Tactical Medicine Lessons Learned from Iraq and…. Orlando
Current military statistics not only show that earlier awareness of patient status saves lives but also that the top three preventable causes of death are exsanguination, tension pneumothorax and suffocation. As we see the world changing around us, these injuries are now often occurring in situations faced by both police and emergency responders. With adequate training these injuries can be treated before EMS arrives and enters the scene if officers are trained for and use the appropriate equipment.
In an August 2016 Police Chief article, J.D. Pearce and S. Goldstein relate that, just as in the battlefield, hemorrhagic shock is a common issue faced in the law enforcement realm. Personnel are trained to recognize and treat shock as early as possible until extraction and transfer. Of those who experience one of the preventable causes of death, about half will die within 30 minutes and half of those in five. Without awareness of the critical nature of the injury, trending and adequate treatment, patient outcomes remain bleak.
The priority should be transporting the most injured person to the definitive care needed as fast as possible. Emergency personnel need to know who, when and why. Law enforcement personnel are able to recognize injuries and data should be available to them in circumstances in which they need to call for medevac response prior to the casualty being evaluated by a non–law enforcement EMS provider. Making the right decisions requires new tactical medicine training and highly mobile and connected tools. Teams are now recognizing the need to consider a life-changing paradigm shift in policing and have begun providing basic training with medical kits that allow for earlier awareness and intervention, as well as prioritization with the right tools at the right time. Check out the tactical medical monitoring kit at http://athenagtx.com/markets/law-enforcement-wireless-monitors/