Emergency Medical Support: The Medical Handbook - 3rd edition

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This manual is designed to serve as a starting point for the development and implementation of a Medical Emergency Support unit at the local level. It was originally developed for the Marietta, Georgia Special Weapons and Tactics Team and the Emergency Medical Support unit which was formed in 2005. As the TEMS unit evolved, this manual was developed. Due to demand and interest, it has been revised for more general application. The guidelines and philosophies in this manual have been developed after researching the policies of a number of different civilian departments, examining the policies and procedures currently in place for training medical and nonmedical personnel, recognizing the limitations imposed by the of Practice procedures in the State of Georgia, and recognizing the limitations of the guidelines imposed by the National Registry of Emergency Medical Technicians. The policies and procedures that follow must be individualized to allow for the local Medical Director’s guidelines and to follow local of Practice guidelines. The concept of Medical Emergency Protocols was developed by the Curriculum and Examination Committee of the United States Special Operations Command Surgeon General’s Office for the and has been adapted for civilian use; the Combat Casualty Care concepts were developed by the Committee on Combat Casualty Care and have been expanded upon for application by the Committee on Emergency Casualty Care; the Ranger Medic Handbook (2007) edition served as the starting point for developing the Triage recommendations, the flow charts, and the aid bag configurations; and the USAF PJ Handbook provided valuable information on environmental injuries. In addition to the Guidelines on Combat Casualty Care (TCCC), the Adult and Pediatric Guidelines on Emergency Casualty Care (TECC) are also included. Ideally, this manual will provide a starting point for further discussion and development of TEMS units, and will provide a basic framework from which these units’ individual policies and procedures may be developed.