12. Environmental Factors 13. Explosions and Blast Injuries 14. Injury Patterns and Evidence Preservation 15. Hazardous Materials Management
16. Remote/Surrogate Treatment 17. Less Lethal Injuries 18. Special Populations
Training For Your Mission
Although agencies have provided recommendations for core competen‐ cies for training, the contextual require‐ ments of your assigned mission come first. Inherent differences in mission profiles (counter‐drug, vs. counter‐ insurgency, vs. warrant service, etc.) as well as geographic locations, resource availability, etc. should shape your train‐ ing interests and curricula. Remember, one cannot directly take combat tacti‐ cal care and apply it immediately to the civilian context. The operational, legal,
medical as well as other characteristics that differ between civilian law enforce‐ ment medical support and military tacti‐ cal trauma care are too great to do a direct translation of practice. Consider the environment you’ll operate in. Plan for environmental issues as well as operational issues and train for those. In many cases, medical support is a last consideration and not integrated into tactical operational planning.
approach, prepares core response capabilities that are quickly available at short notice and able to operate “blind‐ ly.” For instance, if law enforcement agencies execute a short‐notice war‐ rant service, medical assets might not have any preparatory time to conduct their medical operational plan. Regardless of that disadvantage, the tactical medial support element should be able to quickly integrate into opera‐ tions based on their ongoing training.
Getting Trained Using this readiness
Since the late 1990s, several “tactical medicine” training programs have sur‐ faced all over the country. Despite the saturation of programs in the country, the difficulty of choosing the right one for your department is actually easier than one might think. First and fore‐ most, train locally with the element that you’ll support. Learn how they operate and more importantly how you’ll inte‐ grate into their operations. That expe‐ rience will point you in a proper direc‐ tion.
One of the biggest downfalls of oper‐ ational medical training programs is to give a “one‐way” approach to task accomplishment. Avoid programs that establish one way for accomplishing tasks. Contextual approach training programs should give the provider thinking skills pertinent to the opera‐ tional environment. Remember “scene
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