Roll Call Training

1. Roll Call Training We’ve Got Your Six

2. Two-Thirds of all preventable police officer deaths are due to severe hemorrhaging, caused by penetrating trauma injuries such as arterial gunshot wounds. The ability to reach wounded officers within moments of injury, especially penetrating trauma injuries, can mean the difference between life and death. That’s why the need for a Trauma Management Pack (TMP) to be kept on your person is so critical. The practice of waiting for medical to arrive on scene is long gone. Budget cuts have greatly affected Emergency Services nationwide and the slower response times have had serious consequences on the mortality rate of victim officers. We, as police officers, can no longer stand by and allow each other to die as a result of being ill-equipped or unprepared! www.projecttriage.org

3. www.projecttriage.org TRAUMA MANAGEMENT PACK • The Trauma Management Pack (TMP) contains critical lifesaving items that are intended to combat any penetrating trauma injury with severe hemorrhaging Use your partners kit first, if possible, you never know when you will need your kit…

4. www.projecttriage.org First Step • The most important step in downed officer care is, recognition that something has occurred to a fellow officer. If you are on scene you need to communicate this to any responding officers.

5. www.projecttriage.org Critical Items in your TMP • SWAT-T Tourniquet • 3-inch OSS Combat Compression Bandage • Hemostatic Gauze • Nitrile Gloves • Tourniquet Field Application Card These Items all have a very critical roll in downed officer care…

6. www.projecttriage.org TMP Items Remember that until needed, it is important that these items stay in the sealed bag to ensure integrity of the kit.

7. www.projecttriage.org Things to Remember What you need to know if you are aiding an injured officer • Is the area safe ? • Is the officer behind cover ? • Can he or she communicate ? • What route will you take to make it to the officer ? • Do you have the equipment needed to help the officer ?

8. www.projecttriage.org Application and Treatment • The initial assessment of an injury will help you understand what is needed and how you will treat the down officer. • Keep them calm, the more the heart beats the more blood loss there is. • Conduct a head to toe exam • this is done quickly, but helps with an over all assessment of the officer. • The main goal is to find all major life threats. Remember:Always check the back of the officer, don’t skip it, this could be deadly.

9. www.projecttriage.org Treatment Cont… Types of Capillary Bleeding • Capillaries are the smallest blood vessels in your body. • Capillaries are about as thin as the hairs on your head. • When a minor scrape or cut opens some capillaries, the bleeding is almost always very slow and small in quantity. • Your body's natural clotting mechanism is able to stop most cases of capillary bleeding within seconds to minutes. If needed you can apply pressure and a gauze pad to help the clotting process

10. www.projecttriage.org Treatment Cont… Venous Bleeding • Deep cuts have the potential to cut open veins. • A cut vein typically results in a steady but relatively slow flow of dark red blood. • The best way to stop most cases of venous bleeding is to put direct pressure on the wound. • This is when the OSS Pressure Bandage would be applied to help slow and stop the bleeding. But remember we are not stopping the pulse in the affected area.

11. www.projecttriage.org Treatment Cont… Arterial Bleeding • This is the least common and most dangerous type of bleeding. • It involves bright red blood that comes out in large volume, and in spurts that correspond with each beat of your heart. • In most cases of arterial bleeding, direct and extremely firm pressure on the wound is the best way of stopping it. • If direct pressure is not applied, a severe arterial wound can cause you to bleed to death within a few minutes.

12. www.projecttriage.org Treatment Cont… Arterial Bleeding • This may be hard to notice right away due to the victim officer wearing dark clothing or if it’s a dark environment. • You will need to look at the clothing and watch for pooling of blood in one spot that seeps through the clothing. • Treat fast you can bleed out in 3-5 minutes

13. www.projecttriage.org Tourniquets You now know that you need to apply a tourniquet to stop the bleeding. • Here are some things to remember: • Tourniquets are for massive bleeding and control • Never apply over a wound • Only use on extremities • Write down time of application for EMS • Once applied it stays on DO NOT REMOVE, EMS will evaluate upon arrival.

14. www.projecttriage.org Application • This should be used to control massive bleeding that can not be stopped with direct pressure • Place above affected joint, 6 inches above wound if possible. • Secure tourniquet. • Never leave the officer unattended when tourniquet is applied. • Document application.

15. www.projecttriage.org SWAT-T Tactical Wrap Tourniquet Deploy SWAT T Tourniquet and Stretch tight .Wrap 6 inches above wound if possible Continue wrapping process ensure tightness with each wrap As you come to the last few inches, Tuck the end in to secure Complete Stretch, Wrap and Tuck Tourniquet

16. www.projecttriage.org Hemostatic Gauze • Tear open Hemostatic Gauze pouch at the indicated tear notches and deploy the Hemostatic Gauze • Pack the Hemostatic Gauze all the way down into the wound cavity . Making contact with the severed or torn artery. • Immediately apply direct pressure and hold that pressure for up to 1 minute .

17. www.projecttriage.org Combat Compression Dressing Deploy Emergency Pressure Bandage with non-stick pad directly over the wound Wrap tightly creating pressure to be forced down onto the wound. Wrap an inch below the wound and an inch above the wound Secure by affixing the velcro end onto the wrap

18. www.projecttriage.org Put it all together • Identify • Plan • Execute • Evacuate Remember the steps we talked about during this training Treat the major life threat first. Don’t get stuck on the blood. Just stop the bleeding and evacuate to Emergency Services standing by.

19. www.projecttriage.org Self Aid • Practice applying the items in the TMP in the classroom with the training gear supplied. • Don’t keep your packs in a place you can’t get to. • This is a bad decision and could be life ending. MINDSETMindset is everything. Never give up.

20. www.projecttriage.org Disclaimer • This presentation does not permit the user to be certified in any level of medical training. This course was made to give you a base foundation and understanding of the use of a Trauma Management Pack. • Further training and courses are important to understand the function and application of emergency medicine to officers and the public. Project Triage is not responsible for any and or all claims. • Please follow up and secure more training in this area. A full eight hour course or more is highly recommended and should be placed in the departments continuing education program.