Taking Care of the ???Good Guys:??? A Trauma Center???Based Model of Medical Support for Tactical Law Enforcement

The term “tactical medicine” can be defined in more than one way, but in the nonmilitary setting the term tactical emergency medical services (TEMS) is often used to denote medical support operations for law enforcement. In supporting operations involving groups such as special weapons and tactics (SWAT) teams, TEMS entail executing triage, diagnosis, stabilization, and evacuation decision-making in challenging settings. Ultrasound, now well entrenched as a part of trauma evaluation in the hospital setting, has been investigated in the prehospital arena and may have utility in TEMS. This paper addresses potential use of US in the tactical environment, with emphasis on the lessons of recent years’ literature. Possible uses of US are discussed, in terms of both specific clinical applications and also with respect to informing triage and related decision making.

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Changing the Community Paradigm for Indonesian Immgiration

Jurnal Abdimas Imigrasi ◽

10.52617/jaim.v1i1.129 ◽

2020 ◽

Vol 1 (1) ◽

pp. 47-52

Author(s):

Budy Mulyawan ◽

Andreas Parulian Pakpahan

Keyword(s):

High Schools ◽

Law Enforcement ◽

Community Service ◽

Active Role ◽

State Security ◽

Correct Information ◽

The Way ◽

Taking Care

There is a wrong community paradigm about inspiration. The impulse does not merely provide passport making services for the community. But more than that, Immigration has far broader duties and functions than taking care of making passports. There are 4 functions of immigration, including community service, law enforcement, state security and development facilitators. This institution has the duty to guard the country's gates from all threats that can endanger the security and sovereignty of this country. For this reason, community service is carried out in order to change the way people think about immigration in Indonesia. The target is students in one of Bekasi's high schools. It is hoped that they can become actors in disseminating correct information related to immigration tasks and functions and increase the existence of the community. Thus, the entire community can play an active role in helping to realize the security and sovereignty of this country.

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Medical support for law enforcement-extended operations incidents

American Journal of Disaster Medicine ◽

10.5055//ajdm.2014.0149 ◽

2014 ◽

Vol 9 (2) ◽

pp. 127-135

Author(s):

Matthew J. Levy, DO, MSc ◽

Nelson Tang, MD

Keyword(s):

Law Enforcement ◽

Well Being ◽

Federal Law ◽

Medical Support ◽

Law Enforcement Agencies ◽

Federal Law Enforcement ◽

Clinical Encounters ◽

Medical Response ◽

Wide Range ◽

Chief Complaints

Objective: As the complexity and frequency of law enforcement-extended operations incidents continue to increase, so do the opportunities for adverse health and well-being impacts on the responding officers. These types of clinical encounters have not been well characterized nor have the medical response strategies which have been developed to effectively manage these encounters been well described. The purpose of this article is to provide a descriptive epidemiology of the clinical encounters reported during extended law enforcement operations, as well as to describe a best practices approach for their effective management.Design: This study retrospectively examined the clinical encounters of the Maryland State Police (MSP) Tactical Medical Unit (TMU) during law enforcement-extended operations incidents lasting 8 or more hours. In addition, a qualitative analysis was performed on clinical data collected by federal law enforcement agencies during their extended operations.Results: Forty-four percent of missions (455/1,047) supported by the MSP TMU lasted 8 or more hours. Twenty-six percent of these missions (117/455) resulted in at least one patient encounter. Nineteen percent of patient chief complaints (45/238) were related to heat illness/dehydration. Fifteen percent of encounters (36/238) were for musculoskeletal injury/pain. Eight percent of patients (19/238) had nonspecific sick call (minor illness) complaints. The next most common occurring complaints were cold-related injuries, headache, sinus congestion, and wound/laceration, each of which accounted for 7 percent of patients (16/238), respectively. Analysis of federal law enforcement agencies’ response to such events yielded similar clinical encounters.Conclusions: A wide range of health problems are reported by extended law enforcement operations personnel. Timely and effective treatment of these problems can help ensure that the broader operations mission is not compromised. An appropriate operational strategy for managing health complaints reported during extended operations involves the deployment of a well-trained medical support team using the core concepts of tactical emergency medical support.

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Kinetic Projectile Injuries Treated During Civil Protests in Los Angeles: A Case Series

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.7.52885 ◽

2021 ◽

Vol 5 (4) ◽

pp. 385-389

Author(s):

Rachel Pearl ◽

Sam Torbati ◽

Joel Geiderman

Keyword(s):

Public Health ◽

Law Enforcement ◽

Los Angeles ◽

Trauma Center ◽

Case Series ◽

Emergency Department Visits ◽

The Public ◽

Crowd Control ◽

Level 1 ◽

Level 1 Trauma Center

Introduction: During protests following the death of George Floyd, kinetic impact projectiles (KIP) were used by law enforcement as a method of crowd control . We describe the injuries seen at a single Level 1 trauma center in Los Angeles over a two-day period of protests to add to the collective understanding of the public health ramifications of crowd-control weapons used in the setting of protests. Case Series: We reviewed the emergency department visits of 14 patients who presented to our facility due to injuries sustained from KIPs over a 48-hour period during civil protests after the death of George Floyd. Conclusion: Less lethal weapons can cause significant injuries and may not be appropriate for the purposes of crowd control, especially when used outside of established guidelines.

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Pyrotechnic Residues in Gunshot Residue Analysis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100117649 ◽

1985 ◽

Vol 43 ◽

pp. 128-129

Author(s):

H. M. Sagara ◽

S. A. Schliebe ◽

M. C. Kong

Keyword(s):

Law Enforcement ◽

Residue Analysis ◽

Gunshot Residue ◽

Particle Analysis ◽

Dry Skin ◽

X Ray ◽

Skin Cells ◽

Smokeless Powder ◽

Carbon Coated ◽

Detailed List

Particle analysis by scanning electron microscopy with energy-dispersive x- ray analysis is one of the current methods used in crime laboratories to aid law enforcement in identifying individuals who have recently fired or handled a firearm. During the discharge of a firearm, the high pressure caused by the detonation of the cartridge materials forces a portion of the generated gases through leaks in the firing mechanism of the weapon. These gases contain residues of smokeless powder, primer mixture, and contributions from the projectile itself. The condensation of these hot gases form discrete, micrometer-sized particles, which can be collected, along with dry skin cells, salts, and other hand debris, from the hands of a shooter by a simple adhesive lift technique. The examination of the carbon-coated adhesive lifts consist of time consuming systematic searches for high contrast particles of spherical morphology with the characteristic elemental composition of antimony, barium and lead. A detailed list of the elemental compositions which match the criteria for gunshot residue are discussed in the Aerospace report.

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