Tactical Patient Care

Body Armor Interwoven fibers of Kevlar® Basically converts penetrating trauma into blunt trauma be spreading force over wide area

Soft Body Armor Type I protects against .22 long rifle high velocity lead bullets with masses of 2.6 gm (40 gr) impacting at <1050 feet/sec .38 special round nose lead bullets with masses of 10.2 gm (158 gr) impacting at <850 feet/sec

Soft Body Armor Type II-A protects against .357 Magnum jacketed soft point bullets with masses of 10.2 gm (158 gr) impacting at <1250 ft/sec 9mm full metal jacketed bullets with masses of 8 gm (124 gr) impacting at <1090 ft/sec

Soft Body Armor Type II protects against .357 Magnum jacketed soft point bullets with masses of 10.2 gm (158 gr) impacting at <1395 ft/sec 9mm full metal jacketed bullets with masses of 8 gm (124 gr) impacting at <1175 ft/sec

Soft Body Armor Type III-A protects against 44 Magnum lead semi-wadcutter bullets with masses of 15.55 gm (240 gr) impacting at <1400 ft/sec 9mm full metal jacketed bullets with masses of 8.0 gm (124 gr) impacting at <1400 ft/sec

Hard Body Armor Type III protects against 7.62 mm full metal jacketed bullets with masses of 9.7 gm (150 gr) impacting at <2750 ft/sec 5.55 mm full metal jacketed bullets, .30 cal carbine full metal jacket, and 12 gauge rifled slugs

Hard Body Armor Type IV protects against .30 caliber armor-piercing bullets with masses of 10.8 gm (166 gr) impacting at <2850 ft/sec

Body Armor Routinely worn by only 20% of police Type I is minimum protection recommended Type II-A sufficiently comfortable for full-time wear if threat warrants it

Body Armor One in five officers killed are shot with their own weapons An officer’s body armor should handle at least his/her own weapon

Body Armor Hits on body armor can cause: Rib fracture Pneumo/hemothorax Pulmonary contusion Myocardial contusion Spinal cord contusions Penetrating wounds in spite of body armor have high mortality

Body Armor Offers little or no protection When wet Against high velocity bullets Against thin or dual-edged weapons Produces at least a 10oF increase over the ambient temperature

Body Armor Never do anything you wouldn’t do without it Remember it doesn’t cover the whole body Serious blunt trauma can still occur To work it must be worn

Tactical EMS

EMT-Tactical Developed to support law enforcement agencies in operations involving: Prolonged commitments Organized opposing forces Use of military style weapons Higher risk for morbidity, mortality among public safety personnel and citizens

EMT-Tactical Primary mission is medical support of tactical team Role is similar to that of a military medic Medical support of mission planning Immediate care and evacuation under fire Support of team members’ health during prolonged operations

COunter Narcotics & Terrorism Operational Medical Support CONTOMS COunter Narcotics & Terrorism Operational Medical Support

CONTOMS Department of Defense (USUHS) Nationally standardized curriculum, certification process, quality improvement procedure for EMTs, paramedics, physicians who operate as part of tactical law enforcement teams

EMT-Tactical Topics Medical preplanning Clandestine drug lab raids Emergency care in barricade situations Wounding effects of weapons and booby traps Special medical gear for tactical operations Personal protective gear Officer rescue Operation under extreme conditions, darkness, and psychological stress Special needs for extended operations Preventive medicine and injury control Medical management for chemical, biological, and non-conventional weapons

EMT-Tactical Advanced Advanced technology applications to remote patient assessment Sleep/wake cycle management Emerging issues in chemical restraint Operational dermatology Chemical/biological exposure science Crisis intervention Management of training injuries Nutrition and fitness for tactical teams Less lethal weapons systems