Скачать с ютуб (REAL MEAT) Tactical Medical Scenario with TACMED Instructor ALEX COKER and Officer ELLIOTT BOBO в хорошем качестве

(REAL MEAT) Tactical Medical Scenario with TACMED Instructor ALEX COKER and Officer ELLIOTT BOBO

Tactical Medical Training Program taught by : TACMED/Active Shooter Instructor: ALEX COKER Patrol Officer: ELLIOTT BOBO Casualty: ROB LINCK 05/18/22, Northwest Community College Campus Police Dept, Senatobia, Mississippi. Our Annual Police In-Service Training included the tactical medical training that FLETC has standardized across the nation to extend the lives of people who are suffering from gunshot wounds, stabbings, or other heavy trauma, until advanced medical aid arrives. PREVENTABLE DEATHS: 60% MASSIVE HEMORRHAGING 33% TENSION PNEUMOTHORAX 6% AIRWAY The M.A.R.C.H. -E. algorithm helps officers stay in sequence, while conducting their initial trauma assessment. *M-MASSIVE HEMORRHAGING (MOVE! P.T.) Move the casualty to safety, if needed. Conduct quick blood sweeps of the arms and legs. Apply manual pressure high up on the artery of the injured arm or leg. Apply a tourniquet high and tight on the limb to stop the flow of blood from the body. *A-AIRWAY (HEAD TILT/CHIN LIFT, JAW THRUST, NPA, CPR) Open the airway with the head tilt/chin lift method or using the jaw thrust method for a suspected neck/spinal injury-(car accidents, falls over 10ft, etc) Look for obstructions in the airway such as blood, vomit, loose teeth, tongue, foreign objects, etc) Apply an NPA-(Nasopharyngeal Airway) to the casualty's right nostril, bevel opening facing towards the septum of the nostril, lube it, hook down. Conduct CPR, if the casualty is no longer breathing and has no pulse. *R-RESPIRATION (FRONT AND BACK CHEST SEALS, TENSION PNEUMOTHORAX) Does the chest rise and fall equally on both sides? Difficulty Breathing? Scan the front and sides of the chest to include the armpit using either a raking or swiping motion from the top of the shoulder to the belt line. Roll the casualty over and conduct the same for the back. If a bullet goes into the body, it usually likes to exit the body, so be looking for those exit wounds. *C-CIRCULATION (PACK, P.M.S., VITALS) Address the other wounds. Apply wound packing and pressure dressings where needed. Get radial and pedal pulses. Check Motor, Sensory, and Capillary Refill *(Gather blood pressure, O2 blood saturation, and temperature, if the equipment is available.) *H- HYPOTHERMIA (CONDUCT A 2ND FOCUSED ASSESSMENT BEFORE COVERING) Check the top and back of the head and neck for abnormalities. Look for blood in the ears-(HALO Test), blood in the nose, and mouth. Check the eyes for equal and proper pupil size and smooth movement. Conduct a 2nd thorough sweep of the body. Cover the body with a space blanket to provide warmth and to prevent shock. Make sure the top of the head is covered because 70% of the body heat is lost from the top of the head. Trauma to the body or heavy blood loss can cause the temperature of the body to drop. E-EVACUATE (REASSESS ALL MEDICAL INTERVENTIONS PRIOR TO MOVEMENT) 1, 2, 3, or 4 man buddy carries Unorthodoxed ways of loading and transporting casualties to advanced medical support. A Special "Thank You" goes out to the FLETC Instructors who are Training the Trainer in TACMED ,Thank You!-(Seth Paris, Shane Reichenberg, Hector DeOleo, and Jason Ingersoll) Northwest Community College, Senatobia, MS Campus Police Training Officer Alex Coker [email protected]