Surviving Wounds Before EMS Arrives: The Bible Of Self-Care And Buddy-Care

Print Friendly, PDF & Email

The foreword for a recent book on casualty care for cops poses two questions that every officer should face up to realistically:

If wounded, “how will you survive?” And “What will you do if no one can come to your rescue?”

The answers lie in the 129 pages that follow in Officer Down! A Practical Tactical Guide to Surviving Injury in the Street by Dr. Andrew Dennis. This slim but meaty volume qualifies as a bible for trainers and officers involved in law enforcement’s growing movement toward self-care/buddy-care for serious wounds in the field.

The grim fact is, Dennis writes, in the worst circumstances “precisely when police officers are in the most danger, emergency medical services cannot reach them.” With rounds flying, with you or other officers bleeding and still needing to return fire, or even in nonfelonious situations such as horrendous vehicle crashes, “you must prepare to be on your own and to take care of your injuries for a minimum of 15 minutes….

“Preservation of life [needs to] begin the moment injury strikes. You cannot wait…to start applying countermeasures.”

How best to fill that critical time frame–how to make the right medical decisions and how to administer the life-saving techniques to back them up–is the thrust of Dennis’ book.

Drawing on more than 20 years’ experience as a sworn LEO and SWAT operator, as well as a leading trauma surgeon at Chicago’s “knife-and-gun-club” county hospital, Dennis emphasizes that wound survival requires a marriage of four core components:

Mindset, Mechanics, Management, and Movement. Complete with vivid injury photographs, he devotes a utilitarian chapter to each.

Among his multitude of revelations are:
  • The kind of pre-event training that creates the best mental “script” for defeating paralyzing fear and destructive perceptions and expectations when injury strikes;
  • A simple, “nuts-and-bolts” mnemonic–Breathe, S-T-O-P, Move–that quickly and calmly enables you to control your mind and body, check yourself for injuries, and then “efficiently prioritize and deliver tactical medical care”;
  • In-depth facts about the nature of wounds from firearms and edged weapons that can be critical to your survival–but are rarely taught in law enforcement circles;
  • Misunderstandings about the lethality of various weapons and wound locations that can dangerously impact your response decision-making;
  • How to determine what to do and when to do it “in balancing life-saving measures, tactics, and mission priorities”;
  • In the midst of a hot zone, how to assess whether bleeding requires immediate attention, or can wait;
  • Why the much-touted tourniquet, when improperly chosen for treatment over a pressure dressing, may actually cause further tissue damage, including the potential of “total limb loss”;
  • Four principles of proper pressure and how to apply them;
  • What to include in a proper trauma kit to elevate it above a mere first-aid package;
  • Why Dennis believes, “If you carry a knife, the world is your bandage”;
  • Strategic approaches and escape tactics for making it out of the field of fire alive, despite injuries;
  • And much more, supporting Dennis’ overarching credo: “If you’re not immediately dead from an injury, the odds of survival are on your side.”

Note: Officer Down! is available through Amazon or from Kendall Hunt Publishing Co. at: https://www.kendallhunt.com/officer_down. The book is a synopsis of a unique, eight-hour, hands-on training program Dr. Dennis has designed, called Medical Tactics for Law Enforcement. For more information, visit Dennis’ website: http://medicaltactics.com/dr-andrew-dennis.php or contact him at: adennis@medicaltactics.com. Our thanks to Jeff Chudwin, president of the Illinois Tactical Officers Assn., for helping to facilitate this review.

Leave a Reply


  • Privacy Policy

Privacy Policy

Effective date: January 06, 2019

Force Science Institute, Ltd. (“us”, “we”, or “our”) operates the https://www.forcescience.org/ website (hereinafter referred to as the “Service”).

This page informs you of our policies regarding the collection, use, and disclosure of personal data when you use our Service and the choices you have associated with that data. Our Privacy Policy for Force Science Institute, Ltd. is based on the Privacy Policy Template from Privacy Policies.

We use your data to provide and improve the Service. By using the Service, you agree to the collection and use of information in accordance with this policy. Unless otherwise defined in this Privacy Policy, the terms used in this Privacy Policy have the same meanings as in our Terms and Conditions, accessible from https://www.forcescience.org/

Information Collection And Use

We collect several different types of information for various purposes to provide and improve our Service to you.

Types of Data Collected

Personal Data

While using our Service, we may ask you to provide us with certain personally identifiable information that can be used to contact or identify you (“Personal Data”). Personally identifiable information may include, but is not limited to:

  • Email address
  • First name and last name
  • Phone number
  • Address, State, Province, ZIP/Postal code, City
  • Cookies and Usage Data

Usage Data

We may also collect information on how the Service is accessed and used (“Usage Data”). This Usage Data may include information such as your computer’s Internet Protocol address (e.g. IP address), browser type, browser version, the pages of our Service that you visit, the time and date of your visit, the time spent on those pages, unique device identifiers and other diagnostic data.

