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

  • Lewis J. Kaplan (a1), Mark D. Siegel (a2), Alexander L. Eastman (a3), Lisa M. Flynn (a4), Stanley H. Rosenbaum (a5), David C. Cone (a6), David P. Blake (a7) and Jonathan Mulhern (a8)...


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.


Corresponding author

Correspondence: Lewis J. Kaplan, MD, FACS, FCCM, FCCP Department of Surgery Section of Trauma, Surgical Critical Care, and Surgical Emergencies Yale University School of Medicine 330 Cedar Street, BB-310 New Haven, CT 06520 USA E-mail


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