Gavin Carr, Pete Doyle, Sean Wheatley, Tony Kyle, Adrian Mellor
Journal of Paramedic Practice, Vol. 9, Iss. 8, 04 Aug 2017, pp 330 - 333

Background: Since 2007 Durham and Cleveland Firearms Police have trained
a small number of firearms police officers to an enhanced level of first aid
qualification. This article reviews the history of this programme, the patient
report forms submitted during the period 2013-2016 and analyses the types of
incidents attended.

Methods: 66 PRFS were interrogated and analysed from a four-year period
between Jan 2013 and Dec 2016. There was a marked increase in PRFs
submitted during that time. Over half the casualties were male, resulting from
assault (15) 21%), road traffic collisions (14)19%) and deliberate self-harm
(14)19%). The most frequent medical interventions were wound dressing and
direct pressure, airway manoeuvres and Oxygen therapy. On-scene times with
patients prior to handover to NHS staff ranged from 0->60 mins. 0-20 minutes
(22), 20-40 minutes (15), 40-60 minutes (10) and >60 minutes (1).

Discussion: This data shows that the TTMs provide a useful medical response
often arriving before other medical provision is on scene. Despite the primary
role being to respond to firearms trauma, officers have dealt with a range of
medical scenarios and provided a range of interventions.

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