Findings: UC Docs Risk Lives to Treat Police Officers in
Line of Fire
Published August 2007
In the dark and under fire, with no help and few medical
supplies— this is what some University Hospital emergency medicine
physicians face in their struggle to save lives.
But it’s not a war zone. It’s what they can expect as volunteers
working with the Cincinnati Special Weapons and Tactics (SWAT) team.
The 40 members of the Cincinnati SWAT team are specially trained
police officers who undergo rigorous physical and tactical training.
They are called out to perform hostage rescue and/or armed intervention,
execute high risk search warrants, prevent terrorist attacks, and
provide dignitary protection and crowd control.
UC assistant professor Kevin Joseph, MD, is one of six University
Hospital emergency medicine physicians who volunteer to serve on the
Cincinnati SWAT team and serves as its medical director.
officers risk their lives everyday—this is the least I can do to make
sure an officer goes home to his or her family,” he says.
Joseph estimates that less than 5 percent of SWAT units across the
country have their own physicians. "It’s unusual for a SWAT team to
include physicians, especially those affiliated with an academic
institution,” says Joseph.
"Most teams don’t even have a medical director,” says Bill Knight,
MD, assistant professor, who has been on the SWAT team for three years.
"The hours are bad, it’s dangerous and some people’s spouses don’t want
them to risk their lives.”
As part of their emergency medicine residency, physicians must
complete training in emergency medical services (EMS), working with Air
Care or local rescue squads. Because of UC’s involvement with the
Cincinnati SWAT, tactical medicine is another way residents can fulfill
their EMS requirements.
Residents can get involved in their intern year. For six months, they
accompany a senior member of the team before they are permitted to go
out on their own. They must also complete a firearms course and pass the
same physical fitness test that police officers take.
Although the Cincinnati SWAT team doesn’t have guidelines for
physician involvement, Joseph set standards for physicians who want to
join the team.
"If the police have to undergo physical and tactical training, then
we should too,” Joseph says. "We wear the same uniform as the officers
and carry the same equipment including helmets, ballistic vests and
radios. There are two differences—we don’t carry weapons and our
armbands say ‘medic’ instead of ‘police.’”
Physicians also carry a backpack with limited medical supplies that
weigh about 20 pounds. Although they have minimal medication and
equipment, they can establish an airway, control bleeding, start an IV,
splint fractures, and handle diabetic emergencies and allergic reactions
on scene until an injured person can be transported to the hospital.
Police officers train for two days once a month. They focus on
firearms one day and tactics the next. When the physicians’ schedule
permits, they are encouraged to attend training.
SWAT teams began developing across the country in the 1970s,
according to Doug Ventre, lieutenant and tactical planning/SWAT team
commander with the Cincinnati Police Department.
"The doctors volunteer their time to our unit,” says Ventre. "I can’t
expect them to take off work, but they are welcome to train with us
whenever they can.”
"The Docs Shoot All Our Weapons”
training with us, the docs are exposed to our tactics and weapons.
Although they don't carry firearms, the docs shoot all our weapons,
including submachine guns and shotguns, so in the event an officer goes
down, the doc can pick up that weapon and protect the officer and
Ventre says that by attending training, the physicians can become
"comfortable with what we’re doing and how we move.”
Cincinnati SWAT team physicians share a pager number so they all
receive a message that the team has been called out. As of June 28 of
this year, the SWAT team was activated for 153 incidents, and a
physician went with them 61 times.
In 2006, a physician was on scene for 87 SWAT incidents.They ride
with SWAT officers to a scene and work with them as they make their
entry. Ventre always assigns an officer to protect the physician so "if
something happens, the officer is a shield for the unarmed doc.”
Peace of Mind for Families
a doctor right there with us makes a huge difference to our guys,” says
Ventre. "There’s a comfort level, because they know that if they get
hurt, there’s someone who can take care of them. It also gives more
peace of mind to our families.”
Joseph and Knight point out that what police officers are thinking
about as they enter a scene is very different from what physicians have
on their mind.
"Officers are thinking about who’s in there, what kind of felonies
they have and if they have weapons,” Knight says. "We’re asking
ourselves if there are children in there, and where we should position
ourselves so we’re unlikely to get shot but can get to someone quickly
if they’re injured.”
Says Joseph, "We not only have to think about treating injured
people, but also about the dangers around us. We want to take them out
of the hostile environment as soon as possible, but we may not be able
to. You could be stuck there treating them with minimal equipment and
assistance for a long time.”
"It can also be
very dirty and very dark,” Knight adds. "We’ve been in areas where
there are needles on the ground, drugs, rats and condoms.”
Not only do the physicians treat the officers at the scene for
conditions like lacerations, sprained ankles and broken bones, they also
monitor their overall health.
"Officers may tell us about a pain they’ve been having or problems
with breathing,” says Knight. "We advise them on treatment and refer
them when necessary.”
Knight says that thankfully, they have not had to treat an officer
for life-threatening injuries.
Suspects Benefit Too
says the physicians’ presence benefits suspects as well.
"The docs have treated everything from cuts and complications from
diabetes to hypertension and sprained ankles. In one incident, a guy put
cocaine in his mouth as we were making our entry. When the doc
explained what would happen to him if he swallowed it, he spit it out.”
Ventre says the SWAT physicians not only help at the scene, they have
also conducted classes for the officers on first aid, how to evaluate
hypothermia, and other medical issues.
"Even when they can’t be with us, they’ve taught us what to watch for
so we can try to avoid medical emergencies,” says Ventre. "We can’t
thank the docs enough for what they do for us.”
SWAT Team DoctorsUC emergency medicine physicians
on the Cincinnati SWAT team are:
Kevin Joseph, MD, attending and SWAT medical
Ben Bassin, MD, third-year resident
Jordan Bonomo, MD, attending and SWAT associate
Ben Donham, MD, fourth-year resident
Bill Knight, MD, attending
Raja, MD, fourth-year resident