A Prática da Medicina Tática e Cuidados Sob Fogo: Tomando decisões Médicas

A Prática da Medicina Tática e Cuidados Sob Fogo: Tomando decisões Médicas
The Clinical Practice of Tactical Medicine and Care Under Fire: Medical Decision Making and the Role of the Tactical Emergency Medical Support Provider

Obs: Texto original em Inglês seguido de tradução em Portugês.

Abstract: Providing care at the scene of a tactical incident is a complicated process influenced by numerous dynamic variables.

There are significant differences between Tactical Emergency Medical Support (TEMS) and traditional civilian Emergency Medical Services (EMS) that impact the decision making process of the provider.

This article seeks to provide an overview of the problems encountered in the tactical care environment as well as insight into the unique role played by the TEMS provider.

MEDICAL DECISION MAKING and patient care at the scene of a tactical incident is the result of numerous fluid and unpredictable variables. These include mission type, operational flow, medical intelligence, opportunity for prior planning, necessary operational tactics, resources available, environmental circumstances, suspect behavior, and accessibility of casualties. Additionally, there are significant differences between tactical emergency medical support (TEMS) and traditional civilian emergency medical services (EMS).
Unlike traditional EMS, the overall mission may take priority over the medical mission. Another significant difference between TEMS and traditional EMS is that the tactical medic may have to take significant risks in order to reach or evacuate a casualty.

Simulação de antendimento medico tático ( APH TÁTICO )
Centro de Treinamentos da ATAC - Belo Horizonte, MG, Brasil
How tactical medics are integrated into the tactical team can have a considerable impact on how significantly circumstantial variables impact patient treatment. This article discusses each of the variables in order to clarify how and why decisions are made, and how patient