Page 147 - Journal of Special Operations Medicine - Summer 2014
P. 147

ELOs:                                            to incidents can be assured of interoperability and have
                •  Describe specialized medical and rescue equipment for   an understanding of the expected competency of tacti-
                  tactical operations                            cal medics and operators. Organizations and industry
                Medical Provider TLO 17.3.1: Give examples of specialized   will have the freedom to develop training programs, and
              equipment and its use in tactical operations and TEMS  schoolhouses can crosswalk their respective curricula.
                ELOs:
                •  Describe tactical PPE and uniforms            This report addresses only tactical medicine training for
                •  Describe breaching and diversionary equipment  the tactical medical provider and operator that support
                •  Describe firearms and weapons including less-lethal   special operations teams (such as SWAT or SRT). The
                  weapons                                        next step is to repeat this process for the patrol officer,
                •  Describe the importance of having the ability to make   team commander, and the medical director supporting
                  weapons safe and secure during a tactical response
                •  Describe the types of vehicles used for tactical operations  law enforcement units. Once this process is complete,
                •  Describe equipment used for remote assessment  a comprehensive document will exist to guide all tac-
                •  Describe night observation and target acquisition equipment  tical medicine training, nationally. Additionally, the
                •  Describe specialized medical and rescue equipment for   standards and domains will serve as a living document
                  tactical operations                            that will grow as operational and medical knowledge
              Competency 17.4:  Situational awareness and basic tactical   expands. Coordination of lessons learned, practice ad-
              movement                                           vancements, as well as TCCC and TECC updates, should
                Operator TLO 17.4.1: Understand basic tactical movement   be integrated into these domains to keep the standards
              techniques and their importance to team safety     relevant and allow for the dissemination of best prac-
                ELOs:                                            tices. The criteria should be validated by subsequent re-
                •  Describe the operator’s role in patient and medical pro-  views and updated on an ongoing basis. By managing
                  vider safety                                   the nonproprietary domains globally, all training pro-
                Medical  Provider  TLO  17.4.1:  Understand  situational   grams and providers will benefit from the most current
              awareness and basic tactical movement techniques and their
              importance to team safety
                ELOs:
                •  Define the term situational awareness
                •  Demonstrate individual tactical movements (e.g., high
                  crawl, low crawl, rush, and skylining)
                •  Demonstrate  tactical  team  movements  (e.g.,  stack,
                  wedge, clearing threats)
                •  Describe immediate action drills (IAD’s) for evolving tac-  Join a Stellar EM Team in Coastal SC!
                  tical scenarios                                     New Compensation Package Including Generous Sign-On Bonus!
                •  Describe the importance of the medical providers not re-       Call today for details.
                  vealing team location (noise and light discipline)
                •  Describe the difference between cover and concealment               McLeod Loris - Loris, SC
                •  Describe the process for securing a suspect (i.e., the 5 S’s:       ED Features
                  seize, secure, search, segregate, speed to the rear)                 • 15-bed ED w/23K annual visits
                                                                                       • 24 hrs phys cvg + 12 hrs mlp cvg
                                                                                       • BC/BP EM or BC FP w/EM experience
              Discussion
                                                                                       McLeod Dillon - Dillon, SC
              Providing medical support for military or law enforce-
              ment tactical teams requires unique knowledge and skills                 ED Features
              that are not provided in conventional emergency medi-                    • 20-bed ED w/30K annual visits
                                                                                       • 24 hrs phys cvg + 22 hrs mlp cvg
              cal services education and training programs. Addition-                  • BC/BP EM or BC FP/IM w/EM experience
              ally, there is a need for interoperability between units
              and for medical providers and operators to meet defined                  McLeod Seacoast - Little River, SC
              outcome competencies. Despite the existence of multiple                  ED Features
              tactical medicine training programs, the minimum set                     • 9-bed ED w/23K annual visits
              of competencies and skills that medical providers and                    • 24 hrs phys cvg + 12 hrs mlp cvg
              operators need has not been well established. This re-                   • BC/BP EM or BC FP w/EM experience
              port provides a framework for tactical medicine training
              programs to use in the creation of their curricula. By
              using the outcome competencies and the training objec-  For details and consideration, please contact Barbara Lay at 727-507-3608 or
              tives defined here, a common standard for tactical medi-  Barbara_Lay@EmCare.com. Search opportunities nationwide at www.EmCare.com.
              cine education can be established. Units that respond



              National Consensus for TEMS Training Programs                                                  137
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