Heiskell says he's logged time in training exercises that included live fire, high-risk vehicle stops, high-risk warrant service, breaching, hostage rescue, and rappelling out of Blackhawk helicopters provided by the U.S. Customs Service. He's seen a lot of injuries and noted a lot of hazards, and he believes the inclusion of qualified medical personnel can be a major factor in reducing risks associated with tactical police training. "You can minimize the hazards [of SWAT training] by having astute, trained medical personnel on your team who can perform a medical threat assessment," he explains.
A medical threat assessment (MTA) of a SWAT exercise can only be performed by a doctor or paramedic who has first-hand knowledge of SWAT practices. As Heiskell explains it, the MTA is sort of a medical handicapping of the exercise that takes into account the possible hazards and requires the medical professional to prepare a reaction to possible injuries from those hazards in advance of the training session.
"Let's say my SWAT team commander comes to me in July and tells me we're going to be practicing in a hotel that's about to be torn down," Heiskell explains. "OK, so I know two things immediately: we're going to be doing explosive entries and we're going to be wearing full body armor and helmets in 110-degree heat. My primary concerns are dehydration, hyperthermia, and blast injuries. So I make sure we have plenty of fluids, including electrolyte replacement (sports drink), that everybody is wearing eye and ear protection, and that I'm ready to treat lacerations from broken glass."
Danger, Danger
Despite such precautions, tragic SWAT accidents can still occur, sometimes even to the medical personnel attached to the team. Two years ago, Michael Yahraus, a paramedic assigned to the Sarasota Police Department's SWAT team, was killed when the plug in a blank gun blew out of the barrel with the force of a bullet.