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Effects of Tactical Emergency Casualty Care Training for Law Enforcement Officers

Published online by Cambridge University Press:  31 August 2018

Heidie R. Rothschild  and
Kathleen Mathieson
Heidie R. Rothschild*
Affiliation:
Doctorate in Health Science, A.T. Still University, Mesa, ArizonaUSA
Kathleen Mathieson
Affiliation:
Advisor, A.T. Still University, Mesa, ArizonaUSA
*
Correspondence: Heidie R. Rothschild, BS, MHA, DHSc A.T. Still University 7636 Audubon Meadow Way Alexandria, Virginia USA E-mail: hrothschild@atsu.edu
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Abstract

Objective

This study evaluated how Tactical Emergency Casualty Care (TECC) training prepared law enforcement officers (LEOs) with the tools necessary to provide immediate, on-scene medical care to successfully stabilize victims of trauma.

Methods

This was a retrospective, de-identified study using a seven-item Fairfax County (Virginia USA) TECC After-Action Questionnaire and Arlington County (Virginia USA) police reports.

Results

Forty-six encounters were collected from 2015 through 2016. Eighty-four percent (n=39) of the encounters were from TECC After-Action Questionnaires and 15% (n=7) were from police reports. The main injuries included 13% (n=6) arterial bleeds, 46% (n=21) mild/moderate bleeds, 37% (n=17) large wounds, 20% (n=9) penetrating chest wounds, and 13% (n=6) open abdominal wounds. One-hundred percent of officers reported success in stabilizing victim injuries. Seventy-four percent of officers (n=26) did not encounter problems caring for a patient while 26% (n=9) encountered a problem. Ninety-seven percent (n=37/38) answered Yes, the training was sufficient, and three percent (n=1) indicated it was OK.

Conclusion

This is the most comprehensive study of TECC use among LEOs to date that supports the importance of TECC training for all LEOs in prehospital trauma care. Results of this study showed TECC training prepared LEOs with the operational tools necessary to provide immediate, on-scene medical care to successfully stabilize victims of trauma. Continuing to train increasing numbers of LEOs in TECC is key to saving the lives of victims of trauma in the future.

RothschildHR, MathiesonK.Effects of Tactical Emergency Casualty Care Training for Law Enforcement Officers. Prehosp Disaster Med.2018;33(5):495–500.

