Ciccone Teriggi J, Anderson Phillip D, Gann Chon A D, Riley J Michael, Maxwell Michael, Hopkins Robert, Ciottone Gregory
Department of Emergency Medicine, Division of International Disaster and Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.
Prehosp Disaster Med. 2005 Jan-Feb;20(1):36-9. doi: 10.1017/s1049023x00002120.
The emerging need for tactical operations in law enforcement often places personnel involved at risk. Tactical operations often are carried out in environments in which access to emergency care is limited. With the war against terrorism expanding, special operations involving United States federal agents are occurring worldwide. Currently, there are very few tactical medicine curricula training traditional emergency medical services (EMS) providers to operate in these high-risk missions. Trainees in existing programs must have previous EMS experience, and are selected from a wide range of backgrounds. The goal of this study is to examine a Special Agent Emergency Medical Technician (SAEMT) training curriculum developed specifically for federal special agents with prior experience in tactical operations, but without previous medical training.
An analysis of the SAEMT Program given to federal agents of the Drug Enforcement Administration (DEA) in Quantico, Virginia between July 2000 and April 2002 was performed. The SAEMT curriculum provided enrolled agents 181.5 hours of training in tactical emergency topics, including medical mission planning, logistics, operations, evacuation, and weapons training. In addition, SAEMT concurrently provides emergency medical technician (EMT) training. All of the participants were DEA agents with no previous medical training. Upon completion of the course, all participants took the National Registry of EMT-Basic examination. Measured endpoints included course completion rate and performance on certifying examinations.
Ninety-five agents were enrolled and successfully completed the SAEMT course between July 2000 and April 2002. Of the agents enrolled, 84 (88%) passed the National Registry of EMTs-Basic examination within two attempts.
The SAEMT Program provides basic emergency medical training to federal special agents with no previous medical experience. The design of this program provides a useful template to meet the expanding demand for tactical emergency medical personnel.
执法行动中对战术行动的需求不断增加，这常常使相关人员面临风险。战术行动通常在获得紧急医疗救助受限的环境中进行。随着反恐战争的扩大，涉及美国联邦特工的特种行动在全球范围内展开。目前，很少有战术医学课程培训传统的紧急医疗服务（EMS）提供者在这些高风险任务中开展工作。现有项目的学员必须有先前的EMS经验，且从广泛的背景中选拔。本研究的目的是检验一个专门为有战术行动经验但无先前医学培训的联邦特工开发的特别探员紧急医疗技术员（SAEMT）培训课程。
对2000年7月至2002年4月期间在弗吉尼亚州匡蒂科向缉毒局（DEA）联邦特工提供的SAEMT项目进行了分析。SAEMT课程为注册特工提供了181.5小时的战术紧急主题培训，包括医疗任务规划、后勤、行动、撤离和武器培训。此外，SAEMT同时提供紧急医疗技术员（EMT）培训。所有参与者均为无先前医学培训的DEA特工。课程结束后，所有参与者参加了国家紧急医疗技术员基础注册考试。测量的终点包括课程完成率和认证考试成绩。
2000年7月至2002年4月期间，95名特工注册并成功完成了SAEMT课程。在注册的特工中，84名（88%）在两次尝试内通过了国家紧急医疗技术员基础注册考试。
SAEMT项目为无先前医学经验的联邦特工提供基本的紧急医疗培训。该项目的设计为满足对战术紧急医疗人员不断增长的需求提供了一个有用的模板。
