The Critical Gap for Law Enforcement

 

“An evidence-based course teaching life-saving techniques and strategies for providing the best of trauma care"

 

Traditionally, the medical role of sworn officers has been to stabilize or neutralize a crisis injury scene so it’s safe enough for EMS to enter. Recent tragedies have caused a growing shift in community expectations as police officers are usually the first and only responders to security incidents. Simply based upon the nature of their duties, a significant percentage of officers’ medical-related encounters involve potentially life-threatening trauma, such as severe accident injuries or gunshot wounds to the head, torso, and/or extremities. More often than not, the casualty happens be a colleague or the officers themselves.

Since police officers arrive ahead of EMS some 70% of the time when both are dispatched, the public now expects officers to “do something” immediately to help injured or wounded parties until professional medical aid is on scene.

These officers may not be quite sure what that “something” should be, but reliable statics state that at least 100 times a day police in the US find themselves in such a position.

“By legal precedent, as well as by a “code of conduct,” if you employ deadly force and it is 100% justified, you still have an obligation to render aid to the injured perpetrator when it is safe to do so.”

Law enforcement agencies known difficulties

Training: The vast majority of officers recognizes their lack of medical skills and desires specific training in tactical medicine that's been adapted to today’s threats. However, costs and time constraints are restricting training opportunities.   Qualified instructors with relevant experience are few and widely scattered, and officers need to be sent to costly training facilities taking them away from duty for days.

Commonly, officers not affiliated with tactical teams are only trained in CPR (Cardiopulmonary Resuscitation) and basic bleeding control, making them legally prepared, but that doesn’t mean it’s an acceptable ethical standard. Some even question the utility of CPR given the number of police responses to trauma incidents versus cardiac arrest.

Equipment: Quite often law enforcement officers are issued relatively adequate first aid gear (IFAK) but aren't given proper instruction on its use, making them exposed to serious legal and ethical consequences, nullifying the benefit of the equipment as they are reluctant to use it.

Answer: To address these issues there's now a relevant, adapted, mobile, fast and affordable training course provided as the response from Rhodes Solutions with the proven and acclaimed “The Critical Gap.”

What is “The Critical Gap”?

“The Critical Gap” is a first aid course based on the TCCC principles (Tactical Care of the Combat Casualty) and aimed at filling “the critical gap.”

What's the critical gap? It's the typical time first responders spend on an injury scene before EMS personnel roll up to render medical care.  The Critical Gap is designed to be a complement to any first aid training and is geared toward self-aid, critical incidents, gunshot wounds and managing multiple casualties with multi-system trauma in non-permissive environments

Why “The Critical Gap”?

Studies have shown 25% of all critical incident deaths are preventable. Almost 95% of victims will die before reaching a medical facility making police officers, bystanders and witnesses a decisive part of upping the survival rates.

First responders will save one quarter of all critical incident casualties with the proper mindset and training (“The Critical Gap” ™) and the appropriate equipment (IFAK).

“It can take as little as 40 seconds to die from a gunshot wound but it takes 20 seconds to self-apply a tourniquet and be back in action.”

Furthermore, law enforcement agencies, public officials, and anybody who must deal with the general public have a duty of care. The public and media assume these people have a certain level of training and preparation, and expect them to be ready and able to save lives, including their own, when paramedics are minutes away.

As the recent events have shown, public transportation, schools, concerts venues, sport events, can all become a battlefield filled with combat related casualties. Our first of the first responders must be ready to face these types of scenarios.

Who uses Tactical first aid course?

US Special Forces units were the first to implement Tactical first aid courses. After outstanding results (25% reduction of KIA), all modern military forces developed their program based on the TCCC committee principles. All United Nations personnel deployed in non-permissive areas must take a tactical medical course. With the influx of combat veterans in the US law enforcement agencies, TCCC is now a mandatory training in most departments. In Canada, RCMP ERT members are usually qualified TCCC and a very basic trauma course (BTEC) is being rolled out for regular members. We expect some kind of similar training and equipment will be made mandatory in the next future to all public facilities (Hartford Consensus & “Stop the Bleed” foundation).

Why not a full TCCC course for police officers?

Having trained hundreds of soldiers in Tactical Care of Combat Casualties we simply don’t believe it is the best investment for police officers. TCCC courses are typically developed for soldiers in combat zone, in contact, under enemy fire. TCCC is based around three phases: care under fire, tactical field care and tactical evacuation care. Care under fire involves mostly small unit tactics and fire superiority while tactical evacuation care is about long term care and evacuation. What really matter to a police officer are the couple minutes between the incident and the arrival of an ambulance, the tactical field care, the “Critical Gap”. In The Critical Gap course, we concentrate on the field care but we include important notions like scene safety, triage process and reporting making that course completely relevant to law enforcement applications.

What are you learning in “The Critical Gap”?

  • Critical life-saving skills to keep critically injured casualties alive until the next level of care
  • Composition and use of an Improved First Aid Kit including self-care
  • Patient Approach Protocol
  • Triage process
  • Stopping massive bleeding using realistic bleeding simulators
  • Airways, breathing, circulation, evacuation

What are the different versions of “The Critical Gap”?

  • Military, Protection Security Details, Security contractors, ERT and SWAT also called Battlefield Medicine, with emphasis on the tactical aspect.
  • Law enforcement and first responders options: GD, OPS-K9 (includes OpsK9 first aid), EOD (includes “Blast injuries” module), Sheriff, Corrections, Conservation officers, paramedics and firefighters.
  • General public: from teenagers to seniors, when tactical considerations aren’t an issue.

How do we teach The Critical Gap?

The Critical Gap is an 8 hours classroom course, complete with numerous exercises and scenarios. Students will learn about and apply a preponderance of hands-on practice applying tourniquets, hemostatic dressings, chest seals, as well as learn about other relevant treatment equipment and procedures, starting with self-aid and building up to the handling of more complex life-threatening situations. On request, this course can be taught on a shooting range and add element of “Force on force” or weapons manipulations.

Contact us for a full review of our courses by police officers recently trained on the “The Critical Gap” course

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