Tracking & Cookies Data

We use cookies and similar tracking technologies to track the activity on our Service and hold certain information.

Cookies are files with small amount of data which may include an anonymous unique identifier. Cookies are sent to your browser from a website and stored on your device. Tracking technologies also used are beacons, tags, and scripts to collect and track information and to improve and analyze our Service.

You can instruct your browser to refuse all cookies or to indicate when a cookie is being sent. However, if you do not accept cookies, you may not be able to use some portions of our Service. You can learn more how to manage cookies in the Browser Cookies Guide.

Examples of Cookies we use:

  • Session Cookies. We use Session Cookies to operate our Service.
  • Preference Cookies. We use Preference Cookies to remember your preferences and various settings.
  • Security Cookies. We use Security Cookies for security purposes.

Use of Data

Force Science Institute, Ltd. uses the collected data for various purposes:

  • To provide and maintain the Service
  • To notify you about changes to our Service
  • To allow you to participate in interactive features of our Service when you choose to do so
  • To provide customer care and support
  • To provide analysis or valuable information so that we can improve the Service
  • To monitor the usage of the Service
  • To detect, prevent and address technical issues

Transfer Of Data

Your information, including Personal Data, may be transferred to — and maintained on — computers located outside of your state, province, country or other governmental jurisdiction where the data protection laws may differ than those from your jurisdiction.

If you are located outside United States and choose to provide information to us, please note that we transfer the data, including Personal Data, to United States and process it there.

Your consent to this Privacy Policy followed by your submission of such information represents your agreement to that transfer.

Force Science Institute, Ltd. will take all steps reasonably necessary to ensure that your data is treated securely and in accordance with this Privacy Policy and no transfer of your Personal Data will take place to an organization or a country unless there are adequate controls in place including the security of your data and other personal information.

Disclosure Of Data

Legal Requirements

Force Science Institute, Ltd. may disclose your Personal Data in the good faith belief that such action is necessary to:

  • To comply with a legal obligation
  • To protect and defend the rights or property of Force Science Institute, Ltd.
  • To prevent or investigate possible wrongdoing in connection with the Service
  • To protect the personal safety of users of the Service or the public
  • To protect against legal liability

Security Of Data

The security of your data is important to us, but remember that no method of transmission over the Internet, or method of electronic storage is 100% secure. While we strive to use commercially acceptable means to protect your Personal Data, we cannot guarantee its absolute security.

Service Providers

We may employ third party companies and individuals to facilitate our Service (“Service Providers”), to provide the Service on our behalf, to perform Service-related services or to assist us in analyzing how our Service is used.

These third parties have access to your Personal Data only to perform these tasks on our behalf and are obligated not to disclose or use it for any other purpose.


We may use third-party Service Providers to monitor and analyze the use of our Service.

  • Google AnalyticsGoogle Analytics is a web analytics service offered by Google that tracks and reports website traffic. Google uses the data collected to track and monitor the use of our Service. This data is shared with other Google services. Google may use the collected data to contextualize and personalize the ads of its own advertising network.You can opt-out of having made your activity on the Service available to Google Analytics by installing the Google Analytics opt-out browser add-on. The add-on prevents the Google Analytics JavaScript (ga.js, analytics.js, and dc.js) from sharing information with Google Analytics about visits activity.For more information on the privacy practices of Google, please visit the Google Privacy & Terms web page: https://policies.google.com/privacy?hl=en

Links To Other Sites

Our Service may contain links to other sites that are not operated by us. If you click on a third party link, you will be directed to that third party’s site. We strongly advise you to review the Privacy Policy of every site you visit.

We have no control over and assume no responsibility for the content, privacy policies or practices of any third party sites or services.

Children’s Privacy

Our Service does not address anyone under the age of 18 (“Children”).

We do not knowingly collect personally identifiable information from anyone under the age of 18. If you are a parent or guardian and you are aware that your Children has provided us with Personal Data, please contact us. If we become aware that we have collected Personal Data from children without verification of parental consent, we take steps to remove that information from our servers.

Changes To This Privacy Policy

We may update our Privacy Policy from time to time. We will notify you of any changes by posting the new Privacy Policy on this page.

We will let you know via email and/or a prominent notice on our Service, prior to the change becoming effective and update the “effective date” at the top of this Privacy Policy.

You are advised to review this Privacy Policy periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page.

Contact Us

If you have any questions about this Privacy Policy, please contact us:

  • By email: support@forcescience.org
  • By visiting this page on our website: https://www.forcescience.org/contact
  • By phone number: 866-683-1944
  • By mail: Force Science Institute, Ltd.