Document Detail


Tactical medical skill requirements for law enforcement officers: a 10-year analysis of line-of-duty deaths.
MedLine Citation:
PMID:  20845323     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: In the absence of other data, military Tactical Combat Casualty Care (TCCC) precepts are increasingly being adapted to law enforcement needs. The purpose of this study is to better describe the nature of potentially preventable law enforcement Line-of-Duty Deaths (LODDs) occurring as a result of felonious assaults.
METHODS: A retrospective analysis was performed of open source data available through the US Federal Bureau of Investigation Uniform Crime Reporting (UCR) Law Enforcement Officers Killed and Assaulted (LEOKA) program for the years 1998-2007 inclusive.
RESULTS: After applying exclusion criteria, 341 victim officers were included in the study. The most common cause of death was head trauma (n=198), followed by chest trauma (n=90). There were 123 victim officers that suffered potentially preventable deaths; the majority of these injuries involved the chest. Over the 10-year study period, only two officers (0.6%) died from isolated extremity hemorrhage.
CONCLUSIONS: The current emphasis of TCCC on control of exsanguinating extremity hemorrhage may not meet the needs of law enforcement personnel in an environment with expedited access to well-developed trauma systems. Further study is needed to better examine the causes of preventable deaths in law enforcement officers, as well as the most appropriate law enforcement tactical medical skill set and treatment priorities.
Authors:
Matthew D Sztajnkrycer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prehospital and disaster medicine     Volume:  25     ISSN:  1049-023X     ISO Abbreviation:  Prehosp Disaster Med     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-09-16     Completed Date:  2010-11-05     Revised Date:  2011-12-15    
Medline Journal Info:
Nlm Unique ID:  8918173     Medline TA:  Prehosp Disaster Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  346-52     Citation Subset:  T    
Affiliation:
Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA. sztajnkrycer.mathew@mayo.edu
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MeSH Terms
Descriptor/Qualifier:
Emergency Treatment / methods
Humans
Inservice Training
Occupational Health*
Police / education*,  standards
Retrospective Studies
United States / epidemiology
Violence / prevention & control*
Wounds and Injuries / therapy*
Comments/Corrections
Comment In:
Prehosp Disaster Med. 2010 Jul-Aug;25(4):353   [PMID:  20845324 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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