7 January 2014

In the News from

Speer Operational Technologies:

• The AAJT™ is the ONLY junctional tourniquet to have saved human life in upper and lower junctional hemorrhage. It is also the ONLY junctional hemorrhage to have human research showing it is safe and effective. Youtube: http://www.youtube.com/watch?v=7p9WicdpjAQ

Veterinary Tactical Group:

VTG hosts Webinar: Treatment of Hostile Action Injuries in Working Dogs, Thursday, Jan 9th from 7:00-8:30 EST. http://lnkd.in/d-G_see

Canine Tactical Combat Casualty Care (C-TCC) guidelines focus on human C-TCCC guidelines with direct applications to combat injuries and field treatment of working dogs. Efforts are underway to develop advanced teaching modules and applications for veterinary emergency management:

• Canine Tactical Combat Casualty Care:  Janice Baker, DVM.
• Veterinary Tactical Group: Tactical Canine Casualty Care training, training dog handlers, veterinary personnel, and tactical medical personnel in emergency care of working dogs. Consulting, research and development, and promotion of the health, performance, and well-being of tactical canine athletes.

Engaging the world veterinary associations with the education initiative:

• From Vet2011 - Vet2013:  World Veterinary Association.
  

24 July 2013

Civilian populations are threatened by potential incidents involving chemical, biological, radiological and nuclear (CBRN) agents, which are the consequence of either terrorist acts or natural and man-made disasters. It is important to ensure that first responders are prepared for such eventualities. - Preparing first responders for chemical, biological, radiological and nuclear incidents: NATO, 24 July 2013.


21 December 2012

Contact: Stephen M. Apatow
Founder, Director of Research & Development
Humanitarian Resource Institute (UN:NGO:DESA)
Humanitarian University Consortium Graduate Studies
Center for Medicine, Veterinary Medicine & Law
Phone: 203-668-0282
Email: s.m.apatow@humanitarian.net
Internet: www.humanitarian.net

H-II OPSEC
Url: www.H-II.org

Pathobiologics International
Internet: www.pathobiologics.org

Newtown - Tactical Combat Casualty Care (TCCC) Standardization
World Health Organization called to fast track TECC guidelines

The massacre in Newtown, Connecticut, [1] has thrust the topic of mental illness into the international spotlight.  With Connecticut gun laws among the toughest in the United States, [2] the mentally ill shooter's mother, had a legal responsibility to secure her weapons.  Her failure resulted in her own death and fatalities in the Sandy Hook Elementary School shooting.

Lesson 1: Gun owners are responsible for their weapons [3] and can be held criminally liable for acts perpetrated with those weapons: [4]

As one young person in Connecticut shared with me... Children in their home couldn't access their parents weapons, even if they wanted to, because they were in a biometric gun safe, that requires fingerprints to access the locking mechanism.

Moving beyond mainstream Active Shooter (FEMA IS-907) training, security discussions have transitioned to (1) armed security, as with post 911 air marshalls, providing a law enforcement level capability for containment of Active Shooter or domestic terrorism incidents and (2) the standardization of military Tactical  Combat Casualty Care (TCCC) for civilian tactical and emergency management services.

Crisis Response: Mass Casualty Incidents:

• Newtown, Connecticut 2012
  
• Aurora, Colorado 2012
  
• Fort Hood: 5 November 2009
• Mumbai India: 26 November 2008
• Virginia Tech: 16 April 2007
• London Bombing: 7 July 2005
• Columbine: 20 April 1999

In 2012, Post 911 tactical emergency medical challenges mandate the standardization of the military field validated Tactical Combat Casualty Care (TCCC) into civilian Tactical Emergency Casualty Care (C-TECC).  These tools provide civilian and traditional first responders with capabilities to address military style attacks and wounding patterns, in a new paradigm for response to terrorist tactics that include:

• Explosives
• Active Shooter
• Dynamic Small Unit Tactics
• Lone Wolf
• Targeting First Responders

How do we fast track TCCC into a civilian emergency management capability?  As the Committee on Tactical Combat Casualty Care (CoTCCC) [5] continues to develop the working model for the defense community, the Committee for Tactical Emergency Casualty Care (C-TECC) [6] is establishing the standard for Civilian High Threat Pre-Hospital Medicine:

• Tactical Emergency Casualty Care (TECC): Guidelines for the Provision of Prehospital Trauma Care in High Threat Environments: Journal of Special Operations Medicine Volume 11, Edition 3 / Summer/Fall 11.
• Executive Summary of the TECC Guidelines:  Committee for Tactical Emergency Casualty Care (C-TECC)

Veterinary Emergency Management for Service Dogs

Specialized Search Dog Gabe, the life-saving military working dog who served our country by completing more than 210 combat missions with 26 explosive and weapons finds in Iraq, was named the top American Hero Dog at the American Humane Association Hero Dog Awards^TM, presented by the Lois Pope LIFE Foundation, Inc., and produced by Emmy® award-winning MRB Productions. Gabe was honored at the second annual Hero Dog Awards with his handler, Sergeant First Class Charles Shuck. --  Life-saving military service dog named top "American Hero Dog" at the American Humane Association ™ [7]

Canine Tactical Combat Casualty Care (C-TCC) guidelines focus on human TCCC guidelines with direct applications to combat injuries and field treatment of working dogs. Efforts are underway to develop advanced teaching modules and applications for veterinary emergency management:

• Canine Tactical Combat Casualty Care:  Janice Baker, DVM.

TCCC Certified Medics: An Untapped Resource

All TCCC certified medics, soldiers and veterans represent an immediate qualified resource for Tactical Emergency Casualty Care support and assistance with high threat emergencies in the United States.  Humanitarian Resource Institute is calling for civilian specialized accreditation and certification of these military medics, [8] to address the immediate need for optimization of civilian emergency medical capabilities.  Special Operations Forces such as Green Berets, function as physicians and veterinarians in field operations across the globe, the only difference between them and medical professionals in a civilian context, is a license. [9]

References:

1. Police: 20 children among 26 victims of Connecticut school shooting: CNN, 15 December 2012.
   
2. Connecticut gun laws in, among the strictest in the United States: Denver Post, 14 December 2012.
3. Firearms Responsibility in the Home:  National Shooting Sports Foundation.
4. A New Trend in Gun Control: Criminal Liability for the Negligent Storage of Firearms: Houston Law Review, Fall, 1993, Comment, Page 1389.
5. Tactical Combat Casualty Care (TCCC):  DHB Memo, 14 June 2011.
6. Committee for Tactical Emergency Casualty Care (C-TECC)
7. Life-saving military service dog named top "American Hero Dog" at the American Humane Association: 15 October 2012.
   
8. Civilian Credentialing of Military Training & Skills: U.S. Army.
9. Why We Fight Now: United States Army Special Forces (Documentary:YouTube).

Related:

• Tactical Emergency Medicine: American College of Emergency Physicians
• Journal of Special Operations Medicine

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