/integrated-model-for-providing-tactical-emergency-medicine-support-tems-analysis-of-120-tactical-situations
#14
T Vainionpää, K Peräjoki, T Hiltunen, K Porthan, A Taskinen, J Boyd, M Kuisma
BACKGROUND: Various models for organising tactical emergency medicine support (TEMS) in law enforcement operations exist. In Helsinki, TEMS is organised as an integral part of emergency medical service (EMS) and applied in hostage, siege, bomb threat and crowd control situations and in other tactical situations after police request. Our aim was to analyse TEMS operations, patient profile, and the level of on-site care provided. METHODS: We conducted a retrospective cohort study of TEMS operations in Helsinki from 2004 to 2009...
February 2012: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/20467997/canadian-operational-and-emotional-prehospital-readiness-for-a-tactical-violence-event
#15
MULTICENTER STUDY
Daniel Kollek, Michelle Welsford, Karen Wanger
Providing prehospital care poses unique risks. Paramedics are essentially the only medical personnel who are routinely at the scene of violent episodes, and they are more likely to be assaulted than are other prehospital personnel. In addition to individual acts of violence, emergency medical services (EMS) providers now need to cope with tactical violence, defined as the deployment of extreme violence in a non-random fashion to achieve tactical or strategic goals. This study reviewed two topics; the readiness of EMS crews for violence in their environment and the impact of violence on the EMS crew member...
March 2010: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/18464220/-introduction-course-hems-physician-from-idea-to-course-concept
#16
Markus Roessler, Peter Stahl, Gerson Conrad, Uwe Schweigkofler, Hanno Peter, Hans Bäuml, Jörg Braun, Michael Quintel
Physicians who take a role as flight physicians in a Helicopter Emergency Medical System (HEMS) will encounter more frequently certain emergencies - such as multiple trauma, mass casualties etc. - compared to physicians in a ground based Emergency Medical System (EMS). Furthermore EMS teams already present on scene have a variance of expectations towards HEMS-Physicians. Therefore HEMS-Physicians not only must have the capabilities to treat patients properly, especially under difficult circumstances. Particularly with regard to leadership and Crew Resource Management (CRM) they will be demanded...
May 2008: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/18388618/role-of-tactical-ems-in-support-of-public-safety-and-the-public-health-response-to-a-hostile-mass-casualty-incident
#17
EDITORIAL
Nelson Tang, Gabor D Kelen
No abstract text is available yet for this article.
September 2007: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/18379924/tourniquets-a-review-of-current-use-with-proposals-for-expanded-prehospital-use
#18
REVIEW
Gerard S Doyle, Peter P Taillac
The use of arterial tourniquets in prehospital emergency care has been fraught with controversy and superstition for many years despite the potential utility of these tools. This review examines this controversy in the context of the history of the tourniquet as well as its recent use in surgery and modern battlefield casualty care. Safe prehospital tourniquet use is widespread in the military and is based on sound physiologic data and clinical experience from the surgical use of tourniquets. The physiologic, pathophysiologic, and clinical underpinnings of safe tourniquet use are reviewed here, along with a discussion of alternatives to tourniquets...
April 2008: Prehospital Emergency Care
https://www.readbyqxmd.com/read/17556943/civil-sector-tactical-ems
#19
REVIEW
Jeffery C Metzger
No abstract text is available yet for this article.
June 2007: Journal of Trauma
https://www.readbyqxmd.com/read/15748013/successful-development-and-implementation-of-a-tactical-emergency-medical-technician-training-program-for-united-states-federal-agents
#20
Teriggi J Ciccone, Phillip D Anderson, Chon A D Gann, J Michael Riley, Michael Maxwell, Robert Hopkins, Gregory Ciottone
INTRODUCTION: The emerging need for tactical operations in law enforcement often places personnel involved at risk. Tactical operations often are carried out in environments in which access to emergency care is limited. With the war against terrorism expanding, special operations involving United States federal agents are occurring worldwide. Currently, there are very few tactical medicine curricula training traditional emergency medical services (EMS) providers to operate in these high-risk missions...
January 2005: Prehospital and Disaster Medicine
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