The Role of Tactical Emergency Medical Support in Hostage and Crisis Negotiations

1998 ◽  
Vol 13 (2-4) ◽  
pp. 55-57 ◽  
Author(s):  
James L. Greenstone

AbstractThe use of tactical medics by members of hostage and crisis negotiations teams has not been examined in the literature or the field. Usually, negotiations teams are deployed within the confines of the established inner perimeter along with the tactical team and tactical medics. While the likelihood of injuries or performance degrading medical problems for negotiators is less than that expected for Special Weapons and Tactics (SWAT) team members, they may occur and need attention. Additionally, there are other roles that tactical medical personnel can play that are specific to the needs of police negotiators. This article will examine these possible roles.

1998 ◽  
Vol 71 (1) ◽  
pp. 67-70
Author(s):  
James L. Greenstone

The use of tactical medics by members of hostage and crisis negotiations teams has not been examined in the literature or in the field. Usually, negotiations teams are deployed within the confines of the established inner perimeter along with the tactical team and tactical medics. While the likelihood of injuries or performance degrading medical problems for negotiators is less than that expected for SWAT team members, they may occur and need attention. Additionally, there are other roles that tactical medical personnel can play that are specific to the needs of police negotiators. This article will examine these possible roles.


1986 ◽  
Vol 2 (1-4) ◽  
pp. 128-132
Author(s):  
Eric Alcouloumre ◽  
Davis Rasumoff

The Hospital Emergency Response Team concept, as outlined here and in the Multi-Casualty Incident Operational Procedures of the California Fire Chiefs Association, is the result of a consensus effort by all EMS interest groups in Los Angeles. It is an effective way to utilize the skills of emergency medical personnel at the scene of a disaster. The role of the physician is an important one, and this concept was specifically designed to maximize the benefit to be derived from having a physician at the scene. It is important, however, that physicians recognize their limitations; a medical degree does not automatically confer “mystic abilities”in the area of disaster management. The role of the physician should include pre-disaster planning and at-scene patient management responsibilities as a member or leader of a pre-designated hospital-based emergency medical response team.


2021 ◽  
Vol 65 (4) ◽  
pp. 310-317
Author(s):  
Anna S. Sedova ◽  
Leonid M. Protsenko

Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.


Author(s):  
A Khosravi Bonjar ◽  
H Ahmadi Chenari ◽  
H Bazaz Kahani ◽  
M Mohammadi

Introduction: Back pain is one of the most important occupational problems among health care workers that have detrimental effects on their personal and professional life. Therefore, this study aimed to investigate the relationship between low back pain and quality of life in prehospital emergency staff and the role of demographic variables in this regard. Materials and Methods: This is a descriptive correlational study. The population was a prehospital emergency staff that entered to study by using the census method at 2020. Data gathering instruments were demographic characteristics, low back pain, and quality of life questionnaires. Data were entered into SPSS 22 and were analyzed using descriptive and analytical statistics. Results: The results showed that the related to the low back pain score of emergency medical technicians was 51.34± 4.149, which is high. In addition, the quality of life mean and standard deviation was 30.35± 4.851, which shows a low level. There is a significant relationship between back pain and quality of life (p = 0.001, R = 0.723). Conclusion: Low back pain is so common among emergency medical personnel that the issue may affect a person's life and work and creates many problems in terms of personal, family, socially, economically, and professionally, which reduce their quality of life.


2012 ◽  
Vol 27 (6) ◽  
pp. 583-588 ◽  
Author(s):  
Lewis J. Kaplan ◽  
Mark D. Siegel ◽  
Alexander L. Eastman ◽  
Lisa M. Flynn ◽  
Stanley H. Rosenbaum ◽  
...  

AbstractTactical emergency medical services (TEMS) bring immediate medical support to the inner perimeter of special weapons and tactics team activations. While initially envisioned as a role for an individual dually trained as a police officer and paramedic, TEMS is increasingly undertaken by physicians and paramedics who are not police officers. This report explores the ethical underpinnings of embedding a surgeon within a military or civilian tactical team with regard to identity, ethically acceptable actions, triage, responsibility set, training, certification, and potential future refinements of the role of the tactical police surgeon.KaplanLJ, SiegelMD, EastmanAL, FlynnLM, RosenbaumSH, ConeDC, BlakeDP, MulhernJ. Ethical considerations in embedding a surgeon in a military or civilian tactical team. Prehosp Disaster Med. 2012;27(6):1-6.


