Tactical Combat Casuatly Care (TCCC) 2 Day Course with Ballistic Wound Packing Lab, Lung & Airway Labs 
Sat, Feb 26 - Sun, Feb 27, 2022
8:00am-5:00pm
11641 I-35W N, Grandview, TX 76050-3522, United States
Tactical Combat Casualty Care
BRING YOUR TACTICAL KIT & (Weapon not required / optional) AND BE READY TO LEARN AND GET DIRTY!

If you have NVGs bring them for optional night training.

We have Plate Carriers and Armor if you do not have your own.
TCCC with ballistic wound packing lab, lung and airway lab

The Tactical Combat Casualty Care (TCCC) course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT conducts TCCC courses under the auspices of its PHTLS program, the recognized world leader in prehospital trauma education.

NAEMT’s TCCC courses use the PHTLS Military textbook and are fully compliant with the Department of Defense’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. It is the only TCCC course endorsed by the American College of Surgeons.

The TCCC-MP (TCCC for Medical Personnel) course is designed for combat EMS/military personnel, including medics, corpsmen, and pararescue personnel deploying in support of combat operations.

NAEMT’s TCCC course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and recognized by the National Registry of EMTs (NREMT).

Almost 90% of American service men and women who die from combat wounds do so before they arrive at a medical treatment facility. This figure highlights the importance of the trauma care provided on the battlefield by combat medics, corpsmen, PJs, and even the casualties themselves and their fellow combatants. With respect to the actual care provided by combat medics on the battlefield, however, J. S Maughon noted in his paper in Military Medicine in 1970 that little had changed in the preceding 100 years. In the interval between the publication of Maughon's paper and the United States’ invasion of Afghanistan in 2001, there was also little progress made. The war years, though, have seen many lifesaving advances in battlefield trauma care pioneered by the Joint Trauma System and the Committee on Tactical Combat Casualty Care. These advances have dramatically increased casualty survival. This is especially true when all members of combat units – not just medics - are trained in Tactical Combat Casualty Care (TCCC.)

Cost:

$400
You must notify us to pay and reserve a training seat.
Call if you have anyquestions or to submit payment: 270-871-2953


Where:

11641 I-35W N, Grandview, TX 76050-3522, United States

Credit:
16 hours TCOLE Credit
16 hours Medical CEUs

• Host Hotel:
Comfort Suites Hotel
(817) 293-7900
400 Village Park Dr., Alvarado, TX 76009
Rate Code: RANGE 35 Rate: $59.00 King - $69.00 double queen


Course info can be found on the www.911tacmed.com homepage





#tccc #deplymentmedicine #911tacmed #combatmedic #68W #pj #corpsman #military #ems #leo #fire #police

26
FEB

IBSC TACTICAL PARAMEDIC (TP-C) & TACTICAL RESPONDER (TR-C) REFRESHER COUSRSE 
Sat, Feb 26 - Sat, Mar 5, 2022
11641 S. Interstate 35W, Grandview, TX 76050
TP-C & TR-C Refresher Course
26
FEB

Tactical Combat Casuatly Care (TCCC) 2 Day Course with Ballistic Wound Packing Lab, Lung & Airway Labs 
Sat, Feb 26 - Sun, Feb 27, 2022
8:00am-5:00pm
11641 I-35W N, Grandview, TX 76050-3522, United States
Tactical Combat Casualty Care
26
FEB

TEMS / Basic SWAT Tactical Medic Course 
Sat, Feb 26 - Fri, Mar 4, 2022
8:00am-5:00pm
11641 S. Interstate 35W, Grandview, TX 76050
Basic SWAT Medic Course
28
FEB

Basic SWAT Course by Special Operations Systems 
Mon, Feb 28 - Fri, Mar 4, 2022
10:00am-10:00am
11641 I-35W Frontage Rd, Grandview, TX 76050
admin@specopsystems.com
7
MAY

TEMS Advanced SWAT Medic (MUST HAVE COMPLETED BASIC TEMS OR EQUIV) 
Sat, May 7 - Wed, May 11, 2022
All day
11641 S. Interstate 35W, Grandview, TX 76050
Advaned SWAT Medic for the Tactical Operators
If you Agency or Department needs any K-9, Medical or Tactical Training for TCOLE, Medical CEs, or Proficiency Training do not hesitate to contact us at admin@911tacmed.com , matt@911tacmed.com or call 270-871-2953. Find more training on the homepage of www.911tacmed.com



