Ethical Considerations in Embedding a Surgeon in a Military or Civilian Tactical Team

Tactical emergency medical services (TEMS) bring immediate medical support to the inner perimeter of special weapons and tactics team activations. While initially envisioned as a role for an individual dually trained as a police officer and paramedic, TEMS is increasingly undertaken by physicians an...

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Bibliographic Details
Published in:Prehospital and disaster medicine 2012-12, Vol.27 (6), p.583-588
Main Authors: Kaplan, Lewis J., Siegel, Mark D., Eastman, Alexander L., Flynn, Lisa M., Rosenbaum, Stanley H., Cone, David C., Blake, David P., Mulhern, Jonathan
Format: Article
Language:English
Subjects:
Decision Making
Emergency medical care
Emergency medical services
Emergency Medical Technicians - ethics
Ethics
General Surgery - ethics
Health services
Health technology assessment
Humans
Military Medicine - ethics
Military Personnel
Physician's Role
Police
Police - ethics
Special Report
Surgeons
Tactical units
Triage
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Summary:Tactical emergency medical services (TEMS) bring immediate medical support to the inner perimeter of special weapons and tactics team activations. While initially envisioned as a role for an individual dually trained as a police officer and paramedic, TEMS is increasingly undertaken by physicians and paramedics who are not police officers. This report explores the ethical underpinnings of embedding a surgeon within a military or civilian tactical team with regard to identity, ethically acceptable actions, triage, responsibility set, training, certification, and potential future refinements of the role of the tactical police surgeon. KaplanLJ, SiegelMD, EastmanAL, FlynnLM, RosenbaumSH, ConeDC, BlakeDP, MulhernJ. Ethical considerations in embedding a surgeon in a military or civilian tactical team. Prehosp Disaster Med. 2012;27(6):1-6.
ISSN:1049-023X
1945-1938
DOI:10.1017/S1049023X12001112