Page 112 - Journal of Special Operations Medicine - Summer 2014
P. 112

Table 1  Cont.
                                      Number of                                          Number of
           Mission Type                Patients  Percentage   Mission Type                Patients  Percentage
           Barricade (33 total missions, 15 missions with patients)  Executive Protection
                                                              (19 total missions, 2 missions with patients)
           Chief Complaints
                                                              Chief Complaints
             Blunt Trauma                 3       12.00%
                                                                Blunt Trauma                 1       33.33%
             Civilian On-Scene Evaluation  3      12.00%
                                                                Eye                          1       33.33%
             DOA                          3       12.00%
                                                                Headache                     1       33.33%
             Fatigue/Sleep Deprivation    3       12.00%
                                                                             Total Patients  3
             Taser                        3       12.00%
                                                              Patient Encounter Types
             Sick Call-OTC meds           2       8.00%
                                                                Civilian/Bystander           1       33.33%
             Suspect On-Scene Evaluation  2       8.00%
                                                                Suspect                      0       0.00%
             Headache                     1       4.00%
                                                                Law Enforcement              2       66.67%
             Heat Illness/Dehydration     1       4.00%
                                                              Tracking Team
             Indigestion                  1       4.00%       (17 total missions, 3 missions with patients)
             MSK Pain/Injury              1       4.00%       Chief Complaints
             Nasal Congestion/Rhinorrhea  1       4.00%         Heat Illness/Dehydration     1       33.33%
             Overdose/Intoxication        1       4.00%         MSK Pain/Injury              1       33.33%
                          Total Patients  25                    Upper respiratory            1       33.33%
           Patient Encounter Types                                           Total Patients  3
             Civilian/Bystander           3       12.00%      Patient Encounter Types
             Suspect                      10      40.00%
                                                                Civilian/Bystander           0       0.00%
             Law Enforcement              12      48.00%
                                                                Suspect                      1       33.33%
           Civil Disturbance                                    Law Enforcement              2       66.67%
           (27 total missions, 6 missions with patients)
                                                              Disaster (12 total missions, 2 missions with patients)
           Chief Complaints
                                                              Chief Complaints
             MSK Pain/Injury              4       36.36%
                                                                Fatigue/Sleep Deprivation    2       40.00%
             Sick Call-OTC meds           3       27.27%
                                                                Skin/Wound/Laceration        2       40.00%
             Overdose/Intoxication        1       9.09%
                                                                Civilian On-Scene Evaluation  1      20.00%
             Headache                     1       9.09%
                                                                             Total Patients  5
             Nasal Congestion/Rhinorrhea  1       9.09%
                                                              Patient Encounter Types
             Indigestion                  1       9.09%
                                                                Civilian/Bystander           1       20.00%
                          Total Patients  11
                                                                Suspect                      0       0.00%
           Patient Encounter Types
                                                                Law Enforcement              4       80.00%
             Civilian/Bystander           1       9.09%
             Suspect                      0       0.00%
             Law Enforcement              10      90.91%


          Discussion
                                                             operations may be of low acuity and occurring during
          This analysis of clinical encounters by a state police tac-  training activities. The experience of the MSP TMU
                                                                             13
          tical medical program represents the first of its kind to   substantiates this finding. Furthermore, these data re-
          our knowledge. The literature contains many anecdotal   inforce the need for tactical medics to provide care for
          descriptions  and  case  reports  of  the  clinical  encoun-  non–life-threatening illnesses and injuries sustained by
          ters of tactical medical providers. However, there is a   law enforcement tactical team personnel. This essential
          paucity of studies that assess longitudinal data sets of   role is not insignificant, as it serves to maintain opti-
          this size. Limited prior research has suggested that the   mal operational readiness of these highly trained and
          majority of clinical conditions associated with tactical     specialized personnel.



          102                                  Journal of Special Operations Medicine  Volume 14, Edition 2/Summer 2014
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