#training #Medical #tactical #SWATMedic #Tactical Paramedic #TCCC #TCOLE #911tacmed

FREE TCCC Card DD-1380 $0.00Get your free download for TCCC Cards / DD-1380. This stuff is free so please take it and download it here, print it off and laminate of if you need to, punch a hole in it and put a rubber band on it. After words put that sucker in your IFAK and your teams IFAKs. Then go get a sharpie (small one) and you are set.

he DD Form 1380, TCCC Card is the standardized method for documentation of casualty care in the prehospital environment for battle and non-battle injuries.  The DD Form 1380 promotes Department of Defense goals of capturing documentation of pre-hospital medical interventions at the point-of-injury.  First responders, to include clinical providers, will document treatment using the current TCCC guidelines.
ADDITIONAL INFORMATION
This content was designed for use in the Tactical Combat Casualty Care for All Service Members Course (TCCC ASM), and is intended for nonmedical personnel.
The Joint Trauma System (JTS) establishes the standard of care for prehospital battlefield medicine for the Department of Defense. The JTS is part of the Defense Health Agency providing clinical practice guidelines and performance improvement for all levels of military trauma care.
The JTS is supported by the Committee on Tactical Combat Casualty Care (CoTCCC) which is composed of representatives from across the Army, Navy, Air Force and Marines develops clinical practice guidelines for the delivery of Tactical Combat Casualty Care (TCCC) on the battlefield.

For all your medical training needs and real-world mission needs feel free to reach out to us at www.911tacmed.com 



#TCCC #Documentation #CoTCCC #TacticalMedicine #Emergency #tacticalParamedic, #DD1380 #TECC #Tacmed #Fire #EMS #EMT #911tacticalmedicine #documentation

Here at 911 Tactical Medicine, we do a lot of training and teaching others about some serious real-world situations. A lot of the time some of the minor things get over looked, even though they are just as important. We want to start publishing articles on some of the more common things around us. Anything from allergies to a sprained ankle, we want to cover all areas of education to help you.
 
Injuries and Back Pain
 
Injuries can cause back torment, including injuries to the upper appendages, shoulders, neck, spine, and so forth Injuries can happen likewise cause back torment if the rotator sleeves are upset. The rotator sleeves contain acromion, ligaments, for example, the rotator sleeves, which rest at the upper bones at the arm, and associate with rotator sleeve muscles. The muscles are at the highest point of the upper arm bones, and beneath the shoulder joints. Rotator sleeves are bunches of more modest muscles, ligaments, and so on, and join to different pieces of the body. On the off chance that the ligaments are torn or potentially burst it can cause back torment. The injuries as a rule happen when unexpected effects or powers focus on the district. Applying the muscles can likewise cause injury. On the off chance that the ligaments are harmed, it causes aggravation and expansion, which makes a large amount of pain.
 
Such issues are treated with rest, ice packs, pressure, and elevation. Shoulder injuries are seen when the arm is tossed out of attachment. The injuries happen from falls, overexerting muscles, and so forth. The specialist considers such injuries carefully since breaks might emerge, which begin inside the humerus. In certain occurrences, medical procedure is mandatory to address the issue.
 
Additional injuries incorporate circular segment pain, shoulder freeze, tendonitis, subacromial bursa, acromio-clavicular, etc. The Bursa is a sac loaded up with liquids that fill in as cushioning to diminish friction. The reason for the bursa is to make development simple and to deflect scouring of the joints. The bursa can cause issues when the shoulders are out of nowhere thrown over the head. Treatment for subacromial bursa conditions, incorporate steroid regimens, exercise-based recuperation, prescriptions, and so forth, particularly when aggravations set in. The condition can cause back pain since the bursa is an aide to the joints, ligaments, bones, and synovium. Bursa works by making light of the dangers of joint harm. On the off chance that bursa kindles it packs the nerves or ligaments. What occurs after is a disappointment, particularly once the joints rub. The delicate pockets amid the bones that cover and ensure different bones can cause genuine back torment since aggravation has set in from bursa problems. The strain caused by aggravation hits the muscles, overexerting these muscles, which the tangible nerves are dialed back and development is restricted.
 
