Tactical Medicine—Competency-Based Guidelines

Richard Bruce Schwartz From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.Correspondence[email protected]

, MD,

John G. McManus From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, Jr., MD, MCR,

John Croushorn From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, MD,

Gina Piazza From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, DO,

Phillip L. Coule From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, MD,

Mark Gibbons From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

Glenn Bollard From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, MD,

David Ledrick From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, MD,

Paul Vecchio From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

E. Brooke Lerner From the Department of Emergency Medicine (PLC) and the Center of Operational Medicine (PV), Medical College of Georgia (RBS, GP), Augusta, Georgia; the Department of Emergency Medicine (JGMcM, JC), Brooke Army Medical Center, Fort Sam Houston, Texas; the National Tactical Officers Association (MG), Baltimore, Maryland; the Department of Emergency Medicine (DL), Saint Vincent's Mercy Medical Center, Toledo, Ohio; the Department of Emergency Medicine (EBL), Medical College of Wisconsin, Milwaukee, Wisconsin; and TEMS Section (GB), American College of Emergency Physicians, Irving, Texas.

, PhD show all

Abstract

Background. Tactical emergency medical support (TEMS) is a rapidly growing area within the field of prehospital medicine. As TEMS has grown, multiple training programs have emerged. A review of the existing programs demonstrated a lack of competency-based education. Objective. To develop educational competencies for TEMS as a first step toward enhancing accountability. Methods. As an initial attempt to establish accepted outcome-based competencies, the National Tactical Officers Association (NTOA) convened a working group of subject matter experts. Results. This working group drafted a competency-based educational matrix consisting of 18 educational domains. Each domain included competencies for four educational target audiences (operator, medic, team commander, and medical director). The matrix was presented to the American College of Emergency Physicians (ACEP) Tactical Emergency Medicine Section members. A modified Delphi technique was utilized for the NTOA and ACEP groups, which allowed for additional expert input and consensus development. Conclusion. The resultant matrix can serve as the basic educational standard around which TEMS training organizations can design programs of study for the four target audiences.

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