Tactical Patient Care

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Tactical Patient Care
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Body Armor

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

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Soft Body Armor

• Type I protects against
• .22 long rifle high velocity lead bullets with
  masses of 2.6 gm (40 gr) impacting at lt1050
  feet/sec
• .38 special round nose lead bullets with masses
  of 10.2 gm (158 gr) impacting at lt850 feet/sec

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Soft Body Armor

• Type II-A protects against
• .357 Magnum jacketed soft point bullets with
  masses of 10.2 gm (158 gr) impacting at lt1250
  ft/sec
• 9mm full metal jacketed bullets with masses of 8
  gm (124 gr) impacting at lt1090 ft/sec

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Soft Body Armor

• Type II protects against
• .357 Magnum jacketed soft point bullets with
  masses of 10.2 gm (158 gr) impacting at lt1395
  ft/sec
• 9mm full metal jacketed bullets with masses of 8
  gm (124 gr) impacting at lt1175 ft/sec

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Soft Body Armor

• Type III-A protects against
• 44 Magnum lead semi-wadcutter bullets with masses
  of 15.55 gm (240 gr) impacting at lt1400 ft/sec
• 9mm full metal jacketed bullets with masses of
  8.0 gm (124 gr) impacting at lt1400 ft/sec

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Hard Body Armor

• Type III protects against
• 7.62 mm full metal jacketed bullets with masses
  of 9.7 gm (150 gr) impacting at lt2750 ft/sec
• 5.55 mm full metal jacketed bullets, .30 cal
  carbine full metal jacket, and 12 gauge rifled
  slugs

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Hard Body Armor

• Type IV protects against
• .30 caliber armor-piercing bullets with masses of
  10.8 gm (166 gr) impacting at lt2850 ft/sec

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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

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Body Armor

• One in five officers killed are shot with their
  own weapons
• An officers body armor should handle at least
  his/her own weapon

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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

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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

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Body Armor

• Never do anything you wouldnt do without it
• Remember it doesnt cover the whole body
• Serious blunt trauma can still occur
• To work it must be worn

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Tactical EMS
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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

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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

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CONTOMS

• COunter Narcotics Terrorism Operational Medical
  Support

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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

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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

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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