roll call training

ROLL CALL TRAININGWe’ve Got Your Six

Two-Thirds of all preventable police officer deaths are due to severe hemorrhaging, caused by penetrating trauma injuries such as arterial gunshot wounds.

The ability to reach wounded officers within moments of injury, especially penetrating trauma injuries, can mean the difference between life and death. That’s why the need for a Trauma Management Pack (TMP) to be kept on your person is so critical.

The practice of waiting for medical to arrive on scene is long gone. Budget cuts have greatly affected Emergency Services nationwide and the slower response times have had serious consequences on the mortality rate of victim officers.

We, as police officers, can no longer stand by and allow each other to die as a result of being ill-equipped or unprepared!

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TRAUMA MANAGEMENT PACK

The Trauma Management Pack (TMP) contains critical lifesaving items that are intended to combat any penetrating trauma injury with severe hemorrhaging


Use your partners kit first, if possible,

you never know when you will need your kit…

First Step

The most important step in downed officer care is, recognition that something has occurred to a fellow officer. If you are on scene you need to communicate this to any responding officers.


Critical Items in your TMP

SWAT-T Tourniquet 3-inch OSS Combat Compression

Bandage Hemostatic Gauze Nitrile Gloves Tourniquet Field Application Card


These Items all have a very critical roll in downed officer care…

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TMP Items

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Remember that until needed, it is important that these items stay in the sealed bag

to ensure integrity of the kit.

Things to Remember

Is the area safe ? Is the officer behind cover ? Can he or she communicate ? What route will you take to make it to the

officer ? Do you have the equipment needed to help the

officer ?


What you need to know if you are aiding an injured officer

Application and Treatment

The initial assessment of an injury will help you understand what is needed and how you will treat the down officer.

Keep them calm, the more the heart beats the more blood loss there is.

Conduct a head to toe exam this is done quickly, but helps with an over all

assessment of the officer. The main goal is to find all major life threats.


Remember:Always check the back of the officer, don’t

skip it, this could be deadly.

Treatment Cont…

Capillaries are the smallest blood vessels in your body. Capillaries are about as thin as the hairs on your head.

When a minor scrape or cut opens some capillaries, the bleeding is almost always very slow and small in quantity.

Your body's natural clotting mechanism is able to stop most cases of capillary bleeding within seconds to minutes. If needed you can apply pressure and a gauze pad to help the clotting process


Types of Capillary Bleeding

Treatment Cont…

Deep cuts have the potential to cut open veins. A cut vein typically results in a steady but relatively

slow flow of dark red blood.

The best way to stop most cases of venous bleeding is to put direct pressure on the wound.

This is when the OSS Pressure Bandage would be applied to help slow and stop the bleeding. But remember we are not stopping the pulse in the affected area.


Venous Bleeding

Treatment Cont…

This is the least common and most dangerous type of bleeding. It involves bright red blood that comes out in large volume,

and in spurts that correspond with each beat of your heart.

In most cases of arterial bleeding, direct and extremely firm pressure on the wound is the best way of stopping it.

If direct pressure is not applied, a severe arterial wound can cause you to bleed to death within a few minutes.


Arterial Bleeding

Treatment Cont…

This may be hard to notice right away due to the victim officer wearing dark clothing or if it’s a dark environment.

You will need to look at the clothing and watch for pooling of blood in one spot that seeps through the clothing.

Treat fast you can bleed out in 3-5 minutes


Arterial Bleeding

Tourniquets

Here are some things to remember: Tourniquets are for massive bleeding and

control Never apply over a wound Only use on extremities Write down time of application for EMS Once applied it stays on DO NOT

REMOVE, EMS will evaluate upon arrival.


You now know that you need to apply a tourniquet to stop the bleeding.

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This should be used to control massive bleeding that can not be stopped with direct pressure1. Place above affected joint,

6 inches above wound if possible.

2. Secure tourniquet. 3. Never leave the officer

unattended when tourniquet is applied.

4. Document application.

Application


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Deploy SWAT T Tourniquet and Stretch tight .Wrap 6 inches above wound if possible

Continue wrapping process ensure tightness with each wrap

As you come to the last few inches, Tuck the end in to secure

Complete Stretch, Wrap and Tuck Tourniquet

SWAT-T Tactical Wrap Tourniquet


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1. Tear open Hemostatic Gauze pouch at the indicated tear notches and deploy the Hemostatic Gauze

2. Pack the Hemostatic Gauze all the way down into the wound cavity . Making contact with the severed or torn artery.

3. Immediately apply direct pressure and hold that pressure for up to 1 minute

Hemostatic Gauze


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Deploy Emergency Pressure Bandage with non-stick pad directly over the wound

Wrap tightly creating pressure to be forced down onto the wound.

Wrap an inch below the wound and an inch above the wound

Secure by affixing the velcro end onto the wrap

Combat Compression Dressing


Put it all together

1. Identify 2. Plan 3. Execute4. Evacuate


Remember the steps we talked about during this training Treat the major life threat first. Don’t get stuck on the blood. Just stop the bleeding and evacuate to Emergency Services standing by.

Self Aid

Practice applying the items in the TMP in the classroom with the training gear supplied.

Don’t keep your packs in a place you can’t get to.

This is a bad decision and could be life ending.


MINDSETMindset is everything. Never give up.

Disclaimer

This presentation does not permit the user to be certified in any level of medical training. This course was made to give you a base foundation and understanding of the use of a Trauma Management Pack.

Further training and courses are important to understand the function and application of emergency medicine to officers and the public. Project Triage is not responsible for any and or all claims.

Please follow up and secure more training in this area. A full eight hour course or more is highly recommended and should be placed in the departments continuing education program.


roll call training

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downed officer carewe

critical items

trauma management pack

police officers

penetrating trauma injuries

penetrating trauma injury

critical lifesaving