Stance is the posture we get from bearing muscles and joints. If an individual slouches, regularly it can cause back pain, since the muscles and joints are not moving, as they ought to. Active recuperation and medications are frequently utilized to address the issue. Sitting at long spans can likewise cause back issues, particularly if the lower back isn't upheld. Indeed, sitting erroneously can twist the spine at the lower back and cause genuine agony. Back torment in this nature might show up from sport exercises also, for example, truly difficult work, continued curving, etc. Slouches can address back issues by figuring out how to sit and remain in legitimate positions. The back when harmed from slumping influences the lumbar. Furthermore, the slouchier should learn the right methods of lifting.
 
Back pain can show up from the slipped circle, sciatica, Sacro-iliac, and so forth Slip circles are a Herniated core pulposa (HNP) jumble. Slip circles are bursting of the "intervertebral plate." The intervertebral circle sits amid the Spinal Columns and is close to the spine.
 
Profoundly, lastly at the disk. At the point when the nerve roots are compelled, the disk can slip, causing herniated core pulposa. Sciatica is a kind of slipped disk, since the aggravation sends sharp, electrical shock-like agony down the waterway of the spine, sending an upsetting hurt that begins in the back. The aggravation conveys onto the legs. The aggravation is now and again discontinuous, yet on different occasions, it can prompt ongoing torment condition. Surgeries are frequently needed to address the issue.
 
Published by,
Michael Taylor
Head of 911TacMed
- Networking
- Marketing
- Social Media
- Web Managemen
US Army Ret.
CEO TaylorLyfe Digital Marketing
 
911 TacMed Website: www.911tacmed.com
Facebook: https://www.facebook.com/911TACMED
LinkedIn: https://www.linkedin.com/company/911-tactical-medicine
YouTube: https://www.youtube.com/channel/UCHM_WFJAeVy2t40CsT11Pqw/featured
​

​Please Share With Anyone Who May Need Them.
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​This is why we train and stay ready. This is the difference between 2 and 24 killed. Church shooting today near Fort Worth Tx. Bad guy in black with shotgun (red) gets killed by good guy and parishioner with LTC (green). Clearly this could have ended so much worse. That’s a solid distance to shoot a pistol under stress. Good work! Make sure you have trained staff and kits to treat people afterwards. If you need help let us know. If we cant get you what you need we will point you in the right direction or find someone else who can. Train hard because dying sucks.

#thingsthatmatter #training #emt #medic #leo #police #chl #shooter #stayready #tragedy #education #medical #tactical #stopthebleed #bleedingcontrol #shootingclass #pistol #school #church #trainhardbecausedyingsucks #goodpeople #Texas

Check out the Spring 2018 Combat & Casualty Care magazine put out by Defense Media. Matthew Kinney our CEO wrote a little article that was three pages with picture. Those pictures where of him doing a Rescue Hoist mission in the Korengal Valley, Afghanistan, Training Soldiers in TCCC and PFC, and last is one of his critical care patients that had a gunshot wound to the right side of the head who was ventilated in Iraq. Take a read through the magazine and make sure to read the"
"EVOLVING “GOLDEN HOUR” CARE TO MITIGATE THE TREATMENT GAP"

Please watch and share the touching story of the 173rd Airborne during the Battle of Wanat. Matthew Kinney helped save the lives of these men and wants everyone to hear their story as they tell it. This film is a True Life Documentary, Narrated by the soldiers of Chosen Company 2nd Platoon 173 Airborne

Hello Friends,

The Special Forces Charitable Trust (SFCT) is hosting a sporting clay fundraiser, called The Great Americans Shoot, in California on September 30th, and I thought that you might be interested in hearing about it. We will also be posting pictures as the event continues!
 
Funds from the Shoot will help support the entire Special Operations Community and their Families.  In the past three years, this Shoot has raised over $3.5 million, and we are predicting that this year’s Shoot will bring in over $1 million, making it the most significant shoot in American history. 
 
Donate at:  https://tgas.dojiggy.com/ng/index.cfm/a519334/reg-pages/pledge/MatthewKinney

In addition to the funds raised, this is also the largest clay shooting fundraiser in the world, and it has an incredibly unique platform that makes the event a great time for everyone involved.  There are several teams competing in the Shoot; each team consists of five people and one “6th man” from the Special Operations Community, and each has committed to raising a minimum of $50,000 for the event. Every team will also select a Special Operations military charity that they wish to represent.  The Special Forces Charitable Trust will be the recipient of the first 50% raised.  The chosen charities of the top five fundraising teams will receive 30%, 25%, 20%, 15%, and 10% of the remaining 50% respectively.
 
