Department of Surgery, Yale University School of Medicine, New Haven, CT 06520, USA.
Prehosp Disaster Med. 2012 Dec;27(6):583-8. doi: 10.1017/S1049023X12001112. Epub 2012 Aug 21.
Tactical emergency medical services (TEMS) bring immediate medical support to the inner perimeter of special weapons and tactics team activations. While initially envisioned as a role for an individual dually trained as a police officer and paramedic, TEMS is increasingly undertaken by physicians and paramedics who are not police officers. This report explores the ethical underpinnings of embedding a surgeon within a military or civilian tactical team with regard to identity, ethically acceptable actions, triage, responsibility set, training, certification, and potential future refinements of the role of the tactical police surgeon.
战术紧急医疗服务（TEMS）为特别武器和战术小组的内部提供即时医疗支持。虽然最初设想的角色是同时接受警察和护理人员培训的个人，但 TEMS 越来越多地由不是警察的医生和护理人员承担。本报告探讨了在军事或民用战术小组中嵌入外科医生的身份、伦理上可接受的行动、分诊、责任设定、培训、认证以及战术警察外科医生角色的潜在未来改进等方面的伦理基础。
