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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 & Equipment Military Tactical Operations Infiltration/Exfiltration Continuum of Force Specialty Munitions Medical Support of the Tactical Athlete Medical Support to Military Operations on Urban Terrain Hostage Survival The Basics of Survival SECTION II: MEDICAL CONCEPTS Penetrating and Explosive Injury Patterns Operational Medicine Environmental Considerations Medical Preplanning Considerations for Tactical Emergency Medicine Operations Triage Tactical Combat Casualty Care Critical Casualty Evacuation from Tactical Settings Medical Care of In-Custody Individuals Operational Performance and Preventive Medicine Sustained and Continuous Operations Lifts and Carries Canine Aid in the Tactical EMS Setting Tactical En Route Care Armored Vehicles in Rescue and Tactical Medical Operations Psychological Effects and Management of Law Enforcement and Medical Providers in the Tactical Environment Tactical Pharmacology SECTION III: ADMINSTRATIVE How to Set Up a Tactical Emergency Medical Service Program Medical Control, Command, and Oversight Quality Assurance and Improvement Grant Funding for Tactical Operations Health Insurance Portability and Accountability Act (HIPAA) Impact on Tactical Emergency Medicine Performance of Research in the Combat and Tactical Settings SECTION IV: APPLIED CONCEPTS AND OTHER TOPICS Medical Implications and Planning for Riots and Mass Gatherings The United States Department of Homeland Security Decontamination for Tactical Teams Canine Use in Tactical, and Search and Rescue Operations Tactical Emergency Medicine: Emerging Technologies for the Tactical Medical Provider Testifying in a Legal Proceeding Applied Concepts: Public Policy and Other Considerations Applied Concepts: Public Relations SECTON V: CBRNE AND PUBLIC HEALTH Chemical, Biological, and Radiological Threats in the Tactical Environment:Overview of Identification and Trea Personal Protective Equipment for the Tactical Team Decontamination for Tactical Teams SECTION VI: TRAINING PROGRAMS AND SCENARIOS Tactical Training and Continuous Education for the Tactical Provider INDEX