CivilSectorTacticalEMS

CivilSectorTacticalEMS - Civil Sector Tactical EMS Jeffery...

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Civil Sector Tactical EMS Jeffery C. Metzger, M.D. Tactical Physician, Dallas Police Department Fellow, Government Emergency Medical Security Services Assistant Professor, University of Texas, Southwestern Medical Center Deputy Medical Director, Biotel Systems
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Objectives Background of Civilian TEMS Current Models and Practice Differences between Civilian and Military Medical Support Case Review
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In the beginning… Initially left until the battle was over Early 1700s, Napoleon Bonaparte appointed Dominique-Jean Larrey to develop patient care program Mid-1800s during U.S. Civil War Dr Jonathan Letterman refined Larrey’s concepts and developed horse-drawn ambulance chains Also during Civil War, Clara Barton developed the practice to “treat them where they lie.” "The remoteness of our ambulances deprived the wounded of the requisite attention,“ Dominique-Jean Larrey
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Birth of Civilian EMS 1865 – Cincinnati General Hospital Grady Hospital in Atlanta Charity Hospital in New Orleans Free Hospital of New York (Bellevue) Funeral Home Service
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Without SWAT, there would be no TEMS August 1965 – Watts Riots 34 people killed, 1,100 people injured, 4,000 people arrested, 600 buildings damaged or destroyed, and an estimated $35 million in damage
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Without SWAT, there would be no TEMS August 1 st , 1966, University of Texas at Austin Charles Whitman climbs to the top of the campus clock tower and kills 15 people and wounds another 31 others
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Emergence of S.W.A.T. 1967 - Los Angeles Police Department Officer John Nelson and Inspector Daryl Gates “The purpose of SWAT is to provide protection, support, security, firepower, and rescue to police operations in high personal risk situations where specialized tactics are necessary to minimize casualties.”
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CivilSectorTacticalEMS - Civil Sector Tactical EMS Jeffery...

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