Tactical Emergency Medical Services
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Tactical Emergency Medical Services
Tactical Emergency medical services (TEMS) is out-of-hospital care given in hostile situations by specially trained practitioners. Tactical support provided through TEMS can be applied in either the civilian world, generally with special law enforcement teams such as SWAT and SERT, as well as with military special operations teams. Tactical EMS providers are paramedics, nurses, and physicians who are trained to provide life-saving care and, sometimes, transport in situations such as tactical police operations, active shooters, bombings, and natural disasters. Tactical medical providers (TMPs) provide care in high risk situations where there is an increased likelihood for law enforcement, civilian, or suspect casualties. TEMS units are also deployed in situations where traditional EMS or firefighters cannot respond. TMPs are specially trained and authorized to perform live-saving medical procedures in austere and often times unconventional environments. TMPs are also expected to be ...
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Basic Life Support
Basic life support (BLS) is a level of medical care which is used for patients with life-threatening illnesses or injuries until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians). It can be provided by trained medical personnel, such as emergency medical technicians, and by qualified bystanders. Background The International Liaison Committee on Resuscitation (ILCOR) was formed in 1992 to coordinate the efforts of resuscitation worldwide. The ILCOR representatives come from various countries such as the United States, Canada, Australia, New Zealand, and from the European, Asian, and African continents. In 2000, the committee published the first resuscitation guideline. In 2005, the committee published International Consensus on Cardiopulmonary resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Science with Treatment Recommendations. Since 2010, the committee has provided materials for regional resuscitation providers su ...
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Physician Assistant
A physician assistant or physician associate (PA) is a type of Mid-level practitioner, mid-level health care provider. In North America PAs may diagnose illnesses, develop and manage treatment plans, prescribe medications, and may serve as a principal healthcare provider. PAs are required in many states to have a direct agreement with a physician. In the United States and Canada, PAs are certified by their respective certifying bodies. The educational model was initially based upon the accelerated training of physicians during the shortage of qualified medical providers during World War II. In the UK, PAs were introduced in 2003. They support GPs, but require oversight from a physician. Nomenclature The occupational title of physician assistant and physician associate originated in the United States in 1967 at Duke University. The role has been adopted in the US, Canada, UK and Ireland, each with their own nomenclature. Services Physician assistants or associates may: *co ...
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Nurse
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription authority. Nurses comprise the largest component of most healthcare environments; but there is evidence of international shortages of qualified nurses. Many nurses provide care within the ordering scope of physicians, and this traditional role has shaped the public image of nurses as care providers. Nurse practitioners are nurses with a graduate degree in advanced practice nursing. They are however permitted by most jurisdictions to practice independently in a variety of settings. Since the postwar period, nurse education has undergone a process of diversification towards advanced an ...
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Paramedic
A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are paramedics. In some English-speaking countries, there is an official distinction between paramedics and emergency medical technicians (or emergency care assistants), in which paramedics have additional educational requirements and scope of practice. Duties and functions The paramedic role is closely related to other healthcare positions, especially the emergency medical technician, with paramedics often being at a higher grade with more responsibility and autonomy following substantially greater education and training. The primary role of a paramedic is to stabilize people with life-threatening injuries and transport these patients to a higher level of care (typically an emergency department). Due to the nature of their job, paramedics work ...
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170210-M-IH158-093 (32938511546)
Seventeen or 17 may refer to: *17 (number), the natural number following 16 and preceding 18 * one of the years 17 BC, AD 17, 1917, 2017 Literature Magazines * ''Seventeen'' (American magazine), an American magazine * ''Seventeen'' (Japanese magazine), a Japanese magazine Novels * ''Seventeen'' (Tarkington novel), a 1916 novel by Booth Tarkington *''Seventeen'' (''Sebuntiin''), a 1961 novel by Kenzaburō Ōe * ''Seventeen'' (Serafin novel), a 2004 novel by Shan Serafin Stage and screen Film * ''Seventeen'' (1916 film), an American silent comedy film *''Number Seventeen'', a 1932 film directed by Alfred Hitchcock * ''Seventeen'' (1940 film), an American comedy film *''Eric Soya's '17''' (Danish: ''Sytten''), a 1965 Danish comedy film * ''Seventeen'' (1985 film), a documentary film * ''17 Again'' (film), a 2009 film whose working title was ''17'' * ''Seventeen'' (2019 film), a Spanish drama film Television * ''Seventeen'' (TV drama), a 1994 UK dramatic short starring Christien ...
