Page 153 - Journal of Special Operations Medicine - Spring 2016

Committee for Tactical Emergency Casualty Care

Spring Update
Available at the Special Operations
Medical Scientific Assembly (SOMSA)
Geoff Shapiro, EMT-P; Reed Smith, MD; David W. Callaway, MD
23-26 May 2016 - Charlotte, NC
Find us at Booth 1003P
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SOMA members receive a General Updates A second national-level initiative focusing on response
to complex attack scenarios is the Integrated Emergency
20% discount. Since the last Committee for Tactical Emergency Ca- Management Course–Complex Coordinated Attack
sualty Care (C-TECC) quarterly update, the world has (IEMC-CCA) sponsored by FEMA through its Office
witnessed the complex, but not unpredicted, attacks of Counter Terrorism & Security Preparedness (OCSP)
in Paris, France, and San Bernardino, California. The and Emergency Management Institute (EMI). Delivered
threat of dynamic, active, violent incidents is unfortu- at the EMI facility in Emmitsburg, Maryland, or locally
nately the “new normal.” The C-TECC remains focused through a mobile training team, IEMCs are an expanded
on assimilating the best medical science and operational format based on the concepts of JCTAWS that allow for
principles from the US military experience, the inter- more instruction and discussion during the course. Since
national civilian response, and our domestic leaders to the last C-TECC update, IEMCs have been delivered in
provide trauma care guidelines that minimize poten- Cleveland, Ohio (in preparation for the Republican Na-
tially preventable mortality.
tional Convention) and Norman, Oklahoma.
C-TECC members remain actively involved as Inter- International adaptation of TECC also continues. C-
agency Planning Group and faculty members for the TECC members have worked with nongovernmental
ongoing Joint Counter Terrorism Awareness Workshop organizations to support TECC training through US De-
Series (JCTAWS). The Department of Homeland Secu- partment of State-funded training in El Salvador. Other
Be prepared to The newly updated Spanish ATP-P rity Federal Emergency Management Agency (FEMA), entities from France and the United Kingdom have also
National Counter Terrorism Center (NCTC), and the
apply what you know. Handbook, 9th Ed is available now Federal Bureau of Investigation (FBI) sponsor JCTAWS adapted and integrated TECC into their programs.
in Digital and Tablet. We are now and work with local jurisdictions to develop and ma- C-TECC members have been and will be featured at a
taking orders for the print version. ture plans for preventing, preparing for, and responding number of recent or upcoming major conferences to in-
to complex attack scenarios on US soil. TECC remains clude the National Association of State EMS Officials
prominently featured within the workshop, and has
The easy-to-carry, pocket-sized ATP-P Handbook been included as a key tenant for providing point-of- (NASEMSO), National Association of EMS Physicians
(NAEMSP), Eastern Association for the Surgery of
Be prepared when an emergency occurs! With is perfect for training, reference, or field use. wounding care by all providers throughout the trauma Trauma (EAST), American College of Emergency Phy-
the Journal of Special Operations Medicine’s Harness the power of up-to-date resources: chain of survival and continuum of care. This includes sicians (ACEP), and EMS Today. TECC continues to
appropriate interventions by first care providers, non-
Advanced Tactical Paramedic Protocols (ATP-P) • Tactical trauma and medical emergency protocols medical first responders, medical first responders, and be integrated into various operational and trauma care
Handbook you’ll be prepared with current and • Recommended Drug List (RDL) first receivers. practice areas and has significantly impacted develop-
ment of emerging initiatives on active violent response.
robust protocols in a handy reference. Capture w Side-effects / adverse effects /
and utilize the same valuable medical knowledge contraindications / warnings The Chicago JCTAWS was conducted three days after
used to ensure that Special Operations Advanced w Adult and pediatric dosages the latest Paris attacks, and the scenario for the work- Research Updates: The Pattern of Wounding in
shop was eerily similar to actual events in Paris despite
Tactical Paramedics are able to provide the w Relevant protocol correlation being developed months in advance. San Diego, Cali- Active Shooter Fatalities
most highly skilled medical care in the field. • Canine TCCC fornia hosted a workshop in February, and St. Louis, The incidence and severity of civilian public mass shoot-
In addition to the SOF medics, the ATP-P • Practical reference charts featuring: Missouri in March. Other workshops in Dallas, Texas ings (CPMS) have continued to rise. Over the past 3
years, driven in large part by the 2012 mass shooting in
and Tampa, Florida are in the planning stages. C-TECC
Handbook is ideal for TEMS components of w Burn and Nerve membership involvement in JCTAWS continues to allow Newtown, Connecticut, there has been focus on improv-
DoJ, Border Patrol, Homeland Security, SWAT, w Military Acute Concussion Evaluation (MACE) for best practices to be learned and shared between var- ing survival in active shooter events. Recently, several
and any other paramedic professionals who w Prehospital Combat Medic/ ied communities, and informs C-TECC as to the contin- large, public initiatives have concentrated their efforts
perform in the unconventional environment. Corpsman Algorithm (CMA) ued need to cultivate capabilities throughout the nation. to address loss of life through strong, unidirectional

Available on the JSOM Online Store at: 137
www.JSOMonline.org/ATP-P