Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA.
Prehosp Disaster Med. 2010 Jul-Aug;25(4):346-52. doi: 10.1017/s1049023x00008323.
In the absence of other data, military Tactical Combat Casualty Care (TCCC) precepts are increasingly being adapted to law enforcement needs. The purpose of this study is to better describe the nature of potentially preventable law enforcement Line-of-Duty Deaths (LODDs) occurring as a result of felonious assaults.
A retrospective analysis was performed of open source data available through the US Federal Bureau of Investigation Uniform Crime Reporting (UCR) Law Enforcement Officers Killed and Assaulted (LEOKA) program for the years 1998-2007 inclusive.
After applying exclusion criteria, 341 victim officers were included in the study. The most common cause of death was head trauma (n=198), followed by chest trauma (n=90). There were 123 victim officers that suffered potentially preventable deaths; the majority of these injuries involved the chest. Over the 10-year study period, only two officers (0.6%) died from isolated extremity hemorrhage.
The current emphasis of TCCC on control of exsanguinating extremity hemorrhage may not meet the needs of law enforcement personnel in an environment with expedited access to well-developed trauma systems. Further study is needed to better examine the causes of preventable deaths in law enforcement officers, as well as the most appropriate law enforcement tactical medical skill set and treatment priorities.
在缺乏其他数据的情况下，军事战术战斗伤亡救护（TCCC）原则越来越多地被应用于执法需求。本研究的目的是更好地描述由于重罪袭击而导致的潜在可预防执法人员因公殉职（LODD）的性质。
对美国联邦调查局统一犯罪报告（UCR）执法人员被杀和袭击（LEOKA）计划中 1998 年至 2007 年期间公开来源数据进行回顾性分析。
应用排除标准后，341 名受害警察被纳入研究。最常见的死因是头部创伤（n=198），其次是胸部创伤（n=90）。有 123 名受害警察遭受了潜在可预防的死亡；这些伤害大多数涉及胸部。在 10 年的研究期间，只有两名警察（0.6%）死于孤立的四肢出血。
目前 TCCC 对控制失血过多的四肢出血的重视可能无法满足在创伤系统发达的环境中快速获得的执法人员的需求。需要进一步研究以更好地检查执法人员可预防死亡的原因，以及最合适的执法战术医疗技能和治疗重点。
