POLICE Magazine Supplements

Special Report 2018

Magazine for police and law enforcement

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SPECIAL REPORT: KEEPING SCHOOLS SAFE 15 After you get the "walking wounded" out, take a quick look at the unrespon- sive. If you observe someone with a mas- sive head or chest injury with copious blood loss, then you might have to move on. I would suggest rolling that person into the recovery position and then as quickly as possible move to the next vic- tim and assess the trauma. When giving aid to the victims you can help, you need to decide whether a quick tourniquet to an extremity will be applicable or will simply applying direct pressure as well as packing the wound suffice. ese are all difficult choices be- cause as officers, even officers with tacti- cal medical training, we only can carry so much trauma equipment on our per- sons. If we use it all on a single individu- al, we may not have enough for someone else who could possibly need that one specific piece of trauma gear to save their life. So you must ration and only deploy what's absolutely needed. ere will al- ways be the lingering questions of "What if?" and "Could I have done more?" but spond to school shootings, we not only have to be ready to take the fight to the killer, we also have to be trained in tacti- cal medicine and learn to work together with paramedics to save as many of the victims as we can. Proper training on the application and use of both traditional and makeshift tourniquets as well as he- mostatic agents and packing materials is critical. And we have to be mentally pre- pared to deal with child/teen shooters, and then the injured and dying children. Overall if I can just emphasize one major point to you, it's that you need to take action. Do something. You can't make the situation any worse by get- ting involved. A child bleeding out will die unless you do something. e least you can do is buy the victims some more time so they can receive further atten- tion from medical professionals. H Of ficer Daniel Greene is a former U.S Army helicopter pilot and a seven-year veteran of the Scottsdale (AZ) Police Department. those cannot be considered during the time of triage. Instead the mindset must be to help as many of those who can be helped as quickly as possible. EXTRACTION Once you have begun basic lifesaving interventions, your next thought should be how to get the injured to a higher lev- el of care. Are the paramedics coming to your location or do you have to extract the victims? Moving victims who should be moved to medical care can require quick think- ing. Medical litters are a valuable piece of equipment, but if you do not have a lit- ter, then you will have to improvise. Look around the room. A modified litter can be as simple as a chair with wheels for pushing the injured out. Or you can use a curtain, tablecloth, or even a folding table. Practice mindfully assessing your current surroundings and determining what could be helpful should the situa- tion arise. As officers who may be asked to re- PHOTO: GETTY IMAGES

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