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This brief, practical text covers all aspects of tactical emergency medicine--the practice of emergency medicine in the field, rather than at the hospital, during disasters, police or military conflicts, mass events, and community incidents. Key topics covered include hostage survival, insertion and extraction techniques, continuum of force, medical support, planning and triage, medical evaluation in the incident zone, care in custody, medical control of incident site, decontamination, community communication, and more. Boxed definitions, case scenarios, and treatment algorithms are included. The concluding chapter presents "real world" scenarios to run tactical teams through and lists recommended training programs and continuing education.
SECTION I:TACTICAL CONCEPTS Team Composition & Basic Capabilities & EquipmentMilitary Tactical OperationsInfiltration/ExfiltrationContinuum of ForceSpecialty MunitionsMedical Support of the Tactical AthleteMedical Support to Military Operations on Urban TerrainHostage SurvivalThe Basics of SurvivalSECTION II: MEDICAL CONCEPTS Penetrating and Explosive Injury PatternsOperational Medicine Environmental ConsiderationsMedical Preplanning Considerations for Tactical Emergency Medicine OperationsTriageTactical Combat Casualty CareCritical Casualty Evacuation from Tactical SettingsMedical Care of In-Custody IndividualsOperational Performance and Preventive MedicineSustained and Continuous OperationsLifts and CarriesCanine Aid in the Tactical EMS SettingTactical En Route CareArmored Vehicles in Rescue and Tactical Medical OperationsPsychological Effects and Management of Law Enforcement and Medical Providers in the Tactical EnvironmentTactical PharmacologySECTION III: ADMINSTRATIVE How to Set Up a Tactical Emergency Medical Service ProgramMedical Control, Command, and OversightQuality Assurance and ImprovementGrant Funding for Tactical OperationsHealth Insurance Portability and Accountability Act (HIPAA) Impact on Tactical Emergency MedicinePerformance of Research in the Combat and Tactical SettingsSECTION IV: APPLIED CONCEPTS AND OTHER TOPICS Medical Implications and Planning for Riots and Mass GatheringsThe United States Department of Homeland SecurityDecontamination for Tactical TeamsCanine Use in Tactical, and Search and Rescue OperationsTactical Emergency Medicine: Emerging Technologies for the Tactical Medical ProviderTestifying in a Legal ProceedingApplied Concepts: Public Policy and Other ConsiderationsApplied Concepts: Public RelationsSECTON V: CBRNE AND PUBLIC HEALTH Chemical, Biological, and Radiological Threats in the Tactical Environment:Overview of Identification and TreaPersonal Protective Equipment for the Tactical TeamDecontamination for Tactical TeamsSECTION VI: TRAINING PROGRAMS AND SCENARIOS Tactical Training and Continuous Education for the Tactical ProviderINDEX