Tactical EMS Medicine

Authors

  • Sittichai Tantipasawasin Chonburi hospital

Abstract

Conflicts and wars certainly leading to casualties. It was found that soldiers often died from blood loss from wounds, bleeding in the abdomen from being shot, air leakage in the pleural cavity (tension pneumothorax) and respiratory problems. Therefore, when a soldier is injured, the medical treatment focuses on stopping bleeding first, then take care of breathing,. Wounds, broken bones and burns respectively.

Tactical EMS Medicine

It is out-of-hospital care in combat situations.which is not safe to the soldiers, the injured people. and even through to the aggressors. It is divided into 3 areas as follows: 1.care under fire, 2.tactical field care, and 3. combat casualty evacuation Treatment in each area is different. The main goal is to treat the injured and prevent all those involved from further injury.

Care under fire: Hot zone

Providing treatment in the area of battle. Working in this area is highly risky and has limited resources. The main goal is to stop the bleeding, transport the victrims to a safe area as soon as possible. Emphasis on the safety of personnel.

Tactical field care: Warm zone

Working in this area is still considered a risky area and resources are limited. Even though the shooting has stopped, it should be aware that a new battle may occur at any time. The main goal is treatment to reduce mortality by secure the airway, provide or support the-Breathing, resuscitate the heart and circulation, prevents spinal and neck injuries and quickly transported to a hospital that provides treatment as soon as possible.

Combat casualty evacuation: Cold zone

The main goal is to transport the stable injuried soldiers to a hospital that provides prompt treatment safely. The transportation must be focused on spinal immobilization, so that the injured person does not become paralyzed later.

Author Biography

Sittichai Tantipasawasin, Chonburi hospital

Editor's Chonburi Hospital Journal

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Published

2025-08-31