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TRANSCRIPT
Best Medicine, Worst Places: Dallas Police Tactical Medical Support Team
Public Safety Committee
June 11, 2012
www.dallaspolice.net
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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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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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
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
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
Dallas Police Tactical Medicine
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Three Core Divisions
• Direct Medical Support
–On scene
–Integrated
• Training
• Medical Direction/Consultation
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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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Direct Medical Support
10 10
Direct Medical Support 11/2004 - present
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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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• August 29, 2006
• Radisson Hotel, 4th Floor
• Hostage
• Officer J. Borchardt
SABA First Save
Borchardt Save
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Borchardt Save
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Borchardt Save
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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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Tourniquet
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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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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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Unique Partnerships
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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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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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QUESTIONS?
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