Tactical Medicine Essentials 2nd Edition by John Campbell, John Wipfler, Jim Smith, Lawrence Heiskell 1284243699 9781284243697

Tactical Medicine Essentials 2nd Edition by John E. Campbell, E. John Wipfler III, Jim Smith, Lawrence E. Heiskell – Ebook PDF Instant Download/DeliveryISBN:  1284243699 9781284243697 

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ISBN-10 :  1284243699 

ISBN-13 : 9781284243697

Author : John E. Campbell, E. John Wipfler III, Jim Smith, Lawrence E. Heiskell 

Designed for EMS and medical professionals at all levels of training, Tactical Medicine Essentials, Second Edition provides the foundation needed to become a world-class tactical medical provider (TMP). Written by an experienced team of authors from diverse backgrounds, this text covers the essential curriculum of tactical medicine, including tactical patient assessment, expedient extrication and evacuation, and self-defense skills. The Second Edition thoroughly prepares medical professionals to safely accompany a SWAT unit into the tactical environment. Current, State-of-the-Art Medical Content for the Tactical EnvironmentThe rapidly changing tactical environment requires specialized rapid assessment techniques. The tactical patient assessment process is presented in a single, comprehensive chapter, ensuring that students understand how to rapidly apply this specialized process to the patient in the tactical environment. Each traumatic injury chapter further reinforces the tactical patient assessment process by highlighting the unique aspects of each traumatic injury. A new chapter about active assailant mass casualty incidents has been added. Law enforcement education topics for TMPs are compiled in a new appendix. Dynamic FeaturesThese features allow EMS and medical professionals to take the extra step toward becoming outstanding TMPs:• At the Scene Advice from experienced TMPs on how to excel during a mission• Safety Information on how to remain safe in the tactical environment, even under the threat of violence• Medical Gear Tips on the best equipment to pack and utilize in the tactical environment• Detailed Step-by-Step Skill Reviews A thorough discussion of how to perform lifesaving skills in the high-intensity tactical environment

Tactical Medicine Essentials 2nd Table of contents:

Chapter 1 History and Role of the Tactical Medical Provider
Introduction
The History of Tactical Emergency Medical Support
Civilian Emergency Medical Services
Law Enforcement Overview
The History of SWAT Units
The Beginnings of TEMS Units
Roles Within the SWAT Unit
Roles and Responsibilities of the Tactical Medical Provider
Bilateral Command
Command Systems: LIMS and NIMS
Tactical Medical Provider Training
Tactical Medicine Curriculum
Law Enforcement Training for Tactical Medical Providers
Unit Training
Hazardous Materials Training
Bloodborne Pathogens Training
Continuing Medical Education
Chapter 2 Safety and Wellness of the Tactical Medical Provider
Introduction
Health and Wellness
Preventive Medicine Principles
Wellness for the SWAT Unit and TEMS Unit
Diet and Nutrition
Exercise
Personal Hygiene Considerations
Sleeping Habits
Stress Management
Downtime
Spirituality
Hobbies and Interests
Maintenance of Lasting Personal Relationships
After Critical Incidents
CISM Controversies
Patient Confidentiality
Radio Reporting
Chapter 3 Tactical Team Fundamentals
Introduction
Mission Goals
Types of Incidents Requiring Activation
Weapons and Tools
Forcible Entry Tools
SWAT Explosive Breaching Considerations
Less-Lethal Weapons
Close-Range Impact Weapons
Electronic Control Devices (ECDs): The TASER® ECD
Compressed-Air Technology
Extended-Range Impact Projectiles
Noise-Flash Distraction Devices
Less-Lethal Chemical Agents
Chapter 4 Equipment of the Tactical Medical Provider
Introduction
The Tactical Medical Provider Uniform
Additional Insignia
Extreme Weather Garments
Cold Weather Gear
Warm Weather Gear
Tactical Personal Protective Equipment
The Ballistic Vest
The Ballistic Helmet
The Balaclava
Eye Protection
Hearing and Ear Protection
Gloves
Medical Protective Gear
Kneepads
Hydration Systems
Gas Mask or Air-Purifying Respirator
Flashlights and Illumination Tools
Essential Emergency Medical Gear: A Four-Level System
Level 1
Level 2: Medical Vest with Utility Pouches, Belt, and Thigh Packs
Level 3: Tactical Medical Backpack
Level 4: Tactical Medical Advanced Life Support Kit
Additional BLS Trauma Management Kit
Tactical Medical Supplies
Tactical Compression Bandages
Tactical Tourniquets
Improvised Tourniquets
Clotting Agents, Hemostatic Bandages, and Hemorrhage Control
Chest Seals for Penetrating Chest Trauma
Chest Decompression Devices
Airway Devices
Automated External Defibrillator
Oxygen Tanks
Stretchers and Extraction Gear
Field-Expedient Decontamination Equipment
Personal Dosimeters
Additional Equipment to Consider
Chapter 5 Weapons Handling and Firearms Safety
Introduction
Firearms Overview
Handguns
Long Guns
Firearm Caliber
Ammunition
Firearms Training
Handgun Safety
Choose the Right Weapon
Practice
Securing a Firearm
Downed SWAT Officer Firearm Security
Suspect Firearm Security
Chapter 6 Unconventional Weapons and Criminal Tactics
Introduction
The Human Body and Mind
Criminal Tactics
Criminal Suspect Weapons Issues
Edged Weapons
Firearms
Types of Conventional Explosives
Secondary Explosive Device Threats
Booby Traps
Chapter 7 Medical Intelligence
Introduction
Medical Planning for Safe Training
Law Enforcement Training Injuries and Deaths
Hot Weather Considerations
Cold Weather Considerations
Additional Environmental Threats and Prevention
Cross-Agency Training
Medical Planning for Incident Sites
Special Event Planning
Planning for Medical Support During a Mission or Training
Nutrition, Hydration, and Sleep Factors
Preventive Care and Support
Rehabilitation Stations
Medical Records
Medical Plan
Medical Intelligence
Medical Threat Assessment
Postmission Medical Planning
Chapter 8 Medical Response to Active Assailant Mass Casualty Incidents
Introduction
High-Threat MCIs
Active Assailant Incidents
Five Tiers of Medical Response
The Threats
Rapid Response and Extraction Times
Body Count per Minute
Law Enforcement Response
Rapid Reaction Teams
EMS and Fire Medical Response to AAMCIs
Rescue Task Forces
Primary Objectives of Medical Responders
Firefighters and EMS Personnel Integration with LEOs
Concepts and Goals for RTF Medical Personnel
The Hartford Consensus
Chapter 9 Operational Tactics
Introduction
Activation
SWAT Unit Activation
TEMS Unit Activation
Callout Formation
SWAT Officer Data Cards
Medical Threat Assessment
Personnel Tracking
Tactical Plan Development
Immediate Action Drills
TEMS Unit Staging
Perimeters and Zones at Callouts
Staging of the TEMS Unit in the Tactical Environment
Positioning of EMS Transportation
Entry for the Tactical Team
Indications for Dynamic or Stealth Entry
Entry Team Operations
The Stack Formation
Stairs Tactics
The Pie Tactic
Clearing Rooms: Entry and Egress
Victim Restraint
TEMS Operational Procedures
Recognition of High-Threats and Threats
Cover and Concealment
Quick Peeks
Light Tactics
Sound and Light Discipline
Using Other Senses to Maintain Situational Awareness
Covert Communications
Radio Communications
Mission Completion
Post-Mission Debriefings
Chapter 10 Tactical Team Activations
Introduction
Variety of SWAT Missions
Tactics
Emotionally Disturbed Persons
Tactics
Active Shooter Scenarios
Tactics
Escaped Fugitive or Suspect
Tactics
Mass Gathering Events
Tactics
Riots
Tactics
Downed SWAT Officer or Bystander in an Exposed Position
Tactics
Executive Protection
The Role of the TMP
Tactics
High-Risk Prisoner Transport Medicine
Tactics
Chapter 11 Patient Assessment in the Tactical Environment
Introduction
Scene Safety
360-Degree Situational Awareness
Partners-in-Safety
Safety When Treating Suspects
Tactical Patient Assessment: Call-A-CAB ’N Go Hot
Call
A: Address Threats
CAB: Circulation, Airway, and Breathing