Keywords

hemorrhagelaw enforcement officersmass-casualty incidentsprehospital emergency caretourniquet
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 5 , October 2018 , pp. 495 - 500
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. Bulger, EM, Snyder, D, Schoelles, K, et al. An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma. Prehosp Emerg Care. 2014;18(2):163-173.Google Scholar
2. Zietlow, JM, Zietlow, SP, Morris, DS, Berns, KS, Jenkins, DH. Prehospital use of hemostatic bandages and tourniquets: translation from military experience to implementation in civilian trauma care. J Spec Oper Med. 2015;15(2):48-53.Google Scholar
3. Shina, A, Lipsky, AM, Nadler, R, et al. Prehospital use of hemostatic dressings by the Israel Defense Forces Medical Corps: a case series of 122 patients. J Trauma. 2015;79(4 Suppl 2):S204-S209.Google Scholar
4. Robertson, J, McCahill, P, Riddle, A, Callaway, D. Another civilian life saved by law enforcement-applied tourniquets. J Spec Oper Med. 2014;14(3):7-11.Google Scholar
5. Eastridge, BJ, Mabry, RL, Seguin, P, et al. Death on the battlefield (2001-2011): implications for the future of combat casualty care. J Trauma. 2012;73(6 Suppl 5):S431-S437.Google Scholar
6. Gerhardt, RT. Prehospital and emergency care research at the US Army Institute of Surgical Research: enabling the next great leap in combat casualty survival. US Army Med Dep J. 2011:82-86.Google Scholar
7. Butler, F. Military history of increasing survival the U.S. military experience with tourniquets and hemostatic dressings in the Afghanistan and Iraq conflicts. J Spec Oper Med. 2015;15(4):149-152.Google Scholar
8. Butler, FK Jr., Blackbourne, LH. Battlefield trauma care then and now: a decade of Tactical Combat Casualty Care. J Trauma. 2012;73(6 Suppl 5):S395-S402.Google Scholar
9.Kelly, JF, Ritenour, AE, McLaughlin, DF, et al. Injury severity and causes of death from Operation Iraqi Freedom and Operation Enduring Freedom: 2003-2004 versus 2006. J Trauma. 2008;64(2 Suppl):S21-S26; discussion S26-S27.Google Scholar
10.Kragh, JF Jr., Dubick, MA, Aden, JK, et al. U.S. Military use of tourniquets from 2001 to 2010. Prehosp Emerg Care. 2015;19(2):184-190.Google Scholar
11.Kotwal, RS, Montgomery, HR, Kotwal, BM, et al. Eliminating preventable death on the battlefield. Arch Surg. 2011;146(12):1350-1358.Google Scholar
12. Department of Homeland Security. First responder guide for improving survivability in improvised explosive device and/or active shooter incidents. https://www.dhs.gov/sites/default/files/publications/First%20Responder%20Guidance%20June%202015%20FINAL%202.pdf. Published June 2015. Accessed January 1, 2018.Google Scholar
13. Heightman, AJ. Time is blood when it comes to hemorrhage control. JEMS online. http://www.jems.com/articles/print/volume-41/issue-40/departments-columns/from-the-editor/time-is-blood-when-it-comes-to-hemorrhage-control.html. Published April 4, 2016. Accessed January 1, 2018.Google Scholar
14. Tang, N, Shapiro, G, Smith, ER, Kamin, R, Callaway, DW. Proceedings of the 2016 Spring/Summer Meeting of the Committee for Tactical Emergency Casualty Care. J Spec Oper Med. 2016;16(2):148-150.Google Scholar
15. McSwain, NE Jr. Integrated education of all responders. J of Spec Oper Med. 2015;15(4):160-162.Google Scholar
16. Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass Casualty Shooting Events. Active shooter and intentional mass-casualty events: The Hartford Consensus II. Bull Am Coll Surg. 2013;98(9):18-22.Google Scholar
17. Eastman, A, Chase, J, Stark, B. Preparing, EMS agencies and civilians to respond to active shooter events. JEMS online. http://www.jems.com/articles/print/volume-41/issue-40/special-focus-gearing-up-for-active-shooter-tactical-high-threat-incidents/preparing-ems-agencies-and-civilians-to-respond-to-active-shooter-events.html. Published April 6, 2016. Accessed January 1, 2018.Google Scholar
18.Mechem, CC, Bossert, R, Baldini, C. Rapid Assessment Medical Support (RAMS) for active shooter incidents. Prehosp Emerg Care. 2015;19(2):213-217.Google Scholar
19. Department of Homeland Security. Active shooter educational sheet. https://www.dhs.gov/sites/default/files/publications/DHS-Active%20Shooter%20Educational%20Sheet_0.pdf. Accessed January 1, 2018.Google Scholar
20. Thomas, J. Mass casualty incident-an overview. http://www.emsconedonline.com/pdfs/EMT-Mass%20Casualty%20Incident-an%20overview-Trauma.pdf. Accessed January 1, 2018.Google Scholar
21.Altheide, D. The Columbine shootings and the discourse of fear. The American Behavioral Scientist. 2009;52(10):1354-1370.Google Scholar
22. FBI. 9/11 Investigation (PENTTBOM). 2001. http://www.fbi.gov/about-us/history/famous-cases/9-11-investigation. Accessed January 1, 2018.Google Scholar
23.Brunner, J, Rocha, TC, Chudgar, AA, et al. The Boston Marathon bombing: after-action review of the Brigham and Women’s Hospital emergency radiology response. Radiology. 2014;273(1):78-87.Google Scholar
24. Goodstein, L. A mass shooting, a tally of 26 victims, and in Texas, a space for one more. New York Times. November 8, 2017: A13.Google Scholar
25.Kragh, JF Jr., Littrel, ML, Jones, JA, et al. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med. 2011;41(6):590-597.Google Scholar
26. Brinsfield, K, Mitchell, E. The Department of Homeland Security’s role in enhancing and implementing the response to active shooter and intentional mass casualty events. American College of Surgeons. http://www.bleedingcontrol.org/about-bc/hartford-consensus/compendium. Published September 2015. Accessed January 1, 2018.Google Scholar
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