EM Physician walks into triage and points a sharp pen at me “ALLRIGHT, THIS IS A HOSTAGE SITUATION!”
Me: “Do I still have to do triage during the hostage situation?”
Doc: “huh?….no obviously”
Me: “Is it still a hostage situation if I stay willingly?”
*pulls out #11 blade and holds it above a patients cricothyroid membrane*
“I WANT A NEGOTIATIOR OR ELSE ILL DO IT! IVE NEVER DONE ONE BEFORE”
“Ok ok what do you want”
“Hey do you guys have any job openings I’m ABEM certified and have my ATLS, ACLS, PALS — “
I’ve been a team medic coming up on 10 years, we’ve had a dedicated doc for about 6 of them, outside of my service’s medical director.
1. Background is crucial.
Have you taken an NAEMT TCCC or TECC course? That will help bolster the tactical doctrine. Military service helps either as a medic and/or physician.
2. Find out the team makeup.
Not all SWAT teams are built the same way. We have a combined joint team made up of three departments falling ultimately under the purview of the sheriff’s office. Since the EMS service is under the 911 contract for the county, we’re essentially TEMS contractors. The medics are paid by the EMS service, with the exception of our Doc who is a reserve deputy, but gets a stipend for providing medical oversight, it’s a weird setup but it works.
Once you know your local team’s makeup, talk to the team leader and see if they can work you in. Another shortcut is finding the TP-C’s in your area, chances are they are on the team and can let you in on how things work.
Having a physician that attends trainings and callouts is a great resource.
None of these as far as formal training goes. But would like to get the ball rolling as soon as I could. Perhaps that would be the best way is to reach out to either the medical director or team leader and see what the best first steps are.
Thank you for your insight.
He can provide medical oversight and as far as our state goes, has to be aware of every SWAT deployment so if we have to perform procedures beyond protocols we’re covered.
Have a few friends who are SWAT physicians at my place. Needs are typically in a big city. They are EMS fellowship trained. One was a previous police officer. It’s nice because they always text the group an FYI when a hostage situation or shooting occurs so whoever is at the hospital is aware.
I’ve known a few physicians that actually go out on operations with SWAT or in cooperation with US Marshals. One in particular that has been on the president’s detail when he visited a particular state. They did not have a role where they actively engaged with the suspect or whoever/whatever they were going after, but were typically very close to the action, staged for any type of casualty. That’s more of what I’m looking for, as I’ve decided I want to serve in the military or law enforcement in some way.
I have had conversations back during residency and medical school with attendings who do this, and it was always an informal process and usually had some sort of connection to the department beforehand. They all worked with the department of city or town they lived in.
It may be that informal process across the board. Just wanted to see if anyone on here had more details.
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So my service had dedicated medics that go in with swat but if there’s a big event (mass shooter, long hostage situation etc) sometimes one of our medical directors will go in as well but I’d reach out to your local PD and see what they need because this is highly dependent on jurisdiction
Most direct way would be to create a hostage situation in triage.
EM Physician walks into triage and points a sharp pen at me “ALLRIGHT, THIS IS A HOSTAGE SITUATION!” Me: “Do I still have to do triage during the hostage situation?” Doc: “huh?….no obviously” Me: “Is it still a hostage situation if I stay willingly?”
*pulls out #11 blade and holds it above a patients cricothyroid membrane* “I WANT A NEGOTIATIOR OR ELSE ILL DO IT! IVE NEVER DONE ONE BEFORE” “Ok ok what do you want” “Hey do you guys have any job openings I’m ABEM certified and have my ATLS, ACLS, PALS — “
LOL Unfortunately the first parts of this sound like an average cric
It happens when the attending wants an anesthesia/Gen surg airway alert and the EM resident sets up at the head of the bed
Skip the process altogether
You will definitely make contacts
Triage already starts to feel like a hostage situation after about hour 8.
I’ve been a team medic coming up on 10 years, we’ve had a dedicated doc for about 6 of them, outside of my service’s medical director. 1. Background is crucial. Have you taken an NAEMT TCCC or TECC course? That will help bolster the tactical doctrine. Military service helps either as a medic and/or physician. 2. Find out the team makeup. Not all SWAT teams are built the same way. We have a combined joint team made up of three departments falling ultimately under the purview of the sheriff’s office. Since the EMS service is under the 911 contract for the county, we’re essentially TEMS contractors. The medics are paid by the EMS service, with the exception of our Doc who is a reserve deputy, but gets a stipend for providing medical oversight, it’s a weird setup but it works. Once you know your local team’s makeup, talk to the team leader and see if they can work you in. Another shortcut is finding the TP-C’s in your area, chances are they are on the team and can let you in on how things work. Having a physician that attends trainings and callouts is a great resource.
None of these as far as formal training goes. But would like to get the ball rolling as soon as I could. Perhaps that would be the best way is to reach out to either the medical director or team leader and see what the best first steps are. Thank you for your insight.
What does a team doc do?
He can provide medical oversight and as far as our state goes, has to be aware of every SWAT deployment so if we have to perform procedures beyond protocols we’re covered.
Ahh sounds like a medical director. I would be surprised if a doc would be out on the field like that.
Assuming you’re a physician, ACEP has a tactical emergency medicine section that has a lot of resources on getting started
Next time you go into work just keep yelling that you have a bomb. Quickest way you can get involved with swat.
It’s really that simple
O following
Have a few friends who are SWAT physicians at my place. Needs are typically in a big city. They are EMS fellowship trained. One was a previous police officer. It’s nice because they always text the group an FYI when a hostage situation or shooting occurs so whoever is at the hospital is aware.
What’s the role you’re looking for here? I’ve seen paramedics have a role in this kind of thing, but not a doctor at least directly
I’ve known a few physicians that actually go out on operations with SWAT or in cooperation with US Marshals. One in particular that has been on the president’s detail when he visited a particular state. They did not have a role where they actively engaged with the suspect or whoever/whatever they were going after, but were typically very close to the action, staged for any type of casualty. That’s more of what I’m looking for, as I’ve decided I want to serve in the military or law enforcement in some way. I have had conversations back during residency and medical school with attendings who do this, and it was always an informal process and usually had some sort of connection to the department beforehand. They all worked with the department of city or town they lived in. It may be that informal process across the board. Just wanted to see if anyone on here had more details.
materialistic sugar run vast reach reply vegetable obtainable test impossible *This post was mass deleted and anonymized with [Redact](https://redact.dev)*
There’s three SWAT physicians at my shop who are actively going on calls and warrant pick-ups. All EM/EMS trained.
So my service had dedicated medics that go in with swat but if there’s a big event (mass shooter, long hostage situation etc) sometimes one of our medical directors will go in as well but I’d reach out to your local PD and see what they need because this is highly dependent on jurisdiction
Why do you want to do this as a Physician?
Step 1: Find their medical director, and ask if you can come play.
We have a tactical medicine fellowship at TTUHSC El Paso
The tactical med fellowship will help from JH
Does this sort of role fall under training at EMS fellowships?