Second thoughts about who is first: the medical triage of violent perpetrators and their victims

Gold, Azgad; Strous, Rael D.

doi:10.1136/medethics-2016-103496

“…The rapid assessment of mental status and pulse (RAMP) tactical triage system (Keating, 2017) being implemented by SOT Paramedics in NSWA ticks most of these boxes however, the requirement for a radial pulse to be taken could be unreliable amongst police officers with little experience in the skill. Ethical and moral considerations also surround the application of triage to those know to have perpetrated violence who have now become patients, and some guidance on this should be considered in the tactical triage process (Gold & Strous, 2017). Based on these considerations work will be conducted to develop a tactical triage tool for use by police officers in intentional mass violence incidents.…”

Section: Tactical Triage Recommendation 6 -A National Guideline To Be Developed For Law Enforcement Tactical Triagementioning

confidence: 99%

Clinical Governance and Interagency Collaboration in Tactical Medical Operations

Pepper

¹

2019

JHTAM

0

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Prehospital terrorism response in Australia has been bolstered significantly in the past couple of years, however there are still large capability gaps. International best practice and identified lessons from previous attacks can provide guidance on moving forward, with a systems approach to robust high threat medicine provision. This Scholarship report identifies lines of action for local and national level enhancements in response capacity.

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“…The rapid assessment of mental status and pulse (RAMP) tactical triage system (Keating, 2017) being implemented by SOT Paramedics in NSWA ticks most of these boxes however, the requirement for a radial pulse to be taken could be unreliable amongst police officers with little experience in the skill. Ethical and moral considerations also surround the application of triage to those know to have perpetrated violence who have now become patients, and some guidance on this should be considered in the tactical triage process (Gold & Strous, 2017). Based on these considerations work will be conducted to develop a tactical triage tool for use by police officers in intentional mass violence incidents.…”

Section: Tactical Triage Recommendation 6 -A National Guideline To Be Developed For Law Enforcement Tactical Triagementioning

confidence: 99%

Scholarship Supplement

2019

JHTAM

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“…In this edition of the Journal, Gold and Straus3 argue that, during terrorist inflicted mass casualty incidents, triage should be modified so that victims are given priority for medical care before any injured terrorists. The authors argue this from a variety of perspectives of justice, and they address many of the challenges to their arguments, including for example, that the threshold of badness of the event should be limited to terrorist events to avoid a ‘slippery slope’ of value judgements influencing access to care.…”

mentioning

confidence: 99%