2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e17536-e17536
Author(s):  
Eytan Ben-Ami ◽  
Hadar Merom ◽  
Fabienne Sikron ◽  
Jessica Livneh ◽  
Siegal Sadetzki ◽  
...  

e17536 Background: Following advancement in the oncology field, increasing numbers of patients are receiving ambulatory active treatment for prolonged periods of time. Many of these patients suffer from additional comorbidities and require comprehensive medical care. We aimed to assess the perception of cancer patients regarding the role of the FP and the oncologist in their care during times of active cancer treatment. Methods: A survey was conducted among 265 consecutive chemotherapy-treated patients at the day care clinic of the Oncology Institute at Sheba Medical Center in Israel. Results: Median age was 60 years (range 22-86), 184 (69%) were woman and 147 (55%) were Israeli born. All patients belonged to one of four Israeli HMOs, 96% had a regular FP and 70% met with him during the prior month. While 78% of the patients evaluated that their FP had sufficient time to devote to them, only 32% and 27% thought their FP was trained to or wished to treat medical problems occurring while receiving chemotherapy. Yet, a majority of patients (76%) stated that involvement of the FP is important to them. Surprisingly, 85% perceived the oncologist as having enough time to devote to their care and 60% perceived him as being capable of dealing with non-oncological problems. However, only 30% stated that the oncologist communicates with the FP. Accordingly, 72% of the patients stated that in the case of an urgent problem they will turn first to the oncology institute and only 9% will turn to their FP. Indeed, 46% had unscheduled visits to the day care facilities during the prior month. Conclusions: Our data indicate lack communication between team members and inadequate medical training as major barriers for comprehensive medical care for chemotherapy-treated cancer patients. This may adversely affect medical care, decrease satisfaction among physicians and increase unnecessary workload. A change of the current situation requires collaboration between FPs and oncologists at the local and national levels and should include standardization of communication measures as well as implementation of required aspects in educational programs of both specialties.


2019 ◽  
Vol 5 (2) ◽  
pp. 95-104
Author(s):  
O. K. Bumai

The paper presents the results of analysis of guideline documents that regulate the actions of naval hospitals in the XIXth century. First off, these papers are Regulations developed to control all fields of actions: duties of officials, regulations on reception and discharge of patients, organization of duty shifts, rules of patient conduct, and even fire safety measures. The paper represents principles of the organization of management of naval hospitals, results of the study of subordination of officials in a hospital and to a higher command. The data obtained in the analysis testify the increasing role of medical personnel in the management of the hospital actions throughout. At the same time, it was found that the literature presented a wrong belief about the full subordination of medical officers to a drill command. In particular, the Regulations on essential naval hospitals introduced by order of Emperor Nickolas I were sharply criticized. In further, the matters of hospital management were reflected in the Regulations of naval hospitals of 1858 and 1865. These Regulations defined the statement that the chief doctor was the one director of the hospital, hospital superintendent reported to him directly. The Regulations on naval hospitals of 1887 studied the questions of hospital management as well as common questions of administration of naval medical support. The research rationale is determined by the present work on revising the main guideline documents that regulate the actions of medical support. A historical analysis of such work conducted earlier will allow to except possible errors while attempting to introduce amendments in guideline documents that failed to stand the test of time. 


2020 ◽  
Vol 21 (3) ◽  
pp. 4-10
Author(s):  
N. F. Plavunov ◽  
O. V. Logvinova ◽  
A. B. Khisamov ◽  
A. V. Kolesnik ◽  
A. G. Buzin

The review paper presents experience of implementation of an educational project - the permanent education system of a large medical facility of Moscow city emergency medical system. Basic project features are given regarding it’s usage and role in pandemic period. We suppose the information given in the paper to be useful for specialists in the spheres of healthcare management in public administration, management of medical organizations and professional medical education.


Sign in / Sign up

Export Citation Format

Share Document