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Into the Fray: Integration of Emergency Medical Services and Special Weapons and Tactics (SWAT) Teams

Published online by Cambridge University Press:  28 June 2012

Jeffrey S. Jones ,
Kevin Reese ,
Greg Kenepp  and
Jon Krohmer
Jeffrey S. Jones*
Affiliation:
Emergency Medicine Residency Program, Butterworth Hospital, Michigan State University College of Human Medicine, Grand Rapids, Michigan
Kevin Reese
Affiliation:
Emergency Medicine Residency Program, Butterworth Hospital, Michigan State University College of Human Medicine, Grand Rapids, Michigan
Greg Kenepp
Affiliation:
Cuyahoga Falls Police Dept, Cuyahoga Falls, Ohio
Jon Krohmer
Affiliation:
Emergency Medicine Residency Program, Butterworth Hospital, Michigan State University College of Human Medicine, Grand Rapids, Michigan
*
Department of Emergency Medicine, 100 Michigan Ave. NE, Grand Rapids, MI 49503, USA
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Abstract

Introduction:

The purpose of this study was to determine current experience and training of emergency medical support personnel for special weapons and tactics (SWAT) teams in North America.

Methods:

This cross-sectional, epidemiologic survey was sent to SWAT unit commanders from the 200 largest metropolitan areas. Questions included basic demographics, specialized training of emergency medical services (EMS) personnel, and where such personnel are deployed during tactical operations. Unit commanders also were asked to estimate the number and type of injuries sustained during tactical operations and to list any recommendations to improve the EMS response.

Results:

A total of 150 surveys was completed, for a response rate of 75%. The most common medical support (69%) was a civilian ambulance on standby at a predesignated location. Ninety-four percent of these prehospital care providers had no specialized training, and could not enter an area that was not secured tactically. Police officers with first aid or EMT training comprised the next largest group of medical support. Overall, 31% of SWAT commanders depended on remote EMS dispatch by radio to the scene when injuries occurred. Thirty-eight percent of respondents reported a significant injury had occurred during their tactical operations within the past 24 months. Common injuries included gunshot wounds, chemical exposure, and fractures. However, 78% (117/150) of respondents did not have a medical director, and 23% (35/150) of teams did not have an EMS preplan or protocol.

Conclusion:

The results suggest a need for established EMS protocols, medical direction, and specialized tactical medical training, especially in large metropolitan areas.

Keywords

injuriesmedical supportoperationspersonnelspecial weapons and tactics (teams)trainingtrauma
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 11 , Issue 3 , September 1996 , pp. 202 - 206
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1996

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References

1. Heiskell, LE, Carmona, RH: Tactical emergency medical services: An emerging subspecialty of emergency medicine. Ann Emerg Med 1994;23:778–785.CrossRefGoogle ScholarPubMed
2. Quinn, M: Into the fray: The search and rescue role with special weapons teams. Response 1987;6:18–20.Google Scholar
3. Carmona, R, Prince, K: Trauma and forensic medicine. J Trauma 1989;29:1222–1225.CrossRefGoogle ScholarPubMed
4. Carmona, R: Regionalization of SWAT operations: Administrative and tactical considerations. The Tactical Edge 1990;8:35–36.Google Scholar
5. McArdle, DQ, Rasumoff, D, Kolman, J: Integration of emergency medical services and special weapons and tactics teams: The emergence of the tactically trained medic. Prehospital and Disaster Medicine 1992;7:285–288.CrossRefGoogle ScholarPubMed
6. Rasumoff, D, Carmona, R: How are we doing with TEMS? The Tactical Edge 1990:11:71–74.Google Scholar