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Hemorrhage Control

With the right equipment and minimal training, officers can save wounded colleagues, civilians, and even themselves.

June 23, 2014  |  by - Also by this author

Tactical Medical Solutions' Downed Officer Kit contains seven potentially life-saving first-aid supplies in a sealed pouch. Photo: Tactical Medical Solutions
Tactical Medical Solutions' Downed Officer Kit contains seven potentially life-saving first-aid supplies in a sealed pouch. Photo: Tactical Medical Solutions

On Saturday Feb. 15 shortly after noon, Officer Salvador Varillas and Officer Joshua Burns of the Dallas Police Department responded to a domestic violence call. Minutes later Burns was critically wounded and his fellow officers were fighting to keep him alive.

Arriving at the northeast Dallas apartment building, Varillas and Burns noticed a man in his early 20s sitting in a car. The man opened fire. A gunfight ensued.

Burns was hit. One round was stopped by his vest, a second cut through his shoulder, and a third punched into his leg. He was bleeding heavily.

Officer Joshua Burns might have bled out and died if it wasn't for a new emergency medical program that the Dallas PD had implemented just weeks before he was shot. As part of that program, 3,200 Dallas officers had been trained in basic hemorrhage control techniques and issued Tactical Medical Solutions' Downed Officer Kit (DOK).

The DOK is a sealed 7x7x3-inch kit that contains a Special Operation Forces Tourniquet (SOF-T), QuikClot Combat Gauze, an OLAES modular bandage, nitrile gloves, a face shield, trauma shears, and medical tape.

To check the hemorrhages that could have killed Burns, his fellow officers used the QuikClot-impregnated gauze and the SOF-T tourniquet. Burns was then transported to a hospital. He survived his wounds.

Medical professionals are cautious about saying that the actions of his fellow officers saved Burns' life, but they believe it was certainly a factor. "When a patient has bad outcomes most of that is from unchecked hemorrhaging," Dallas PD Lt. Alex Eastman said at a press conference following the shooting.

Eastman is uniquely qualified to give an opinion on both police operations and trauma survival rates. He is a full-time police lieutenant and the interim chief of trauma surgery at Parkland Memorial Hospital. He is also one of the driving forces behind Dallas PD's decision to equip each officer who has contact with the public with trauma kits.

Eastman credits Dallas PD Chief David Brown with having the vision to budget funds and implementation resources for the trauma kit program. "We have an ongoing dialogue about what we need to do to give our guys the tools, equipment, and training to make them more safe out there," Eastman says.

The Dallas PD had some specific requirements for its hemorrhage control tools. "We wanted to have equipment that was proven in austere environments," Eastman says. "The equipment we chose has been proven on the battlefields of Iraq and Afghanistan over the last decade to be functional, useful, and durable."

Training is another essential element of any agency's hemorrhage control program and a critical concern for any chief or sheriff facing budget woes and labor shortages. But Eastman says it doesn't take much training time to make officers competent using the tools in the DOK kit.

"We think we have been able to train our officers very effectively," Eastman says. "The evidence of that effectiveness is that these kits have already been used several times to save both our own personnel and civilians."

The Dallas PD's hemorrhage control training consists of four parts. There are two roll call training videos that officers can also watch online on the department's intranet. In addition, officers complete the Z-Medica (manufacturer of QuikClot) online training program. The final element of the training is a reality-based exercise that requires officers to demonstrate their training on dummies and on role players.

There have been no best practices established for how to carry hemorrhage control kits in the field, according to Eastman. He says some Dallas officers carry the kits on their body armor, others on their legs, and others in their cars. Department policy only requires officers to carry the kits so they are easily accessible and that means no farther away than in their patrol cars.

Tags: Trauma Care, Tactical Medical Solutions

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Comments (3)

Displaying 1 - 3 of 3

Calvin Tidwell @ 6/23/2014 6:05 PM

A year ago I took a Medicine X EDC class from Lone Star Medics of Arlington, Texas. Best class I have taken in years. Every since that class I have been screaming to everyone I know who carries a gun to take the class. Where was this during my 38 years as an LEO. Congrats to the Chief for his foresight. I hope more Chiefs follow his lead.

KevCopAz @ 6/23/2014 9:43 PM

I agree, this should be a mandatory academy and in service class and the kit should be in each and every PD vehicle in the country. But no, we continue to put $ other places including Fire department equipment and staff that can't get there on time and people die. I would not be surprised if Fire Departments we're against this type of kit anyway since it might take away from their budget and fame as "life savors"!

Lone Star Medics @ 6/30/2014 3:40 PM

Thanks for the kind words, Calvin. And thank you for being an advocate for medical training.

The first thing I ask when a student asks me about a med kit is; "what sort of TQ do they have?" The SOFT T Wide is one of only two that we recommend to our students. The other items like the QC Combat Gauze and the Olaes bandage (which is like 5 tools in 1), are darn good pieces of kit.

Equipment is good, but knowing how to use it is even better. I don't care if officers take one of our classes or someone else's; but they need to know how to use the kit; effectively and efficiently. The days of "waiting for the box" to save an officer are long gone. LEO's need to be cross trained in how to identify and treat immediate life-threatening injuries to themselves and to their partners.
Glad to see the officers had the tools and the training to save their buddy.

Drink Water,
Caleb

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