LE Tactical Combat Casualty Care (TCCC)

Tactical Combat Casualty Care (TCCC)

Let me start this article off by saying if you are not carrying at least a tourniquet (ON YOUR PERSON), while you are on duty, then you have failed! You have failed yourself, your partners, your family, your department, and your community. I fully confess my faults by admitting that I have only started to carry a tourniquet (SOF-T) while on duty in the last two years of my 18 year career. I’m ashamed of my ignorance. Thankfully I was introduced to modern TCCC, Tactical Combat Casualty Care about 3 years ago, and have been praising its concepts ever since.

You must understand that TCCC does NOT override Active Shooter Response training. Officers should still move to the threat, isolate the threat, and if required kill the active threat. Only after the threat has been isolated or eliminated, should TCCC efforts begin. That includes fallen officers. It does the situation no good if officers are stopping to treat the injured (officers included) when the active threat is still able to move and cause more casualties. However, if all officers are trained in TCCC, then a fallen officer can “self treat” themselves until more assistance can arrive once the threat has been stopped.

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New Study Shines a Revealing Light on Police Injuries

A groundbreaking pilot study of more than 9,700 officers, aimed at determining whether it’s feasible to establish a national reporting system for police injuries, has revealed a wealth of intriguing facts about LEOs hurt on duty.

Among the highlights:

  • Training exercises were second only to making an arrest as the activity most often engaged in at the time of injury, with in-service training proving especially risky;
  • Some 18% of officer injuries posed a risk of “significant external hemorrhage,” putting cops in the 99 percentile of all occupations for this danger;
  • Of officers injured in vehicle crashes during emergency responses, more than three-fourths had five years or less on the job;
  • Across all activity categories, motorcycle crashes, while among the least common occurrences, produced the highest average of lost work days per incident (28.4);

Perhaps most important long range, according to one of the researchers involved, this preliminary study confirms that with adequate funding a nationwide reporting system for law enforcement injuries, comparable to the FBI’s ongoing LEOKA tally of felonious fatalities, could be put in place, with significant benefits for training and officer safety.

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What’s your experience with controlling bleeding in the field?

tourniquetWhat training have you received for controlling hemorrhaging from wounds to yourself or fellow officers?

What equipment do you carry for such a challenge?

What field experiences have you had where controlling blood loss was critical before the arrival of EMS?

These are among some 40 questions posed in a new online, confidential survey that aims ultimately to save officer lives by better understanding the methods and need for bleeding control in law enforcement circumstances.

YOU ARE ENCOURAGED TO TAKE A FEW MINUTES TO PARTICIPATE AT www.surveymonkey.com/s/LMFMG6R

All questions are easy to answer and participation is anonymous.

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Review of Beating the Reaper

Beating The ReaperTactical Combat Casualty Care is the current US military protocol for treating battlefield injuries.  I’ve written previously about how to adapt the military’s protocol for care under fire into something that law enforcement can use for self-care in dangerous situations.

I posted a review of the book Beating the Reaper: Trauma Medicine for the CCW Operator at GunsHolstersAndGear.com.  The book, as you might guess, is geared toward citizens who carry a firearm for self-defense.  Though it is now specific for law enforcement, the principles are the same, and it is worth a read if you’ve never had any training for this.

The book was co-authored by Dr. John Meade and a special operations medic using the pen name of Sua Sponte.  Meade is an experienced emergency physician, EMS director and reserve police officer.  He serves on his department’s SWAT team and trains SWAT medics.  So, these guys are the real deal.

Israeli Bandage Video

The Israeli bandage is something every police officer should have in his or her bail out bag.  It allows the officer to quickly apply a very effective pressure bandage to themselves or to a fellow officer who has been wounded.

Israeli bandages are inexpensive, and even if your department does not issue them (they probably don’t), you should shell out the $6-8 and get one.  Actually, you should get several and practice with one.

The application is straightforward, but the folks at ITS Tactical put together a great video on the proper application of an Israeli-style compression bandage:

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