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Tactical Medicine: The Basics
Alexander Eastman, MD Chief Medical Officer Dallas Police SWAT 12 SWAT Avare, BR CATI SWAT TRAINING
Introduction to TCCC APH Tatico 2009

―The fate of the wounded lays with those who apply the first dressing.‖ --Col. Nicholas Senn 1844-1908

Introduction to TCCC

APH Tatico 2009

―Good medicine, bad places‖

Introduction to TCCC

APH Tatico 2009

Why???
• • • • • • • • • • 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 164 161 134 150 225 176 168 162 157 145
APH Tatico 2009

Introduction to TCCC

• Introduction/History of SWAT
• Introduction of TEMS concepts • Case studies • Future Directions
Introduction to TCCC APH Tatico 2009

SWAT Development
• UT Tower, 1966 • LAPD

• Ruby Ridge
• Waco • Modern TEMS Era
Introduction to TCCC APH Tatico 2009

UT Tower, 1966
• Charles Whitman • Military background • Multiple weapons
– Rifle x 2, shotgun, pistol

• Shot victims over 500 yards away • Killed by two patrolmen
Introduction to TCCC APH Tatico 2009

Black Panthers, 1969
• LAPD • Felony warrant on Geronimo Pratt

• 4-hour gunbattle • Over 400 officers • Multiple injuries, no medical support at all
Introduction to TCCC APH Tatico 2009

SWAT 101
• • • • • • • • Hi-Risk Warrants Barricaded persons Dignitary protection Special events Infrastructure protection Counterterrorism DMST Training
APH Tatico 2009

Introduction to TCCC

Dallas SWAT
• • • • Full-Time 55 Operators 8 Supervisors 2 Commanders

• TESS
– 4 Officers/1 Supervisor

• Support personnel
Introduction to TCCC APH Tatico 2009

Modern Active Shooters
• LAPD North Hollywood
– Feb 28, 1997 – 2 Killed, 14 Wounded

• Columbine HS
– April 20, 1999 – 14 Killed, 24 Wounded

• Virginia Tech
– April 16, 2007 – 32 Killed, 29+ Wounded
Introduction to TCCC APH Tatico 2009

Case Report--Duncanville Road Shootout
2:45 AM – SHOOTING CALL DISPATCHED

FIRST ELEMENTS ARRIVE AND FIND ONE CONFIRMED DEAD AND ONE