The First Five Minutes

Abstract

The program was developed by Officer/Paramedic David Kleinman in consultation with Dr. Richard Carmona, the 17th Surgeon General of the United States, former Pima County Sheriff's Department SWAT team leader and Medical Director, and Dr. Tammy Kastre, the current Medical Director for the Pima County Sheriff's Department SWAT Team and Board Certified Emergency Department Physician. Next, Body Substance Isolation (BSI) and real world applications. Officers are told to report to EMS workers thenature of the injury, mental status, mental status changes, airway control, rates of breathing and circulation, what injuries they saw, what injuries they treated, how they did it and any unusual findings. Since the assisting officer is often the first person to contact the injured person, the training stresses their observations and findings are the most significant issues in long-term care and recovery of the wounded person.