So what if you are hit in an incident?

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DC300a

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Well, it was drilled into our heads at the academy that "shot doesn't mean dead"... in other words, as long as you can move, breathe and think you are still in the fight. That knowledge along with the will to survive will decide whether you go home or not.
So what if you are hit? Here is an excellent article by Dick Fairburn that sums it nicely and may help if, God forbid, this should ever happen to one of us.

By Dick Fairburn

Well, it happened. Hopefully, you prepared yourself for this eventuality and realized it could happen someday. The dude turned around with a gun in his hand and you were just in your first gunfight ... you've seen the elephant. Even worse, since Murphy's Law is a frequent companion in law enforcement, you got shot. Ok, we'll get through this, stick with me ... access the "Oh ****! I just got shot!" checklist you pre-programmed on your hard drive and we'll run this by the numbers.

Help will come. AP Photo/ Devin Bruce

1. Finish the fight! Getting hit was always a possibility, so don't quit yet. Make sure the bad guy is no longer a threat. If he's down, watch him. If he's still moving and a possible threat, hit him again (repeat as needed until the threat is eliminated).

2. Stay ready! Wolves often run in packs, be alert for any friends the dude had nearby. Check your weapon — clear any malfunctions and reload it, just in case. Break your tendency for tunnel vision and scan 360 degrees. Get to a position of cover if you haven't done so already. That's COVER, not concealment.

3. Call for help! Take a couple of deep breaths, then radio in something simple and direct, like ..."Shots fired, officer down at [insert location]." Forget the secret codes, just say it plain and clear. Once you get confirmation the cavalry is on the way, ignore the radio and continue the checklist.

4. Check yourself! Hopefully, you were wearing your body armor, only fools go without it these days. Hits on the armor may hurt like hell, but it's only a bruise. Hits off the armor are a more serious matter — find them quickly. Muscle hits may not hurt much and may not even bleed much right away due to vasoconstriction caused by stress. If it hurts like hell, the bullet probably hit a bone. Bones heal. Head wounds bleed — a lot! But, if you're conscious enough to notice the blood, your head wound is probably not life threatening. Any serious bullet whack to the head would put your lights out.

5. Treat yourself! As you calm down, the bleeding will get worse, so apply direct pressure the best you can. Better yet, get that big battle dressing you bought with your own money because the department wouldn't supply them. If the dressing is the new kind with built-in clotting agent, better still. Twist the battle dressing on tight. Now twist it tighter. Perform tactical breathing — deep, slow breaths in through your nose and deep, slow breaths out through your mouth. Stay alert! Return focus to your radio, in case arriving units need further directions.

By pre-programming a checklist for gunshot survival and refreshing yourself on it regularly, you can fight through the stress and panic you will experience and greatly improve your odds of survival. This is a technique you must train YOURSELF. Few firearms training programs include a block of instruction on getting shot. We tend to think it will never happen to us. Well, it may happen, so prepare yourself.

Most police officers work in areas where the response to a “Shots fired, officer down!” call will be both swift and large. Paramedics will probably be on-scene in a matter of a very few minutes. Remember the statistics, if you're still alive when the medics arrive you'll have a better than 90 percent chance of survival.

Where I grew up and patrolled — in redneck country — this is what we call a “Y'all come!” kind of call. And, you can bet your butt they'll all be coming, but it may take a little longer out in the sticks. Hang in there. Keep up your tactical breathing as needed to lower your pulse and stress level. Talk to the responding backup units if necessary to keep your spirits up. Make it personal. Convince yourself you're not gonna give that bastard the satisfaction of killing you!

Remember a lesson taught by LTC Dave Grossman. You have about 10 pints of blood in your system and you can loose about 40 percent and still be conscious. That's almost a 2 liter bottle of strawberry soda pop. Pour one out sometime and see how big a puddle 2 Liters of strawberry pop makes. It's a big puddle. If you haven't bled that much, you're still good. If you're still bleeding a lot, add a second battle dressing and crank it down TIGHT! Breathe. Hang in there, they're coming!

Trainers, add this block of instruction to your program and refresh it regularly. Get basic self-life support instructions from paramedics and/or TEMS medics and pass it along to your troops. Understand that this CAN and WILL happen someday to someone you train, so prepare them to take hits and survive. Don't EVER let an officer quit during scenario-based training. No matter how many paint bullets they suck up, make them keep shooting and reloading (including one-hand, weak-hand shooting and reloading drills).

Supervisors, make your people wear body armor. If your department mandates body armor, enforce the mandate. If your department doesn't mandate body armor, lobby for the policy and preach incessantly to your people until you get the policy. And, most of all supervisors, set the example by wearing your body armor — EVERYDAY — even when it's hot. Don't tell 'em, show 'em!

