2. This introduction to the Region 1 Mass Trauma Pack is
intended to provide information about a resources
available to Region 1 agencies and communities for
incidents or events that may require supplies beyond
what is currently available.
Neither the R1 Mass Trauma Packs or this introduction
are intended to expand the scope or the capabilities of
any agency or community. Personnel must work within
Sponsor Hospital Guidelines along with their agency
standard operating procedures and/or guidelines and
community unified response plans.
3. Bolster R1 EMS agency capabilities
and provider skill-sets when the need
for aggressive bleeding control and
rapid intervention/movement is
dictated by scene dynamics.
4. The reality is there has been an increasing number of
dynamic incidents in the U.S. and abroad.
EMS providers & first responders are being challenged on a
regular basis to respond to these events.
The traditional model of assessment, intervention &
transport is not conducive to the number and types of
injuries produced at these events.
Equipment needs may exceed resources very quickly
The injury patterns of long guns vs. hand guns is
remarkably more devastating
EMS must better prepare and equip to respond.
5. The Committee for Tactical
Emergency Casualty Care (C-TECC)
uses the acronym TH.R.E.A.T.
THreat suppression
Hemorrhage control
Rapid Extrication to safety
Assessment by EMS
Transport to definitive care
12. Non-life-threatening bleeding should be left
until the secondary treatment area.
Apply without delay if indicated.
Apply at least 2-3 inches above bleeding site
Do not apply over a joint
Tighten until bleeding is controlled
If bleeding continues, add a 2nd TQ proximal to the first
13. For use when TQs are contraindicated
Neck/Head
Torso/Abdomen
Groin
Do not use for minor wounds or controlled
bleeding
14. For use on patients with sucking chest wounds,
Pneumo/Tension-Pneumothorax
16. An open chest wound results from intrusions
into the chest wall
Apply occlusive dressings (or HyFin vent) to
all penetrating wounds between the neck &
navel
Apply an occlusive during expiration
If conscious & practical, place patient in a
sitting position.
19. Be Alert/Be Safe
Consider Secondary Hazards or Threats
Operate within Unified Command
Identify safe work areas for EMS Responders
Call for Resources
Control Bleeding Aggressively
Time = LIFE
Notes de l'éditeur
NOTE: Even agencies and personnel who have a great deal of experience with shootings will be challenged when faced with shooting victims where long guns are utilized. The wound patterns tend to be much more dramatic and devastating.
Traditionally EMS has dealt with shootings inflicted primarily using hand guns…
During shooting events where long guns are utilized the wound patterns tend to be much more dramatic and devastating.
Rapid resource deployment to support EMS providers at events that may require a large amount of supplies for hemorrhage control
Purchase by the Southwest Regional EMS Advisory Council
Being deployed to agencies in communities that have identified high risk potential for dynamic trauma incidents (Malls, hospitals, college campuses & mega-employers)
The agency must be able to deploy the pack without delay 24/7 and agrees to respond to other requesting communities with the MTP to support their response.
MTPs are standardized in their contents
MTPs are to supplement the community’s capabilities, not be a first-line resource
