Integrated Response to Terrorist Attacks

Smith, E.E.; Shapiro, Geoffrey; Callaway, David W.

doi:10.1016/b978-0-323-28665-7.00066-2

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…They documented their experience in an exemplary article in the Journal of Emergency Medical Services in 2009, “Towards the Sound of Shooting.” 21 Escorted warm zone care, as one tactic from this RTF concept, with the thought that care provided near the point of injury could treat these same reversible life threats as identified in war time conflicts. 22 In this model, after initial law enforcement entry has isolated the threat, a combined EMS and law enforcement team could enter the warm zone and begin patient care. This complex decision making in each of these settings can be applied to not only active shooter/mass violence events, but can also be used in hazardous materials and other high risk situations.…”

Section: Introductionmentioning

confidence: 99%

Integration of Tactical EMS in the National Park Service

Smith

2017

Wilderness & Environmental Medicine

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The National Park Service (NPS) has domestic responsibility for emergency medical services (EMS) in remote and sometimes tactical situations in 417 units covering over 34 million hectares (84 million acres). The crossover between conflicting patient care priorities and complex medical decision making in the tactical, technical, and wilderness/remote environments often has many similarities. Patient care in these diverse locations, when compared with military settings, has slightly different variables but often similar corresponding risks to the patients and providers. The NPS developed a Tactical EMS (TEMS) program that closely integrated many principles from: 1) Tactical Combat Casualty Care (TCCC); 2) Tactical Emergency Casualty Care (TECC); 3) and other established federal and civilian TEMS programs. Combining these best practices into the NPS TEMS Program allowed for standardized training and implementation across not only the NPS, but also paralleled other military/federal/civilian TEMS programs. This synchronization is critical when an injury occurs in a joint tactical operation, either planned (drug interdiction) or unplanned (active shooter response), so that patient care can be uniform and efficient. The components identified for a sustainable TEMS program began with strong medical oversight, protocol development with defined phases of care, identifying specialized equipment, and organized implementation with trained TEMS instructors. Ongoing TEMS program management is continuously improving situationally appropriate training and integrating current best practices as new research, equipment, and tactics are developed. The NPS TEMS Program continues to provide ongoing training to ensure optimal patient care in tactical and other NPS settings.

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Section: Introductionmentioning

confidence: 99%

Integration of Tactical EMS in the National Park Service

Smith

2017

Wilderness & Environmental Medicine

View full text Add to dashboard Cite

show abstract

Integrated Response to Terrorist Attacks

Cited by 1 publication

References 7 publications

Integration of Tactical EMS in the National Park Service

Integration of Tactical EMS in the National Park Service

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