Body armor doesn't give 100 percent protection, but it covers your torso from most directions and has saved thousands of lives. Remember what my friend Lt. Bill Black of Littleton, Colorado says: “ALL chest wounds suck!” Lt. Black played a key roll that awful day at Columbine High School. He's been there and he knows!

Then supervisors, lobby your agency to issue battle dressings. They cost about $6 dollars each. If the department won't spring for the dressings, buy each of your officers one for Christmas. Nothing says "I love you" like a battle dressing!
 
don't ask yourself what am i gonna do IF i am hit, as your self what am i gonna do WHEN i am hit, shot, stabbed etc.

i carry an aid bag, and when i am wearing gear i have a blow out kit.
 
John Farnam does a good class Treatment of Gunshot Wounds class.

http://www.defense-training.com/courses/tacmed.html

Our course is based upon Tactical Medicine principles, but while TacMed is designed for military/police tactical entry team members with specialized medical training, our course is for non-medical personnel who may become involved as primary responders to treat and stabilize victims of gunshot wounds. Originally designed primarily for firearm instructors, home owners/defenders and street police officers, we have also given this course to Federal and Local Law Enforcement Emergency Response Teams and as a Train-the-Trainer program for elements of the United States Marine Corps.

This is a shooting course combined with what you need to do immediately afterward to increase the survivability of gunshot wound victims, including yourself. Important topics include the Effects of Bullets on Human Tissue, Where to Shoot and How to Place Bullets with Surgical Precision. Following Threat Elimination, we teach How to Identify the three, major, life-threatening Injuries and How to Control Hemorrhage which is the major cause of preventable death from gunshot wounds. Accessing Emergency Medical Services and Maintaining an Emergency GSW Response Kit is also covered.

We think Tactical Treatment of Gunshot Wounds is an important skill that should be part of every shooter's armament.

Course curriculum is developed by Doc Gunn aka Anthony M. Barrera, M.D.

Instructor for this class is John S Farnam.

Please consult the Schedule for a location and time which would be best for you.

Insights Training does one, too.

http://www.insightstraining.com/view_course.asp?courseID=11
Course Designer: John Holschen
Most penetrating injuries are not immediately life-threatening. However, there are some injuries where death before the arrival of EMS is almost assured if not managed correctly and rapidly. If such injuries occur to yourself or another during an ongoing fight, recognition and concise management of the injuries becomes critical.
This course is designed to give you the knowledge and skill necessary to identify and manage those immediately life-threatening injuries, whether they occur to you or another individual, while you are still engaged in the violent attack.

Students will take turns role-playing the casualty, and as such they will have simulated wounds applied and fake theatrical blood will be used (which can lightly stain skin for a few days).

Subjects Covered:

  • The true nature of civilian gunshot wounds, their low lethality and realities of their medical management.
  • How to rapidly determine the relative seriousness of an injury and how that will affect your tactical treatment plan
  • The concept of "care under fire" and how it differs from a non-tactical medical situation
  • Techniques for moving casualties to a safer environment
  • Basic airway and ventilation assessment and management within a tactical setting
  • Assessment and management of bleeding and shock
  • Assessment and management of penetrating and blunt trauma
  • How to prepare a tactical first aid kit that will dramatically increase your treatment capabilities
Required Equipment:
Expendable clothing that may be permanently stained with fake blood; Expendable running shorts / sports bra to wear under clothing when role playing the casualty


Optional Equipment:
Holster gear and an inert (dummy) handgun are useful. We have some models of inert guns available.


I'm sure there are other classes by different trainers out there, but these are the ones I'm directly aware of.


During a discussion, John Holschen once made a point I had never considered. We've probably thought about getting hurt in a fight. We've probably envisioned and trained for getting knocked to the ground in a fight. Or running out of ammo, or our gun malfunctioning. Or maybe we've even envisioned fighting until we've been killed.

But how about getting hurt so bad we lose consciousness? How about losing consciousness, waking back up, and seeing that those who brought us the fight are still there? Or just waking up after he's gone and treating ourselves? Just because we fought until the lights went out, doesn't mean they might not come back on.


No John . . . I had never considered that before.
 
Being motivated and goal oriented.

This is where some types of people and training really shine. Motivation to accomplish a task, whether it be winning the fight or stopping the bleeding. Planning is what keeps a good idea from becoming an amorphous concept nobody knows how to accomplish. "I'm gonna live" is not specific enough. "I'm gonna kill this SOB, then I'm gonna stop the bleeding from the hole he put in me" is much better. Being a hard charger while things are going well is no big deal. Keeping at it when things have begun to suck is motivation.

