1/75th Ranger Btn
US Coast Guard
Marine Security Frc
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Training and Qualifications
The resources available to
different communities and agencies vary widely across the country.
As a result, the optimum configuration of tactical medical support
for a particular team will also vary as much as the tactical teams
themselves. However, certain basic principles guide the development
of a sound medical support program.
- Team medical officers should be
trained to at least the basic Emergency Medical Technician level
and should be required to maintain current certification by a
bona fide certifying body, such as a state agency or the
National Registry of Emergency Medical Technicians. Furthermore,
every effort should be made to provide EMT-Paramedic or ALS
level service at the outer perimeter of the area of operation.
- Team medical officers must be
familiar with, and able to effectively coordinate with the
entire Emergency Medical System, from the area of operation to
the receiving medical facility.
- Tactical medics may be organic
to the team, sworn officers, or members of other agencies such
as fire departments or EMS services who are specifically
selected and trained. These personnel must work with the
tactical team on a regular basis and must be trained to
understand mission objectives, tactics used, weapons,
pyrotechnics and other devices likely to be employed, and
communication policies and procedures. In order to function
effectively in support of a tactical team, the medic must have a
working knowledge of the team, its tools and tactics.
- All personnel assigned as
tactical medics should maintain their clinical skills by
actively participating in patient care activities on a regular
Medical support for tactical
law enforcement operations requires a unique expertise beyond
medical competence. Not every EMT, paramedic or physician is
trained or qualified to provide such support. Team medical
officers should complete specialized training, which teaches the
skills necessary to operate in the austere environment.
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