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911 TACTICAL MEDICINE

August 07th, 2017

7/8/2017

12 Comments

 

CASE #1

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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.

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12 Comments
George
7/8/2017 14:15:51

It would have been helpful to have a REBOA catheter and ultrasound at the scene. Then the patient would have lived.

Reply
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25/8/2017 09:07:11

Danger is lurking everywhere. We cannot save ourselves if it happens. But I believe that we can prevent those things to occur. So that it can lessen the life of the people around us be in danger. I hope this article will be a lesson for everyone. Thank you for sharing this. Keep on posting for more information.

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1/1/2018 19:37:41

I am really afraid of people in the hospital. I think of them as bad individuals, when I was a kid. But I recently came into a realization how great their contribution for a person to have a longer life. I think that we must be thankful for their efforts in the industry. I salute all of their efforts to save lives. They are wonderful individuals, especially surgeons. I hope that no people will be afraid to be treated by them.

KMC
7/8/2017 15:36:59

Which makes it a great call to take to our Med Advisory Committee, since they like examples of calls where the equipment/Med suggestions could have/would have potentially changed the outcome (along with study info). However, at this time, we have neither of those items available to us.

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