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How did the fantasy world depicted in men’s adventure magazines compare with the reality of Vietnam? While magazine stories about the US war in Vietnam suggested that this was a new kind of war, more unconventional in nature than that of World War II or Korea, storylines remained stuck in earlier conceptions of warfare. The vast majority of US soldiers serving in Vietnam did so in combat support or service support units, yet the magazines continued to focus on the exploits of combat infantrymen. Moreover, portrayals of the enemy continued the long tradition of racism against non-white combatants. Thus, storylines not only illustrated the evils of Vietnamese communists, but also highlighted the corruption and ineptitude of America’s South Vietnamese allies. Narratives extolled the courage of a new generation of heroes who, like their fathers in World War II, could best their enemies on the field of battle. Yet, Vietnam offered few chances to prove one’s manhood in battle. Combat was immensely frustrating for American soldiers, who more often than not fought a war of surprise ambushes against an elusive enemy. And in a war without front lines, few of them could demonstrate that progress was being made toward ultimate victory.
Based upon military experience, law enforcement has developed guidelines for medical care during high-threat conditions. The purpose of the current study was to provide a descriptive analysis of reported outcomes of law enforcement medical interventions.
Methods
This was a descriptive analysis of a convenience sample of cases submitted to the Wisconsin Tactical Medicine Initiative (Wisconsin USA), after the provision of successful patient care, between January 2010 and December 2015. The study was reviewed by the Mayo Foundation Institutional Review Board (Rochester, Minnesota USA) and deemed exempt.
Results
Nineteen agencies submitted information during the study period. Of the 56 episodes of care reported, four (7.1%) cases involved care provided to injured officers while 52 (92.9%) involved care to injured civilians, including suspects. In at least two cases, on-going threats existed during the provision of medical care to an injured civilian. Law enforcement rendered care prior to Emergency Medical Services (EMS) arrival in all but two cases.
Conclusions
The current case series demonstrates the life-saving potential for law enforcement personnel trained and equipped under current Tactical Combat Casualty Care (TCCC)/ Committee on Tactical Emergency Casualty Care (C-TECC) tactical casualty care guidelines. Although originally developed to save the lives of wounded combat personnel, in the civilian sector, the training appears more likely to save victims rather than law enforcement personnel.
StilesCM, CookC, SztajnkrycerMD. A Descriptive Analysis of Tactical Casualty Care Interventions Performed by Law Enforcement Personnel in the State of Wisconsin, 2010-2015. Prehosp Disaster Med. 2017;32(3):284–288.
Tension pneumothorax is the second leading cause of preventable combat death. Although relatively simple, the management of tension pneumothorax is considered an advanced life support skill set. The purpose of this study was to assess the ability of non-medical law enforcement personnel to learn this skill set and to determine long-term knowledge and skill retention.
Methods:
After completing a pre-intervention questionnaire, a total of 22 tactical team operators completed a 90-minute-long training session in recognition and management of tension pneumothorax. Post-intervention testing was performed immediately post-training, and at one- and six-months post-training.
Results:
Initial training resulted in a significant increase in knowledge (pre: 1.3 ±1.35, max score 7; post: 6.8 ±0.62, p < 0.0001). Knowledge retention persisted at one- and six-months post-training, without significant decrement.
Conclusions:
Non-medical law enforcement personnel are capable of learning needle decompression, and retain this knowledge without significant deterioration for at least six months.
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