The individual winner and the winning team are those who raise the most money for the Special Operations Community, but that doesn’t mean that there aren’t awesome prizes for those who shoot the most clays out of 50 either!  The prizes this year can be found on the website at: http://greatamericansshoot.org/2017-prizes/ ; you should check out the Toyota Tacoma 4X4 last year’s winner took home as a Grand Prize! 
 
This year, I am proud to say that I was invited to be a "6th man" again for the 4th year on behalf of the SFCT.  I am so enthusiastic to take on this opportunity and to truly make the lives of Special Operations Forces Soldiers and their Families, who do so much for our nation and the world every day, better with this level of fundraising.  Not to mention that TGAS in California is going to be a once-in-a-lifetime experience!
 
Becoming a part of The Great Americans Shoot is a really incredible opportunity, so I wanted to reach out to you.  There are many ways in which you can become involved with this unique event, and each of them are very meaningful contributions.  I encourage you to visit the event sites:  http://greatamericansshoot.org/ and or contacting me at 270-871-2953 me if you have any questions. 100% of all donations go back to SFCT.  Whether you’re interested in giving support to my team’s fundraising goals or joining my team in the Shoot, I didn’t think that you would want to pass up on this opportunity, which is why I wanted to invite you personally.
 
There is a lot more information that the Special Forces Charitable Trust office can give you about The Great Americans Shoot 2017.  Please feel free to contact the Special Forces Charitable Trust office at: 860-767-1510 or david@specialforcescharitabletrust.org , with any questions regarding the Shoot.  I would love to talk to you more about it, because this event is going to be pretty impressive!  Thank you in advance for your support!
 
Sincerely,
 
Matthew Kinney
Recipient of: Silver Star, Distinguished Flying Cross, Bronze Star, Air Medal with Valor

Hello Friends,

The Special Forces Charitable Trust (SFCT) is hosting a sporting clay fundraiser, called The Great Americans Shoot, in California on September 30th, and I thought that you might be interested in hearing about it. We will also be posting pictures as the event continues!
 
Funds from the Shoot will help support the entire Special Operations Community and their Families.  In the past three years, this Shoot has raised over $3.5 million, and we are predicting that this year’s Shoot will bring in over $1 million, making it the most significant shoot in American history. 
 
Donate at:  https://tgas.dojiggy.com/ng/index.cfm/a519334/reg-pages/pledge/MatthewKinney

In addition to the funds raised, this is also the largest clay shooting fundraiser in the world, and it has an incredibly unique platform that makes the event a great time for everyone involved.  There are several teams competing in the Shoot; each team consists of five people and one “6th man” from the Special Operations Community, and each has committed to raising a minimum of $50,000 for the event. Every team will also select a Special Operations military charity that they wish to represent.  The Special Forces Charitable Trust will be the recipient of the first 50% raised.  The chosen charities of the top five fundraising teams will receive 30%, 25%, 20%, 15%, and 10% of the remaining 50% respectively.
 
The individual winner and the winning team are those who raise the most money for the Special Operations Community, but that doesn’t mean that there aren’t awesome prizes for those who shoot the most clays out of 50 either!  The prizes this year can be found on the website at: http://greatamericansshoot.org/2017-prizes/ ; you should check out the Toyota Tacoma 4X4 last year’s winner took home as a Grand Prize! 
 
This year, I am proud to say that I was invited to be a "6th man" again for the 4th year on behalf of the SFCT.  I am so enthusiastic to take on this opportunity and to truly make the lives of Special Operations Forces Soldiers and their Families, who do so much for our nation and the world every day, better with this level of fundraising.  Not to mention that TGAS in California is going to be a once-in-a-lifetime experience!
 
Becoming a part of The Great Americans Shoot is a really incredible opportunity, so I wanted to reach out to you.  There are many ways in which you can become involved with this unique event, and each of them are very meaningful contributions.  I encourage you to visit the event sites:  http://greatamericansshoot.org/ and or contacting me at 270-871-2953 me if you have any questions. 100% of all donations go back to SFCT.  Whether you’re interested in giving support to my team’s fundraising goals or joining my team in the Shoot, I didn’t think that you would want to pass up on this opportunity, which is why I wanted to invite you personally.
 
There is a lot more information that the Special Forces Charitable Trust office can give you about The Great Americans Shoot 2017.  Please feel free to contact the Special Forces Charitable Trust office at: 860-767-1510 or david@specialforcescharitabletrust.org , with any questions regarding the Shoot.  I would love to talk to you more about it, because this event is going to be pretty impressive!  Thank you in advance for your support!
 
