Page 146 - Journal of Special Operations Medicine - Summer 2014

• Describe a mass casualty triage scheme Medical Provider TLO 16.4.1: Describe how incident com-
• Demonstrate proficiency at prioritizing patients for mand and other agencies are integrated into tactical operations
treatment/transport
• Demonstrate proficiency at communicating the pertinent ELOs:
• Describe the Incident Command System
details of the situation to the chain of command
• Describe how to integrate other agencies into tactical
Medical Provider TLO 16.1.1: Utilize a mass casualty triage operations
scheme
DOMAIN 17: Tactical Familiarization
ELOs:
• Describe the unique aspects of a mass casualty incident Competency 17.1: Tactical team operations, objectives, and
in a tactical environment team structure
• Demonstrate proficiency at communicating the pertinent Medical Provider TLO 17.1.1: Describe TEMS and how it
details of the situation to the chain of command differs from conventional EMS
Competency 16.2: Casualty Collection Point (CCP) setup and ELOs:
control • Describe TEMS
Operator TLO 16.2.1: Describe a CCP and an operator’s • Describe the basic difference between TEMS operations
potential roles at a CCP and daily EMS operations
ELOs: Medical Provider TLO 17.1.2: Understand the tactical team
• Describe the function of a CCP member roles and the types of situations to which they may
• Describe where a CCP should be placed respond
• Describe an operator’s potential roles at a CCP ELOs:
Medical Provider TLO 16.2.1: Demonstrate proficiency at • Describe the tactical considerations for various scenarios
establishing and managing a CCP (e.g., serving high risk warrants, barricaded subject, ac-
tive shooter, hostage situation, protective detail)
ELOs: • Describe the various roles within a tactical team (e.g.,
• Describe the location, organization, and function of a team commander, TEMS provider, breacher, sniper,
CCP in a tactical setting entry)
• Demonstrate the ability to establish and manage all aspects
of a CCP including the ability to communicate the needed Competency 17.2: Tactical team command and control and
resources to other team members and other agencies communication
Operator TLO 17.2.1: Describe how a TEMS provider fits
Competency 16.3: Evacuation prioritization in the team structure and their chain of command
Operator TLO 16.3.1: Describe how casualties are priori-
tized for evacuation ELOs:
• Describe the TEMS provider’s roles and responsibilities
ELOs: • Describe the TEMS provider’s chain of command
• Describe why evacuation prioritization is important and
when evacuation can occur during an ongoing tactical Medical Provider TLO 17.2.1: Describe a typical team
operation structure and chain of command
• Describe the operator’s role in helping to ensure safe ELOs:
evacuation • Describe a typical team structure and chain of command
• Describe the various modes of evacuation and how to
utilize them safely, including safely identifying a helicop- Medical provider TLO 17.2.2: Describe the use of verbal
ter landing zone and non-verbal communications and how they are appropri-
ately employed within the tactical environment
Medical Provider TLO 16.3.1: Demonstrate proficiency
prioritizing casualty evacuation ELOs:
• Describe various means of communication within the
ELOs: tactical team (e.g., radio communication, non-verbal)
• Describe why evacuation prioritization is important and • Describe various means of communication across the
when evacuation can occur during an ongoing tactical barricade (e.g., “throw phone”)
operation
• Describe the medical provider’s role in helping to ensure Medical Provider TLO 17.2.3: Importance of operational
safe evacuation security and the potential for compromise
• Describe the various modes of evacuation specific to tac- ELOs:
tical operations and how to utilize them safely, including • Describe appropriate use of communication to maintain
safely identifying a helicopter landing zone security
Competency 16.4: Incident command and interface with • Describe the risks of social networking
other agencies • Describe the security of various forms of communication
Operator TLO 16.4.1: Describe how incident command • Define operational security
and other agencies are integrated into tactical operations
Competency 17.3: Description of tactical team equipment
ELOs: Operator TLO17.3.1: Give examples of specialized medical
• Describe the Incident Command System and rescue equipment used in tactical operations
• Describe how to integrate other agencies into tactical
operations (continues)

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