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Cricothyrotomy
A cricothyrotomy (also called cricothyroidotomy) is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by a foreign body, angioedema, or massive facial trauma. Cricothyrotomy is nearly always performed as a last resort in cases where other means of tracheal intubation are impossible or impractical. Compared with tracheotomy, cricothyrotomy is quicker and easier to perform, does not require manipulation of the cervical spine, and is associated with fewer complications. However, while cricothyrotomy may be life-saving in extreme circumstances, this technique is only intended to be a temporizing measure until a definitive airway can be established. Indications A cricothyrotomy is often used as an airway of last resort given the numerous other airway options available including standard tracheal intubation and rapid sequence induction which are the common means of establishing ...
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Emergency Medical Technician
An emergency medical technician (EMT), also known as an ambulance technician, is a health professional that provides emergency medical services. EMTs are most commonly found working in ambulances. In English-speaking countries, paramedics are a separate profession that has additional educational requirements, qualifications, and scope of practice. EMTs are often employed by private ambulance services, municipal EMS agencies, governments, hospitals, and fire departments. Some EMTs are paid employees, while others (particularly those in rural areas) are volunteers. EMTs provide medical care under a set of protocols, which are typically written by a physician. Hazard controls EMTs are exposed to a variety of hazards such as lifting patients and equipment, treating those with infectious disease, handling hazardous substances, and transportation via ground or air vehicles. Employers can prevent occupational illness or injury by providing safe patient handling equipment, impleme ...
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Tourniquet
A tourniquet is a device that is used to apply pressure to a limb or extremity in order to stop the flow of blood. It may be used in emergencies, in surgery, or in post-operative rehabilitation. A simple tourniquet can be made from a stick and a rope, but the use of makeshift tourniquets has been reduced over time due to their ineffectiveness compared to a commercial and professional tourniquet. This may stem the flow of blood, but side effects such as soft tissue damage and nerve damage may occur. Types There are three types of tourniquets: surgical tourniquets, emergency tourniquets, and rehabilitation tourniquets. Surgical tourniquets Silicone ring tourniquets, or elastic ring tourniquets, are self-contained mechanical devices that do not require any electricity, wires or tubes. The tourniquet comes in a variety of sizes. To determine the correct product size, the patient's limb circumference at the desired occlusion location should be measured, as well as their bloo ...
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Virginia Tech Shooting
The Virginia Tech shooting was a spree shooting that occurred on April 16, 2007, comprising two attacks on the campus of the Virginia Polytechnic Institute and State University in Blacksburg, Virginia, United States. Seung-Hui Cho, an undergraduate student at the university and a U.S. resident who was from South Korea, killed 32 people and wounded 17 others with two semi-automatic pistols. Six others were injured jumping out of windows to escape Cho. The first shooting occurred at West Ambler Johnston Hall, a dormitory, where two people were killed; the main attack was a school shooting at Norris Hall, a classroom building, where Cho chained the main entrance doors shut and fired into four classrooms and in a stairwell, killing thirty more people. As police stormed Norris Hall, Cho fatally shot himself in the head. It was also the deadliest modern U.S. mass shooting until it was surpassed nine years later by a shooting at a nightclub in Orlando, Florida. It remains the ...
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Columbine High School Massacre
On April 20, 1999, a school shooting and attempted bombing occurred at Columbine High School in Columbine, Colorado, United States. The perpetrators, 12th grade students Eric Harris and Dylan Klebold, murdered 12 students and one teacher. 10 students were killed in the school library, where Harris and Klebold subsequently committed suicide. 21 additional people were injured by gunshots, and gunfire was also exchanged with the police. Another three people were injured trying to escape. At the time, it was the deadliest high school shooting in U.S. history. The shooting has inspired dozens of copycat killings, dubbed the Columbine effect, including many deadlier shootings across the world. The word "Columbine" has become a byword for school shootings. Harris and Klebold had intended for the attack to primarily be a bombing and secondarily a shooting, but the failed detonation of the several homemade bombs they planted in the school caused the pair to launch a shooting attac ...
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Bag Valve Mask
A bag valve mask (BVM), sometimes known by the proprietary name Ambu bag or generically as a manual resuscitator or "self-inflating bag", is a hand-held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately. The device is a required part of resuscitation kits for trained professionals in out-of-hospital settings (such as ambulance crews) and is also frequently used in hospitals as part of standard equipment found on a crash cart, in emergency rooms or other critical care settings. Underscoring the frequency and prominence of BVM use in the United States, the American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care recommend that "all healthcare providers should be familiar with the use of the bag-mask device." Manual resuscitators are also used within the hospital for temporary ventilation of patients dependent on mechanical ventilators when the mechanical ventilator ...
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