title: A Descriptive Analysis of Tactical Casualty Care Interventions Performed by Law Enforcement Personnel in the State of Wisconsin, 2010-2015.
abstract: Introduction Based upon military experience, law enforcement has developed guidelines for medical care during high-threat conditions. The purpose of the current study was to provide a descriptive analysis of reported outcomes of law enforcement medical interventions.
  
  
  METHODS
  This was a descriptive analysis of a convenience sample of cases submitted to the Wisconsin Tactical Medicine Initiative (Wisconsin USA), after the provision of successful patient care, between January 2010 and December 2015. The study was reviewed by the Mayo Foundation Institutional Review Board (Rochester, Minnesota USA) and deemed exempt.
  
  
  RESULTS
  Nineteen agencies submitted information during the study period. Of the 56 episodes of care reported, four (7.1%) cases involved care provided to injured officers while 52 (92.9%) involved care to injured civilians, including suspects. In at least two cases, on-going threats existed during the provision of medical care to an injured civilian. Law enforcement rendered care prior to Emergency Medical Services (EMS) arrival in all but two cases.
  
  
  CONCLUSIONS
  The current case series demonstrates the life-saving potential for law enforcement personnel trained and equipped under current Tactical Combat Casualty Care (TCCC)/ Committee on Tactical Emergency Casualty Care (C-TECC) tactical casualty care guidelines. Although originally developed to save the lives of wounded combat personnel, in the civilian sector, the training appears more likely to save victims rather than law enforcement personnel. Stiles CM , Cook C , Sztajnkrycer MD . A descriptive analysis of tactical casualty care interventions performed by law enforcement personnel in the State of Wisconsin, 2010-2015. Prehosp Disaster Med. 2017;32(3):284-288.
authors.affiliation: 1Waukesha County Technical College,Pewaukee,WisconsinUSA.
authors.forename: Chad M
authors.initials: CM
authors.lastname: Stiles
authors.affiliation: 2City of Pewaukee Fire Department,Pewaukee,WisconsinUSA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Cook
authors.affiliation: 3Mayo Clinic,Rochester,MinnesotaUSA.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Sztajnkrycer
mesh_terms: D002959:Civil Defense / Q000458:organization & administration*; D004638:Emergency Treatment / Q000592:standards*; D006489:Hemostatic Techniques; D006801:Humans; D035846:Law Enforcement; D009786:Occupational Health Services; D060051:Occupational Injuries / Q000453:epidemiology / Q000517:prevention & control*; D014922:Wisconsin / Q000453:epidemiology
keywords:  BA buddy aid;  C-TECC Committee on Tactical Emergency Casualty Care;  CoTCCC Committee on Tactical Combat Casualty Care;  EMS Emergency Medical Services;  SA self-aid;  TCCC Tactical Combat Casualty Care;  VA victim aid; Emergency Medical Services; casualty; law enforcement; tactical; tourniquet