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When Violence Erupts: A Survival Guide for Emergency Responders

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    ISBN: 9780763720704
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    First Edition
    ISBN: 9780763720704
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American Academy of Orthopaedic Surgeons (AAOS) Dennis Krebs

"It can't happen to me," is a common belief when it comes to violence. But unfortunately, it can. Tragedies that occur in the home, street, and work are reminders that violence can erupt anywhere and at any time. Few people enter into EMS expecting to defend themselves against a violent attack. However, it is crucial to know how to avoid violence when possible and how to survive when it erupts.

This book is not designed to instill dread whenever an alarm goes off; it is designed to teach EMS personnel how to function both effectively and safely in high-stress situations.  It challenges providers to be proactive and not reactive. The techniques taught in When Violence Erupts will help EMS personnel follow the first rule of EMS-stay safe!

Increasingly, EMS providers are seriously injured or even killed in violent confrontations. Knowing how to avoid violence when possible and how to protect yourself when it erupts is crucial.

When Violence Erupts will help EMS providers like you learn how to:
  • approach a patient on the highway
  • enter a residence safely
  • deal with a domestic quarrel
  • defend yourself against a physical attack
  • respond to a mass-casualty shooting
  • protect yourself against youth violence
  • deal with mass civil unrest
  • face the dangers posed by terrorism
Features & Benefits
  • Survival Tips - Each chapter ends with "Survival Tips," offering advice on how to stay safe in the field.
  • Instructional Self-Defense Photos - These photos draw on actual incidents to illustrate techniques.
  • Crime Scene Photos - Prepare students for what they may actually encounter at a real-life crime scene.
  • Foreword by Fire Chief Alan V. Brunacini of the Phoenix Fire Department.
Table of Contents

Chapter 1  The Threat and the Need
I Thought You Were a Cop!
I'm Not a Cop!
The Element of Surprise
Contrary to Previous Training

Chapter 2  Highway Incidents and Your Approach to the Scene
Incidents that Indicate a Need for Caution
Positioning the Emergency Response Unit
Personal Preparations Before Leaving the Unit

Chapter 3  Approaching the Motor Vehicle
Driver-Side Approach
Passenger-Side Approach
Variation for Vans
The Head-On Approach
Time Frame for Starting Treatment

Chapter 4  Fleeing an Armed Encounter
The Armed Patient
Using the Vitals Pad as a Distraction Technique
Partner Down!
Backing Away from the Scene
Approaching the Residence

Chapter 5  Residential Incidents
An Escalating Incident
Arriving on the Scene
Approaching a Residence

Chapter 6  Entering a Structure
Positioning at the Door
Moving Through the Entrance Way
Moving Within the Structure
Weapons in the Residence

Chapter 7  Domestic Encounters
Calm the Situation with Voice Control
Turn the Individual with Eye Contact
Body Language
Tier System of Entry into an Unstable Area
Using Barriers to Separate Individuals
Distraction Techniques
Avoiding the Violent Situation

Chapter 8  Barroom Situations
Size Up
Entering the Establishment
Contact and Cover
The Hasty Retreat
Using Available Human Resources

Chapter 9  Cover and Concealment
Using Walls as a Cover
Body Position
Changing Locations

Chapter 10 Hostage Situations
Surviving as a Hostage
People Who Take Hostages
Stages of a Hostage Situation
The Stockholm Syndrome
Law Enforcement Procedures in a Hostage Situation

Chapter 11 Bombs, Booby Traps, and Makeshift Weapons
Who Uses Explosives?
Bombs and Explosives
Preparation and Preplanning
Reported or Suspected Bomb in the Area
Conducting the Search
Confirmed Explosive Device
Postexplosion Operations
Booby Traps
Makeshift Weapons

Chapter 12 Clandestine Drug Laboratories
Location of Illegal Drug Laboratories
Recognizing Illegal Drug Laboratories
Hazards Associated with Clandestine Drug Labs
Emergency Scene Operations
EMS Operations
Fire Suppression Operations
Positive-Pressure Ventilation
Monitoring Personnel Working in the Hot Zone
Interacting with a Methamphetamine User
Club Drugs

Chapter 13 Self-Defense Tactics
Reasonable Use of Force
The Interview Stance
The Wrist Grasp
Technique for Distracting an Assailant
The Power of a Tweak
Breaking a Headlock
Breaking a Stranglehold When Attacked from the Front
Breaking a Stranglehold Applied from the Rear
Defending Against a Choke Hold from Behind
Breaking a Rear Bear Hug
Breaking a Stranglehold Applied from Above
Defending Yourself When Knocked to the Ground

Chapter 14 Tactical Emergency Medical Support
The Team
Goals of a TEMS Program
Mission Planning

Chapter 15 Mass-Casualty Shootings (The Active Shooter)

Chapter 16 Evidence Preservation
What Is Evidence?
Critical Issues at Violent Crime Scenes
Wound Ballistics
Sexual Assaults
Critical Issues at Vehicular and Pedestrian Accidents

Chapter 17 Gangs
What Is a Gang?
Gang Structure
Specific Groups
Working in Gang Areas

Chapter 18 Less Lethal Munitions
The Force Contiuum
Tear Gas
OC Spray
Light/Sound Diversionary Devices
Projectile Weapons

Chapter 19 Civil Disturbances
EMS Unit Tactics

Chapter 20 Patient Restraint
EMS Court Cases
Criteria for Restraint
Restraint Procedures
Recent Developments

Chapter 21 Terrorism: Calibrating Risks and Responses
Biologic and Chemical Terrorism
Chermical Weapons
Military Chemical Agents
Biologic Weapons

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