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Erschienen in:
01.06.2019 | Disaster Medicine (MR Anderson and MW Dingeldein, Section Editors)
Tactical Emergency Casualty Care (TECC) and the Pediatric Population
Erschienen in: Current Treatment Options in Pediatrics | Ausgabe 2/2019
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Purpose of review
With the increased number of mass shootings in recent years, this paper seeks to review recent literature on the management of active shooter settings and the care for pediatric victims.
Recent findings
Tactical Combat Casualty Care (TCCC) functions on the principal of expeditious recognition and aggressive treatment of preventable death on the battlefield. The Committee for Tactical Emergency Casualty Care (C-TECC) was formulated to translate the TCCC guidelines to the civilian population. The adaptation of C-TECC’s guidelines have also considered the importance of real-world demographics, including the pediatric population.
Summary
Pediatric C-TECC guidelines advise, if possible, that the patient should move to a position of safety. If not possible, risks and benefits should be weighed for rescue attempts in terms of the activity and safety of the situation. The practitioner should realize that time may be more limited for pediatric patients in terms of rescue and medical salvage. Prompt placement of tourniquets, hemostatic agents, and wound packing for hemorrhage control, especially in ongoing active threat scenarios, is recommended. However, guidelines like C-TECC are reactionary. The prevention of traumatic injury is still paramount and the goal will always be minimizing the chance of harm to the public prior to the injury occurring.
