1. Tactical Patient Care

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

3. 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

4. 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

5. 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

6. Soft Body Armor Type III-A protects against
44 Magnum lead semi-wadcutter bullets with masses of 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. Tactical EMS

15. 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

16. 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

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

18. 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

19. 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

20. 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