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Page 1: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health
Page 2: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Best Medicine, Worst Places: Dallas Police Tactical Medical Support Team

Public Safety Committee

June 11, 2012

www.dallaspolice.net

Page 3: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Overview

• Review need for law enforcement medicine

• Provide an overview of current capabilities

• Examine department-wide impact

• Discuss future directions and program expansion

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Page 4: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Program Goals

• Mitigate inherent risk of officer injury with timely, efficient care

• Improve community relations

• Improve community safety

• Initiate Trauma Center-level care immediately after injury—no Golden Hour

“Best medicine, worst places”

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Page 5: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Duncanville Road Shootout 2004

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Injuries

• Gunshot wound: Femoral artery – Shock

• Gunshot wound: Upper arm

• Gunshot wound: Elbow

– Shock

Immediate Treatment

• None

• None

• None

Page 6: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Initial Formation

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• Formed: 9/11/2004

• Operational: 11/1/2004

• Continuous development

• All hazards coverage

• Dr. Paul Pepe

• Lt. Robert Owens

Page 7: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Tactical EMS: Altered Care Priorities vs. Standard EMS

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HOT zone = receiving effective fire

WARM zone = behind cover

COLD zone = NOT under fire

M assive Bleed A irway R espiration C irculation H ead

Page 8: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Dallas Police Tactical Medicine

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Page 9: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Three Core Divisions

• Direct Medical Support

–On scene

–Integrated

• Training

• Medical Direction/Consultation

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Page 10: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Direct Medical Support 11/2004 - present

• SWAT – >2,190 operations

• Warrants, Barricaded Suspects, Dignitary Protection

• Narcotics – >100 High Risk Warrants

• Special Events – White Rock Marathon, TX-OU, NBA, Superbowl,

Sheltering

– Component of Tactical Planning Process

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Page 11: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Direct Medical Support

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Page 12: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Direct Medical Support 11/2004 - present

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Page 13: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Medical Training Programs

• Police Officer/EMT’s – Training Section (Basic)

– Firearms Training Center

• Self-Aid/Buddy-Aid (SABA) – Hi Risk Units (SWAT, Op Disruption, Gang, Love Field)

– Patrol rifle

– Critical Incident Response Program

– Adapt and “borrow” • No budget for SABA

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Page 14: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

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• August 29, 2006

• Radisson Hotel, 4th Floor

• Hostage

• Officer J. Borchardt

SABA First Save

Page 15: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Borchardt Save

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Page 16: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Borchardt Save

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Page 17: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Borchardt Save

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Page 18: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

SABA Most Recent Save

• May 7, 2012

• Sgt. Chuck Young

• Critical Incident Response Team (CIRT) Vehicle

• Shooting

• Civilian saved – CBS 11 TV Coverage

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Page 19: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Tourniquet

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Page 20: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Other Medical Programs

• DPD EMTs

• Mental Health Officer Program

• Injured Officer Advocacy

• Facility AEDs

• Dallas County Jail/Wait Times/Jail Health

• In-custody death review

• Taser/Less Lethal Weapon Injury and Use review

• Multiple research programs – International Association of Chiefs of Police

• Reducing Officer Injuries Study

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Page 21: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Unique Partnerships

• UTSW Donation: – Time; Malpractice Coverage

• 2011: 1,250 hours = $281,250

• 2004-Present: $2,053,125

– Numerous physician visits and access

– Injured Officer Advocacy

• Parkland Hospital – Pharmaceuticals

• City of Dallas – Vehicles, LE equipment & Training (sworn members)

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Page 22: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Unique Partnerships

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Page 23: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

2012-2013 Initiatives • 24/7 Medical Officer on Call Coverage

– Injured Officer/Major Events (COMPLETE) – Fusion Center/Public Health (COMPLETE)

• Department-wide SABA Deployment – Training and Equipment

• Expansion of coverage: – Dive Team – Explosive Ordinance Disposal

• In-custody death review changes • Workers comp/injured officer process overhaul

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Page 24: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

Summary

• Unique partnership – City of Dallas, DPD and UTSW leadership

– Chief Kunkle, Chief Brown

• Proven track record, continuous development

• Anticipated future projects

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Page 25: Best Medicine, Worst Places - Dallas€œBest medicine, worst places” 3 . Duncanville Road Shootout ... (SABA) – Hi Risk Units ... • Dallas County Jail/Wait Times/Jail Health

QUESTIONS?

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