16 December 2012

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.

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19 September 2012 - Updated 1 October 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

Civilian High Threat Pre-Hospital Care - DHHS - DPS

Civilian High Threat Pre-Hospital Care: Tactical Emergency Casualty Care (TECC) [1] is being prioritized in law enforcement and emergency medical contingency planning discussions across the United States.

During the 2011 Special Operation Medical Association (SOMA) Conference, David Callaway, MD, Co-Chair, Committee for Tactical Combat Casualty Care, Director, Operational Medicine Institute, presented the following:

Mass Casualty Incidents:

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

Number of events where tactical teams were on site:  Zero

This new tactical reality mandates an expanded paradigm in tactical medicine.  Increased exposure of civilians and traditional first responders to military style attacks and wounding patterns requires a new paradigm that includes civilian threat based care guidelines.

New Terrorist Tactics:

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

How do we create a process similar to Committee on Tactical Combat Casualty Care (CoTCCC) [2] for Civilian High Threat Pre-Hospital Medicine?

Current Challenges:

• Lacks Standardization
• Limited Application of vital lessons learned across other high risk disciplines.

Contingency Planning Discussion:

• 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.

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.  The missing link is adaptation of skills through access to guidelines that assist transition of TCCC skills into Civilian High Threat Pre-Hospital Emergency Care.

See: Executive Summary of the TECC Guidelines:  Committee for Tactical Emergency Casualty Care (C-TECC)

Intensive efforts are currently underway to fastrack civilian credentialing of military training & skills for veterans from all military branches. [3]


References:

1. Committee for Tactical Emergency Casualty Care (C-TECC)
2. Tactical Combat Casualty Care (TCCC):  DHB Memo, 14 June 2011.
3. Civilian Credentialing of Military Training & Skills: U.S. Army.
   

Related:

• Tactical Emergency Medicine: American College of Emergency Physicians.
• Special Operations Medical Association (SOMA)
  

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