When you've got to eat an elephant, it's one bite at a time and a smart man (or woman) plans the bites in advance.

Ken, I may have to refresh some of my field medicine classes. The most recent has been (gulp) over a decade ago.
 
Mine's a lot more dated than that, dude.


I don't carry a "battle dressing" or "blow out kit" around with me. I do keep a hankerchief in my pocket, and that's probably full of lint right now anyway. What stuck with me from any training I ever took on the issue is the matra of direct pressure. Just use my hands and put pressure on the source of the bleed. Bandages are nice, but anyone I've ever talked to in the medical community about the matter has always said bad bleeds don't stop soon enough from clotting. Pressure will do it, be it direct pressure to stem it, or the body's response as blood pressure drops.

I have a few sealed bandages stuffed in an old medicine bag I managed to "acquire" from our Corpsman nearly 20 years ago. But I don't see myself being disciplined enough to keep one in a pocket everyday.


I guess I'll just have to make do with whatever is available in the environment, and hope the first responders don't get hung up in traffic.


Perhaps some of the folks here with medical experience like Xavier or Byron will chime in with some good advice on the topic.
 
Good topic, thanks for opening the thread.

I first met John Holschen waaaaay back when he was an active duty Special Forces medic, instructing at the SOMTC (Special Operations Medical Training Center) at USAJFKSWCS, Ft. Bragg. If you ever get a chance to train with him, don't miss it...

lpl
 
If you're the one shot, do a quick 'LifeCheck'---

Breathing--how is it? Can you get air in? If you've been shot, you're going to be panting like a racehorse after the Kentucky Derby. Slow your breathing down, don't hyperventilate and pass out.

Bleeding---where are you bleeding from? Are you seeping steady, or is it pumping out? If it's pumping, it's an artery and get as much pressure on it as fast as you can.

Movement---can you feel all of your limbs? Can you move all of your limbs? Can you get out of danger or get to help?

You're going to go into shock and keeping warm will increase your chances of survival. Get out of a cold wind and into shelter. Do whatever you can to keep as warm as you can. Talk to yourself and plan what you need to do to keep going and get help.

And for First Responders:

A---Airway, clear? Obstructed? If so, by what?

Breathing---can they breath? Are they choking on blood? Sucking chest wound?

Circulation---where are they bleeding from? How bad? Artery hit? Get direct pressure on any bleeders, especially if it's arterial. And don't forget to turn the individual over and look for exit wounds that may be bleeding and causing problems.

They will be going into shock. Feet up, head down. Keep them warm. Keep pressure on any bleeders.
 
What Dick Fairburn suggests is helpful so long as you can keep your head and not panic. I've seen men shot and have been wounded myself. Everyone acts differently to some degree, and in many cases, calm goes out the window. Lets hope none of you have to experience it. For those of you who already have, you can empathized with what I'm saying.
 
Call for help! Take a couple of deep breaths, then radio in something simple and direct, like ..."Shots fired, officer down at [insert location]." Forget the secret codes, just say it plain and clear. Once you get confirmation the cavalry is on the way, ignore the radio and continue the checklist.



Yes forget the codes, speak in plain english but give your location first. This way if that's all you can get out someone will at least know where you are.
 
Note that some of these ideas apply not only to being shot in the context of a lethal force encounter, but also in the case of bozo ND'ing into your thigh at the range.

I took TTGSW not because I live a particularly high-risk lifestyle, but because I spend a good bit of time around discharging firearms -- often on the remote sorts of ranges we see in shooting classes. Unfortunately, I'm afraid I've been at far greater risk from some of the fellows I've had to share the line with than any goblin in a dark alley...:)
 
Lee, I've commented before that I thought John Holschen is one the best teachers in the business right now.

That's not to suggest others aren't good, or don't have successful, quality programs. Tom Givens arguably has one of the most successful schools when evaluated by his students' success record in gunfights. John's just got that natural gift of teaching. It's rare to come across. His family home schools, and he does a lot of the teaching. His children have a wonderful teacher.

He is back doing some limited instruction again in the private sector with Insights. If he comes to your town to teach, do whatever you can to get into that class.

If he doesn't, it's well worth the cost it takes to go to Washington and take a class under him. I'd call it a bargain.
 
The thing that will keep you from panicking is that you have thought about this and trained for it in advance. You have a plan and training to fall back on. Your mind will have something to do BESIDES panic.

While you're at it, can you draw, fire, clear a stoppage, and reload with your weak hand only?
 
"White on red." Pack or wrap any wound with a lose gauze (Curlex or the like), apply direct pressure, and if need go with a tourniquet. The ratcheting luggage straps work great for that. Obviously this is more geared towards LE.

-Jenrick
 
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