Sincerely,
 
Matthew Kinney
Recipient of: Silver Star, Distinguished Flying Cross, Bronze Star, Air Medal with Valor

As we gear up for our 4th year at this event we will be putting out information on how you can help Matthew Kinney raise money for the event.
Saturday, September 30, 2017
9:15 AM: Safety Brief9:30 AM: The Great Americans Shoot begins!!!!

Sunday, October 1, 2017
9:00 AM – Noon: Three-Gun Competition to include teams from the Special Operations and Law Enforces Communities at Oak Tree Gun Club.

The Great Americans Shoot benefits the Special Forces Charitable Trust and other nonprofit organizations supporting our Great Americans, the men and women who are serving, and who have served, in United States Military Special Operations.

Year four! The Great Americans Shoot is hosted by The Special Forces Charitable Trust (SFCT) and will take place on September 30, 2017 at the Oak Tree Gun Club, an incredible and beautiful setting in the hills just north of Los Angeles, in Newhall, CA. Check out the Oak Tree Gun Club. The Great Americans Shoot is the brainchild of shoot enthusiast and philanthropist, Mike Reynolds. Over the past three years, he has created a totally unique shoot format, which yields unprecedented results. Mike brought this unique format to the SFCT to support the entire Special Operations Community and their Families. In the past three years, the shoot has raised $3.5 million dollars that have benefited eight military charities.

EVENT CO-CHAIRS!

Nate Boyer, Former Army Special Forces
John Croft, Retired Marine Reconnaissance
George Severence, Retired Navy SEAL
To read about our incredible Co-Chairs, visit: Meet Our 2017 Co-Chairs!

Special Forces Charitable Trust
 

Vision
The Special Forces Charitable Trust is the “go-to” organization for assistance and support when a Special Forces member is in need. 
Mission
The Special Forces Charitable Trust delivers critical, enduring support through comprehensive programs and services to the United States Army Special Forces Community - past and present - and their Families in order to improve their quality of life and enhance mission readiness.
United States Army Special Forces (Green Berets)
Known as the “Quiet Professionals”, the Special Forces Soldier maintains a proud history of not seeking recognition for their deeds, but recognizes that they are accountable to the American public. Special Forces will continue to represent the very best of the U.S. Army while serving as the lead for U.S. security interests by either setting conditions to prevent crisis or enabling decisive military operations. 
The Trust provides support in the following three areas:

1. Education and Motivation
2. Family and Command Support
3. Veterans, Advocacy, and Heritage

EDUCATION AND MOTIVATION *

1. Merit-based scholarships for children of active-duty Special Forces personnel in conjunction and association with the Special Forces Scholarship Fund.
2. Recognition Award(s) in conjunction with the Family Readiness Group at each group.
3. Tuition Assistance for active-duty Special Forces personnel.
4. Scholarships for dependent spouses.

FAMILY AND COMMAND SUPPORT *

1. In coordination with the Green Beret Foundation, the Special Forces Association,  and others, during a time of tragedy, the Trust provides financial support to assist those left behind with items not funded by others or the Federal Government
2. Command functions for dependents of deployed active-duty Special Forces
3. Resiliency Programs
4. Assist with special family needs while spouse is deployed

VETERANS AND HERITAGE *

1. VA Issues
2. Funding assistance with advocacy, memorials and monuments 
3. Transition Assistance

*partial listing
SF Community
We serve a total military population of 15,500 plus soldiers along with total family members estimate at 10,750 families. Incorporated within the family are 14,261 dependent children. We work with the Special Forces Association, a fraternal organization, and their 9,500 member to support our Special Forces Veterans.
Leadership – Board of Directors
An all-volunteer board of directors consisting of six (6) governing members and three (3) honorary members. Since inception of the organization in 2010, 100% of board members have annually financially contributed to the organization.
Staff
Our Executive Director has over 30 years’ experience in the nonprofit world including the Navy SEAL Foundation and the Coast Guard Foundation. He continues to provide the SFCT with the professional operational and organization leadership along with the plans and benchmarks to build a sustainable military nonprofit organization.
The Special Forces Charitable Trust is recognized as a 501(c)(3) organization by the Internal Revenue Service. All donations made to the Special Forces Charitable Trust via The Great Americans Shoot are fully tax-deductible. 

Free download of all material just released from Committee of Tactical Casualty Combat Care (CoTCCC).

