Page 144 - Journal of Special Operations Medicine - Summer 2014

ELOs: ELOs:
• Identify the mechanisms that may cause severe injuries • Describe how a civilian TEMS medical provider should
(e.g., spinal injuries, traumatic brain injury, external and integrate preserving evidence and maintaining chain of
internal hemorrhage, and difficulty breathing, thoracic custody while caring for a casualty
injuries, and burns)
Medical Provider 14.2.1 TLO: Describe the medical pro-
Medical Provider TLO 13.1.1: Describe the clinically and vider role in proper evidence preservation and maintaining
tactically significant injuries that could result from blunt, pen- chain of custody
etrating, thermal, electrical, blast, and crush trauma and treat- ELOs:
ment within the tactical medical provider’s scope of practice.
• Describe how a civilian TEMS medical provider should
ELOs: integrate preserving evidence and maintaining chain of
• Identify the mechanisms unique to the tactical environ- custody while caring for a casualty
ment (e.g., blast) that may cause severe injuries (e.g., spi-
nal injuries, traumatic brain injury, external and internal Competency 14.3: Privacy of protected health information
Operator 14.3.1 TLO: Describe the importance of confi-
hemorrhage, and difficulty breathing, thoracic injuries, dentiality regarding protected health information
and burns)
ELOs:
Competency 13.2: Recognition and treatment of injury as- • Describe what constitutes protected health information
sociated with less-lethal weapons
Operator TLO 13.2.1: Describe the medical risks associated • Describe with whom and under what circumstances it is
with less-lethal weapons appropriate to share protected health information
ELOs: Medical Provider 14.3.1 TLO: Describe how to protect
• Describe the risks associated with chemical munitions health information during a tactical operation
(including secondary exposure), electrical conductive ELOs:
weapons, impact weapons, and distraction devices • Describe with whom and under what circumstances
unique to tactical operations it is appropriate to disclose
Medical Provider TLO 13.2.1: Describe the medical risks
associated with less-lethal weapons protected health information including consideration of
the legal and ethical issues
ELOs:
• Describe the risks and injury pattern associated with Competency 14.4: Definition of scope of practice
chemical munitions (including secondary exposure), Operator 14.4.1 TLO: Define scope of practice
electrical conductive weapons, impact weapons, and dis- ELOs:
traction devices • Describe scope of practice and how it relates to the medi-
• Describe the potential exacerbation of pre-existing medi- cal care an operator or medical provider can perform
cal conditions associated with less-lethal weapons • Describe why medical care outside of training and/or au-
• Describe when less-lethal technology may be contraindi- thorization should not be preformed
cated based on medical intelligence
Medical Provider 14.4.1 TLO: Describe the scope of medi-
cal care that they can provide in a tactical situation and under
DOMAIN 14: Legal Aspects of TEMS
whose authority they are providing that care.
Competency 14.1: Medical Legal issues (including propor- ELOs:
tional use of force, search, seizure, detention and arrest, obli-
gations of the police to a person in custody or arrest, medical • Describe why medical care outside of training and/or au-
evaluation on an arrestee prior to detention, implication of thorization should not be preformed
using sworn versus civilian personnel) • Describe under which protocols and whose authority they
Operator 14.1.1 TLO: Guide civilian medical provid- are providing care when operating in the tactical setting
ers in legal aspects of their participation in law enforcement Competency 14.5: Issues related to practicing in a different
operations. jurisdiction
ELOs: Medical Provider 14.5.1 TLO: Describe how local, state,
• Describe local, state and federal laws regarding civilian and federal laws affect the jurisdictions where they can provide
TEMS medical providers assisting in law enforcement care and what care can be provided
operations. ELOs:
Medical Provider 14.1.1 TLO: Describe the legal aspects of • Describe how local, state, and federal laws affect the ju-
their participation in law enforcement operations. risdictions where they can provide care and what care
can be provided
ELOs:
• Describe the general principles of local, state and federal DOMAIN 15: Hazardous Materials Management
laws related to their participation in law enforcement
operations Competency 15.1: Recognition of potential presence of chemi-
cal, biological, and radiological hazards
Competency 14.2: Prevent the destruction and/or contamina- Operator TLO 15.1.1: Identify potential chemical, biologi-
tion of evidence when rendering medical care during a law cal, and radiological hazards within your area of operations,
enforcement operation and maintaining the chain of custody and list signs and symptoms of accidental exposure
Operator 14.2.1 TLO: Guide civilian medical providers in
proper evidence preservation and chain of custody
(continues)

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