Cannon Mark
Anesthesia Services Medical Group, Chula Vista Police Department, University of California, San Diego, San Diego, California.
J Emerg Med. 2013 Nov;45(5):710-3. doi: 10.1016/j.jemermed.2013.01.026. Epub 2013 Aug 27.
The threat of rifles in the hands of criminals is now well recognized within law enforcement. Current emergency response systems are not equipped to operate in this combat-like environment. Growing statistics indicate that of the peace officers that were killed in the line of duty in the United States nearly half died by gunfire evidence.
As Emergency Medical Services ("EMS") training and standards evolve, the lessons learned from the Tactical Combat Casualty Care doctrine should be incorporated to improve the safety and outcomes of injured law enforcement officers. Statistics show that deaths by gunfire have the highest average percentage of all officer deaths. Although new weapons, armor, and tactics are continually evolving to meet the challenge of officer safety, in the past decade, little has changed in how our EMS system responds to a critically wounded officer.
Combat data from the US military leads us to believe that to save a wounded officer, emergency care must start immediately, regardless of the ongoing gun battle.
It is time for the emergency medical system to evolve to meet the critical needs of today's law enforcement environment.
执法部门现已充分认识到罪犯手中步枪带来的威胁。当前的应急响应系统并未配备在这种类似战斗的环境中运作的能力。越来越多的统计数据表明，在美国因公殉职的警察中，近一半死于枪击。
随着紧急医疗服务（“EMS”）培训和标准的不断发展，应借鉴战术战斗伤亡护理原则中的经验教训，以提高受伤执法人员的安全性和救治效果。统计数据显示，枪击死亡在所有警察死亡原因中所占平均比例最高。尽管新武器、护甲和战术不断发展以应对警察安全挑战，但在过去十年中，我们的紧急医疗服务系统对重伤警察的响应方式几乎没有改变。
来自美国军方的战斗数据使我们相信，为了挽救受伤警察，必须立即开始紧急救治，无论枪战是否仍在进行。
紧急医疗系统是时候进行变革以满足当今执法环境的关键需求了。