The pictures are from a smoke alarm call at 02:00 recently. Light smoke in a house no obvious fire found, no fire damage was found during the investigation. House was about 4,000 square feet, two story. Attic space on both ends of the house. One attic access had a one foot step down I sent one Firefighter to inspect it after I had to make sure I didn't miss anything. He stepped in before he realized there was step down and I didn't tell him about it. He stumbled and went through the drywall that was the ceiling below. Luckily the open garage door caught him. Tell your people about hazards no matter what. Light bulb moment.

Not everything is lights and sirens.


Captain Swen

      A 23 year old, 230 pound, muscular, African-American active duty (AD) Soldier in the U.S. Army sustained a high-velocity gunshot wound to his left shoulder in Paktika, Afghanistan.  The projectile penetrated anteriorly, immediately inferior to the distal 1/3d of the left clavicle and exited inferior to the left scapula.  He was treated by a first responder AD 68W Combat Medic with two packs of QuickClot Combat Gauze (Z-Medica, Wallingford, Connecticut, USA).  The gauze was packed into the wound under direct pressure and an 18g IV was placed in his contralateral upper extremity.  An infusion of 0.9% normal saline (NS) was initiated at a slow rate. He arrived at the 9 man surgical element, we bypassed EMT and just brought him straight into the OR.

                 After preoxygenation with 100% oxygen, a Sellick’s maneuver was applied to the patient’s cricoid cartilage and induction of general anesthesia was achieved with Etomidate (Amidate, Pfizer, Inc., New York, USA) followed immediately with succinylcholine (Anectine, Quelicin, suxamethonium, Pfizer Inc., New York, USA).  Direct larnygoscopy was performed, a Grade I view was obtained, and an 8.0mm endotracheal (ET) tube was inserted between the true vocal cords to a depth of 22cm at the teeth.  The ET cuff was inflated with 5mL of air and breath sounds were equal bilaterally with a positive end tidal CO2 waveform on the monitor (Propaq, ZOLL Medical, Chelmsford, Massachusetts, USA).
 
                After verification of ET tube placement, a massive amount of blood was noted on the floor.  Upon inspection, the patient had a rapid, active, arterial flow of pulsatile blood emanating from his wound.  An entire roll of gauze (Kerlix, Covidien,-Medtronic, Minnesota, USA) was placed into the wound and direct pressure was applied.  The patient was placed on the ventilator.

                The patient was found to have a partially severed left subclavian artery. 

                Succinylcholine is a widely used medication as part of the RSI technique in combat casualties.  Application of Combat Gauze to penetrating injuries has become routine for U.S. military forces.  The fasciculations caused by succinylcholine can be of sufficient intensity to dislodge the Combat Gauze and result in a rapid loss of hemostasis.   Alternatively, an actively moving patient can dislodge the clot formed by combat gauze.

                  I recommend a reinforcing combat gauze prior to patient movement, using a defasciculating dose of paralytic prior to using succinylcholine, or avoiding succinylcholine altogether if the patient has had a hemostatic dressing applied. The patient also received 4u PRBCs and 4 FFP, we didn't have TXA during surgery.

 


-George Johnson
CRNA

EXAMPLE PHOTO

My ATRIC class ended at 17:00 on Oct 01.  At 02:30 on Oct 02 I was on the ambulance when a we received a call for a shooting at an apartment complex.  Initially advised to stage for law enforcement, within minutes we were requested to "make scene."  Once onscene, I never thought twice about the perimeter officers and door guys with guns drawn. I wasn't concerned that the first time I heard the shooter had not been located was while I was caring for the victim.  I was not worried, because of the training I've received by the ALERRT staff during the course of Active Shooter II and ATRIC.  I trusted that my officers would watch over us as we provided indirect threat care. SWAT Officers Ellingston & Beller had placed an Israeli bandage over the abdominal entrance wound (intestine protruding), and no exit wound found, so we quickly moved him onto a backboard and into the ambulance.  The victim ultimately succumbed to his injuries At a local hospital, but because of the immediate care he received (made possible by the direct training provided ALERRT, and teamwork practiced in live scenarios), he was able to name his shooter(s). 

Katie Contreras
Lieutenant/Paramedic

Case Study 1 presented by Katie M Contreras
Lieutenant/Paramedic
Feel free to comment and share these as they are posted each week. Pictures of the SWAG will be posted after they have received it. We have already been told that the NAR 4 Aid Bag will be put to work saving lives immediately.