Page 137 - Journal of Special Operations Medicine - Summer 2014

Medical Provider TLO 1.4.1: Describe the relevance of the • Demonstrate the ability to communicate relevant medi-
TCCC/TECC methodology in the law enforcement setting cal information to command
ELOs:
• Describe the relevant aspects and limitations of military DOMAIN 3: Rescue/Extraction
medicine to responses to acute injury and illness in the Competency 3.1: High threat extraction techniques
law enforcement setting. Operator TLO 3.1.1: Demonstrate high threat extraction
techniques
Medical Provider TLO 1.4.2: Describe the components of
the IFAK ELOs:
• Describe appropriate extraction technique for the phase
ELOs: of care
• Describe the components of the IFAK and the purposes • Demonstrate personal extraction techniques
of each (e.g. nasal airway device, pressure dressing, • Demonstrate single- or multiple-person drag or carry
gauze, chest seal, tourniquet, hemostatic dressing, ca- techniques
sualty documentation card with permanent marker, 2” • Describe the extraction techniques outlined in TCCC/
utility tape, gloves, catheter for chest decompression)
• Demonstrate use of the items included in your agency- TECC (e.g., one-person drag/two-person drag, Hawes
carry, SEAL Team 3 carry, vertical extraction, etc.)
provided IFAK
• Demonstrate the ability to assess and utilize pre-rigged
and improvised equipment to facilitate extraction (e.g.
DOMAIN 2: Remote Assessment and Surrogate Care
vest, webbing, soft litter, rigid litter)
Competency 2.1: Remote assessment methodology (RAM) Operator TLO 3.1.2: Describe alternative methods of in-
Operator TLO 2.1.1: Perform a remote assessment of a
casualty gress and egress
ELOs:
ELOs: • Describe examples where alternative methods of ingress
• Identify when a remote assessment is appropriate
and egress may be needed
• Identify appropriate resources for determining a casual- • Describe alternative methods for ingress and egress (e.g.,
ty’s condition remotely (e.g., binoculars, spotting scope,
night vision optics) evacuation through drywall, cinderblock, window)
• Determine a casualty’s condition remotely • Describe basic building construction and how it relates
to ingress and egress
• Determine situational variables impacting rescue • Demonstrate the ability to utilize common breaching
• Communicate findings to command staff for integration
into an extraction plan equipment
• Describe how selection of extraction method is affected
Medical Provider TLO 2.1.1: Perform a remote assessment by egress route
of a casualty
Medical Provider TLO 3.1.1: Demonstrate high threat ex-
ELOs: traction techniques
• Identify when a remote assessment is appropriate
• Identify appropriate resources for determining a casual- ELOs:
• Describe appropriate extraction technique for the phase
ty’s condition remotely (e.g., binoculars, spotting scope,
night vision optics) of care
• Determine a casualty’s condition remotely • Demonstrate personal extraction techniques
• Determine situational variables impacting rescue • Demonstrate single- or multiple-person drag or carry
technique
• Communicate findings to command staff for integration
into an extraction plan • Describe the extraction techniques outlined in TCCC/
TECC (e.g., one-person drag/two- person drag, Hawes
Competency 2.2: Providing medical care by proxy or surrogate carry, SEAL Team 3 carry)
Operator TLO 2.2.1: Describe the concept and potential • Demonstrate the ability to assess and utilize pre-rigged
need for surrogate care and improvised equipment to facilitate extraction (e.g.
vest, webbing, soft litter, rigid litter)
ELOs:
• Describe who might direct surrogate care • Describe the importance of reassessment after extraction
• Describe surrogate care Medical Provider TLO 3.1.2: Describe alternative methods
• Describe the information that should be communicated of ingress and egress
when acting as a surrogate
• Demonstrate the ability to direct a surrogate to provide ELOs:
basic medical care • Describe examples where alternative methods of ingress
and egress may be needed
Medical Provider TLO 2.2.1: Demonstrate the ability to • Describe alternative methods for ingress and egress (e.g.,
perform assessment of illness/injury and to provide treatment evacuation through drywall, cinderblock, window)
via a surrogate without the use of your hands or visual cues • Describe basic building construction and how it relates
ELOs: to ingress and egress
• Demonstrate the ability to effectively and concisely direct • Demonstrate the ability to utilize common breaching
a surrogate to assess the need for life saving medical care equipment
• Demonstrate the ability to effectively and concisely di-
rect a surrogate to provide life saving medical care (continues)

National Consensus for TEMS Training Programs 127