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Tactical Medicine

For members of the community that provide care under fire. SWAT, ERT, QRT, whatever team you're a part of.

Members: 322
Latest Activity: Apr 28

EMS Discussion Forum

Building Tactical Medic Program from Nothing!!! 9 Replies

Last reply by carl w french Sep 20, 2012.

Creating a Virginia Tac Medic Association 6 Replies

Last reply by Michal Czerwinski Jul 3, 2011.

CCP Security

Started by Val Bilotti Feb 24, 2011.

NAEMT TC3

Started by David Crowley Jan 10, 2011.

Accredited TCCC Program 4 Replies

Last reply by Christopher Van Houten Nov 29, 2010.

Tips and Tricks of the Trade 13 Replies

Last reply by Paul Garcia Sep 6, 2010.

Does any one else have a Rescue Task Force like Arlington County VA? 4 Replies

Last reply by Scott Standley Jul 14, 2010.

Comment Wall

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Comment by EMSDoc on February 21, 2009 at 11:40am
Hey all, I just wanted to give the heads up about a training opportunity for those interested:

Tactical Operator Medical Skills Program -- Basic. April 16-19th, Limerick PA.

TOMSP-Basic is a 4 day hands on intensive program designed to train medical and tactical providers how to integrate basic and advanced medical skills into the tactical environment. The program not only covers the technical skills required to provide life-saving care under fire, but also covers the equally important "behind the scenes" topics of medical intelligence, preventive medicine, occupational health, and sports medicine. Morning didactic sessions are followed up with all interactive afternoon activities designed to encourage student learning and education.

For more information e-mail dneubert@tac-med.org or check out http://www.tac-med.org
Comment by Raul Perez on February 7, 2009 at 9:11am
Hey everyone! We are holding a Tactical rescue tech. course here in Polk Co. Fl. in Bartow through NTOA. If anyone is interested go to the NTOA web site under training. Dates 03/16 - 03/19 2009

Tactical Rescue Technician Course (TRT) (4 days)
NTOA’s new Tactical Rescue Technician (TRT) course is a comprehensive 4-day tactical rescue and medicine curriculum. This course will empower the rescuer to become adaptable and successful in the high-threat arena. Innovative and revolutionary high-threat immediate extraction techniques, tactics and a solid foundation in operational and emergent treatment modalities will guide a more rapid and effective treatment of casualties.
Be safe out there and hope to meet some of you here during the week.
Comment by Sonny on February 6, 2009 at 11:35pm
Hello everyone. I am not your standard TacMed guy. I have never been a part of SWAT, SRT, or any other agency for that matter. I am currently work overseas as a civilian contractor and most of my tactical medicine has come from covering convoys of VIP's through hostile territory. As a site medic you are responsible for both clinical medicine and emergency medicine so I have to be ready for just about anything.

I will say that medicine is completely different when you carry an M-4, 9mm, ammunition, and ALL the medical equipment you might possibly need on your person. It took some time getting used to. :) Thanks for letting me join and I am looking forward to talking to the "veterans" out here. I believe you can never have to many tricks up your sleeve. Be safe, keep your heads down, and your mind clear.
Comment by Micheal Coldren on February 1, 2009 at 12:56am
Just wanted to say Hi. Our team just formed last year, our police department wanted to form a SRT team, and they can to us wanting to know if we would provide a TEMS for them. We have had 3 incidents so far. We are still very much in the learning stages, although we have come along way. Our last activation we were able to rescue an ederly person from the danger of a barricaded gunmen. We have formed a very tight bond with our SRT team, they consider us a part of the team. We are still trying to figure out what equipment to carry, sure there is all kinds of fancy rigs and "tactical bandaids" to buy, but as we found out through training carrying all that stuff can be impossible. Reading what's in your kit comments has helped. I can see we are in the ball park. Everyone becarful out there.
Comment by Raul Perez on January 19, 2009 at 3:03pm
Hello to everyone! I'm a Paramedic for Polk County EMS and a SWAT medic for the Polk County Sheriffs Office here in Florida. There is an up coming class for TEMS with the current TCCCC at Camp Blanding Starke Fl. This is being put on by Florida SWAT Association. Anyone is welcome and the cost is $175.00. The class is on Feb. 9th through the 13th. lodging is available. meals are $19.00 per day 3 meals a day.
Comment by Dave Pierce on January 3, 2009 at 12:32am
I have been a EMT fro 27 years and was a Police Officer for 27 years and always available to help protect fellow officers, whether my dept or agency or someone else from another agency. It helped to be both at times due to assignments that we were given at times.
Comment by Mike Hicks on January 2, 2009 at 5:34pm
I agree with most of the comments below. I carried Qwikclot and Hemcon dressings in Afghanistan on convoys, but relied mainly on CAT Tourniquets for major extremity bleeding. A lot of it depends on the mission, the threat, and the time to definitive care. I also carried a large medical bag besides the essentials on my vest in pouches. I like to have everyone with a CAT tourniquet on their vest in essentially the same place. That way if someone has an extremity bleed they can self apply if no one can immediately get to them. The one on my vest is for me so wear your own.
Comment by Jen on December 26, 2008 at 7:55pm
We are a fairly new TEMS unit in our next of the woods. We currently carry two thigh pouches (one airway and one hemorrhage) as well as an M9 pack. The M9 is light and thin but packs well. We carry a lot of the usual items: israeli bandage, CAT, QuickClot bandage, etc. It has been a work in progress. We are now at the monthly trainings with the team which has been very good. We also attended a TEMS class recently which opened our eyes to the tactical enviornment. We will be taking a basic SWAT class in the spring. Good luck to your team Tim! If you need any info or would like pictures of our set up give me a holler!
Comment by Karen Wesley on December 18, 2008 at 5:05pm
Two things, Doug, it is the general protocol: if the scene isn't safe, LE goes in first. If SWAT is needed, they are called by LE. No sense in loss of EMS life. The old mentality was for EMS to charge in, now, we have to understand that we might have to wait in order to gain access to the sick or injured. LE officers first priority is going home at the end of the shift. EMS should model their behavior after that. It's just not a peaceful world anymore.
Secondly, Doug, Remember that SWAT medicine is not field casualty and care. There are rare circumstances that would have someone pinned down for the period that a tourniquet won't work over combat clotting agents. I am a proponent of these products, but we aren't doing field amputations out there. TEMS operators should have a risk assessment that includes evacuation plans with ALS, be it ground or air for those injured. This allows us to remain with the team, rather than pulling off the mission. As SOFMedic says, keep it simple. Commercial tourniquets are great, but two dowels and cravats work just fine.
My team medic equipment includes a vest, with dressings etc. But the two most valuable items I think we carry in the vest are tetracaine, and a nasal airway. Nothing fancy, we do have 2 tourniquets made by ARUK systems, and all our SWAT operators have one as well. Our medic bag is staged as others. It contains advanced airway and circulation equipment. Also included is a snivel kit containing OTC meds if the operators want to take them. Our kits were designed by a MD Medical Director who served in the ARMY as a Major and completed 3 overseas deployments in field hospital settings. So I know we don't have overkill, but can handle whatever situations we encounter. Best wishes with your team. Remember the warrior spirit and keep your operators in the game whenever you can.
Comment by Tim Zagorski on December 18, 2008 at 3:51pm
BJ,
I would love to have a list to go by and you can send it to me at ziggy@region2ems.com Thanks
 

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