‘N: Neurologic Status Check
Go
Hot
Patient Assessment During Evacuation
SAMPLE History
Secondary Assessment
Remote Assessment Medicine
Barricade Medicine
Triage
Mass-Casualty Incident
SWAT Assessment Triage
Chapter 12 Controlling Bleeding
Introduction
Identify Hemorrhage
Sources of Bleeding and Characteristics
Hemorrhage
Hemorrhage Treatment
Principles of Tourniquet Use
Junctional Tourniquets
Chapter 13 Basic Airway Management
Introduction
Causes of Airway Obstruction
Manual Maneuvers
Head Tilt–Chin Lift Maneuver
Jaw-Thrust Maneuver
Basic Airway Adjuncts
Nasopharyngeal Airway
Oropharyngeal Airway
Ventilations
Mouth-to-Mouth Ventilation
Mouth-to-Mask Ventilation
The Bag-Mask Device
Suctioning the Airway
Chapter 14 Advanced Airway Management
Introduction
Airway Obstruction
Orotracheal Intubation
The Sellick Maneuver
The Intubation Procedure: Visualized (Oral) Intubation
Patient Intolerant of the Endotracheal Tube
Single Lumen Airway
King LT Airway
Laryngeal Mask Airway
i-gel Supraglottic Airway
Digital Intubation
Nasotracheal Intubation
Surgical and Nonsurgical Airways
Open Cricothyrotomy
Needle Cricothyrotomy
Rapid-Sequence Intubation
Chapter 15 Shock Management
Introduction
Hypovolemic Shock
Treatment for Hypovolemic Shock
Treatment Goals
Treatment Steps
IV Therapy and Hypovolemic Shock
IV Administration
IV Troubleshooting
Intraosseous Infusion Administration
Chapter 16 Extraction and Evacuation
Introduction
Extraction
Self-Extraction
Overview of Manual Extraction Techniques
Patient Handling
General Rules for Rescuers
Dragging
Manual Carries
Evacuation
TEMS and EMS Interface
CASEVAC Versus MEDEVAC
Communicating with Civilian EMS and Hospitals
Air Medical Evacuation
Preparing a Landing Zone
Chapter 17 Ballistic, Blast, and Less-Lethal Weapons Injuries
Introduction
Ballistics
Types of Ballistic Wounds
Assessment and Management of Ballistic Injuries
Ballistic Vest Removal
Blast Injuries
Tissues at Risk
Assessment and Management of Blast Injuries
Law Enforcement Bomb Technician
Less-Lethal Weapons Injuries
Close-Range Impact Weapons
Extended-Range Impact Projectiles
Noise-Flash Distraction Devices
Less-Lethal Chemical Agents
Compressed-Air Technology
Chapter 18 Torso Injuries
Introduction
Load-and-Go Injuries to the Chest
Penetrating Wounds and Major Blunt Trauma to the Chest
Complications of Penetrating Wounds and Major Blunt Trauma to the Chest
Load-and-Go Injuries to the Abdomen
Blunt Trauma
Penetrating Trauma
Pelvic Fracture
Chapter 19 Head, Neck, and Spine Injuries
Introduction
Load-and-Go Injuries to the Head, Neck, and Spine
Head
Neck
Spine
Treat-Then-Transport Injuries
Eye
Ear
Nose
Oral Injuries
Chapter 20 Extremity Injuries
Introduction
Load-and-Go Injuries to the Extremities
Amputation
Femur Fractures
Open Fractures
Complications of Extremity Injuries
Treat-Then-Transport Injuries
Closed Fractures
Sprain
Strain
Dislocations
Chapter 21 Soft-Tissue Injuries
Introduction
Load-and-Go Injuries
Thermal Burns
Electrical Burns
Treat-Then-Transport Injuries
Closed Wounds
Open Wounds
Bite Wounds
Subungual Hematoma
Fungal Skin Diseases
Contact Dermatitis
Friction Blisters
Chapter 22 Environmental Emergencies
Introduction
Cold Exposure
Hypothermia
Local Cold Injuries
Heat Exposure
Heat Cramps
Heat Exhaustion
Heatstroke
Lightning
Stabilizing Care
Bites and Envenomations
Spider Bites
Hymenoptera Stings
Snake Bites
Scorpion Stings
Tick Bites
Poisonous Plants
Chapter 23 Medications in the Tactical Environment
Introduction
Medication Considerations
The Five Rights of Medication Administration
Medication Administration in the Tactical Environment
Over-the-Counter Medications
Prescription Medications
Reporting the Use of Medications to Command Staff
Pain Medications
Antibiotics
Pain Medications in the Tactical Environment
Meloxicam, Acetaminophen, and Ibuprofen
Morphine
Fentanyl
Nausea Medications in the Tactical Environment
Ondansetron
Ketamine
Medication Storage
Chapter 24 Weapons of Mass Destruction
Introduction
Chemical, Biologic, Radiologic, and Nuclear Threats
Chemical Terrorism/Warfare
Biologic Terrorism/Warfare
Nuclear/Radiologic Terrorism
Scene Safety for the TMP
Secondary Device or Event (Reassessing Scene Safety)
Chemical Weapons
Blister Agents
Pulmonary Agents (Choking Agents)
Nerve Agents
Metabolic Agents (Cyanides)
Biologic Agents
Viruses
Bacteria
Neurotoxins
Other Biologic Toxins
Nuclear Weapons
What Is Radiation?
Sources of Radiologic Material
Nuclear Energy
Nuclear Weapons
Radiologic Dispersion Device
How Radiation Affects the Body
Response
Suicide Bombings
Response
Chapter 25 Hazardous Materials and Clandestine Drug Labs
Introduction
Hazardous Materials
Classifications of Hazardous Materials
Protective Equipment for Hazardous Materials Incidents
SCBA and the Tactical Environment
Clandestine Drug Labs
Clandestine Drug Lab Considerations
Rapid Decontamination
Chapter 26 Challenges in Tactical Medicine
Introduction
Challenges of Treating the Restrained Patient
Excited Delirium
On-Site Screening Examination for Suspects
Crime Scene Considerations
Preserving Evidence
Physical Signs of Death
Special Considerations
Appendix A K-9 Management
Police Dog Emergency Medical Gear
Preparing for Police Dog Emergencies
Canine Tactical Assessment
Call-A-CAB ’N Go Hot
Circulation
Airway and Breathing
Load–and–Go
Pain Management
Fractures
Heat Emergencies
Poisoning
Appendix B TEMS Forms
Appendix C Defensive Tactics
Introduction
Principles of Self-Defense
Winning a Confrontation
Fight or Flee
Self-Defense Moves
Combat Physiology
Hormones and Nerves
Blood Vessels

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