J Spec Oper Med. 2021 Spring;21(1):90-93. doi: 10.55460/N8EW-ME22.
An immediate paramedic tactical response unit was implemented into a civilian emergency medical services (EMS) system. This was compared with the preexisting traditional tactical EMS support (TEMS). The primary aim of the study was to evaluate the effect on tasking frequencies. The secondary aims of the study were to assess mission timings and the effect on patient encounters.
Paramedics with tactical emergency medical training provided immediate response on a 24/7 basis. They responded to support police in high-risk TEMS scenarios and incidents in a Tactical Emergency Casualty Care (TECC) role. Tasking frequencies, timings, and clinical input were compared between the first year of immediate response and 3 preceding years of TEMS.
The number of TEMS dispatches increased from an average of 5 to 54 annually. The median time from dispatch to scene arrival decreased from a median of 54 minutes (interquartile range [IQR] 39-65) to 17 minutes (IQR 11-26) (p < .0001). The overall mission duration decreased from a median of 3 hr 13 min (IQR 2 h 29 min to 4 h 40 min) to 1 h 12 min (IQR 34 min-1 h 18 min) (p < .0001). The number of treated patients increased from one minor injury annually to 13 severe and six minor injuries annually.
Implementing immediate tactical paramedic response significantly decreases response time and mission duration and increases the number of activations and resultant number of treated patients.
在民用紧急医疗服务（EMS）系统中引入了一个即时的医疗急救战术反应小组。这与现有的传统战术 EMS 支持（TEMS）进行了比较。该研究的主要目的是评估对任务频率的影响。该研究的次要目的是评估任务时间和对患者遭遇的影响。
具有战术紧急医疗培训的护理人员提供 24/7 的即时响应。他们在战术紧急伤员护理（TECC）角色中支持警察在高风险 TEMS 场景和事件中。在即时响应的第一年与之前 3 年的 TEMS 期间，比较了任务频率、时间和临床输入。
TEMS 派遣次数从平均每年 5 次增加到 54 次。从调度到现场到达的中位数时间从中位数 54 分钟（四分位距 [IQR] 39-65）减少到 17 分钟（IQR 11-26）（p <.0001）。整体任务持续时间从中位数 3 小时 13 分钟（IQR 2 小时 29 分钟至 4 小时 40 分钟）减少到 1 小时 12 分钟（IQR 34 分钟至 1 小时 18 分钟）（p <.0001）。每年治疗的患者人数从每年一人轻微受伤增加到每年 13 人严重受伤和 6 人轻微受伤。
实施即时战术医疗急救响应可显著缩短响应时间和任务持续时间，并增加激活次数和治疗患者人数。
