American College of Emergency PhysiciansTacMed Education Materials
Welcome to the TacMed Educational Materials Site. As a member of the ACEP TEM Section, you are authorized to download and utilize the below materials in a professional and appropriate manner. Please limit distribution to professional tactical emergency medicine personnel, tactical officers and other law enforcement officers, and military special operations personnel. Please take appropriate precautions to avoid these materials from being viewed or accessible by the general public.
Our leadership team is delighted to be able to provide these teaching materials to you, and if you have photos, videos, PowerPoint lectures, MOUs, team protocols, and other materials that you feel may benefit our section and the field of tactical medicine, then please contact us. These will hopefully prove to be worthy educational tools and valuable resources for training those good people who keep the law and order, and who keep our communities and our nation safer. Thank you for your dedication to excellence.
The key goal of tactical/operational teams is the same as the tactical medical support teams/provider, which is to accomplish the mission with as few unintentional injuries and deaths as possible. This is achieved over 95% of tactical deployments.
Tactical Teaching Moment - Dr. John Wipfler
Photos - taken by Dr. Wipfler - Permission to share in a professional manner by ACEP TEM Section members is given by the author.
Question... how much blood loss is there at the scene?
These photographs demonstrate how much 500 mL of blood loss looks like, as well as 1000 mL of blood loss.
One of the questions that EMS / Fire / LE / other medical professionals seem to be inaccurate about is estimated blood loss.
A key thing that tactical physicians can teach tactical officers and other public safety professionals is how much blood loss may occur, and what the symptoms / signs are, and what it accurately appears like.
Perhaps these photos can be utilized to help teach your team and region.
Watch for the next Tactical Newsletter for more details in June.
500 cc of simulated blood
Simulated downed LEO with 500 cc pool of red-colored water (simulated blood)
Simulated addition of another 500 cc, for a total of 1000 cc of red colored water (simulated blood)
Simulated downed LEO with 1000 cc of pooled blood. Even despite this large pool, after a TQ is applied, they should be fully functioning and remain alert to address other threats and get home eventually.
Agitated or Violent Patient/Behavioral Emergencies
Protocol for Adults
EMS - Agitated or Violent Patient Protocol (PDf)
