Reference

Executive protection medical terms.

Direction and authority

Medical direction

A named physician of record for the program. That physician writes the protocols, owns them, and is accountable for what the medics do inside them. A medic working without medical direction is operating outside a system.

Offline medical control

The standing orders. Written protocols a provider follows without calling anyone, because the decision was already made on paper months earlier.

Online medical control

A physician reachable by phone or radio during an event, who can authorize care beyond the standing orders. This is the part programs use most and plan for least.

Scope of practice

What a given provider is licensed to do. It's set by license level and by the state or country you're standing in, so it changes at borders. The gap between an EMT scope and a paramedic scope is wide, and it shows up under pressure.

Duty of care

The obligation an employer carries for the safety of people it sends into harm's way. Corporate travel and events sit squarely inside it, which is usually what puts medical readiness on a board agenda.

Protected health information (PHI)

Identifiable information about a person's health. Protection staff are not normally covered entities under HIPAA, and they handle PHI constantly anyway.HIPAA and protection teams

Planning and movement

Medical advance

The medical half of an advance. Receiving facilities identified and their capability confirmed, evacuation routes driven, air assets understood, all before the detail lands.How to run one

Receiving facility

The hospital the car actually goes to. Nearest is often the wrong answer. A stroke needs a stroke center, and a trauma needs a trauma center, and knowing which is which is advance work.

Medical threat assessment

The medical read on a trip, venue or residence. Who is at risk, from what, and what the local system can handle when it happens.

Medical evacuation (medevac)

Moving a patient to definitive care, by ground or air. International cases turn on aircraft availability, crew qualification and whether the destination country will accept the patient, which takes hours to sort out if nobody sorted it out earlier.

Event medical staffing

Providers assigned to an event by expected patient volume, acuity and how far away real EMS is. Venue-required in-house EMS is a floor, not a plan.A 5,000-guest example

Prolonged field care

Holding a patient for hours instead of minutes, because evacuation isn't coming yet. It changes the kit, the drugs and the documentation.

Training and standards

TECC

Tactical Emergency Casualty Care. The civilian adaptation of battlefield trauma care, built for police, fire and protection work. It covers care under threat well and medical emergencies barely at all.Training standards for staff

TCCC

Tactical Combat Casualty Care. The military original TECC was derived from. You'll still hear both used interchangeably on details, and the guidelines differ.

EMT and paramedic

Two different licenses, not two grades of the same one. Paramedics carry drugs, advanced airway skills and cardiac interventions an EMT can't touch. Staffing a detail with EMTs when the risk profile calls for a paramedic is a common and expensive mistake.

Skill decay

Medical skills fade fast when they go unused, and the certification card doesn't fade with them. A two-year-old certificate says almost nothing about what someone can do today.Why agents train past the card

Kit and interventions

IFAK

Individual first aid kit. One tourniquet, one chest seal, gauze, gloves, carried on the person. It's a bleeding kit, and it isn't a detail's medical kit.What belongs in the bag

AED

Automated external defibrillator. The single highest-yield piece of equipment on any residence, aircraft or venue, and the one most often locked in a closet nobody has a key to.Where to put it

Naloxone (Narcan)

Reverses an opioid overdose. Available over the counter as a nasal spray, safe to give when you're wrong about the diagnosis, and worth carrying on any detail with a family member in it.When and how to use it

Controlled substances

Scheduled drugs that require a prescriber, a chain of custody and permission to cross a border with. Programs that skip this part discover the rules at customs.Crossing borders with them

Residential medical readiness

The medical posture of a property: what's staged where, who's trained on it, and how long an ambulance takes to reach the gate. Most properties have a security posture and no medical one.The audit checklist

Medical emergency

Chest pain, shortness of breath, an allergic reaction at altitude, a stroke in a hotel room. These are the calls details actually get, and none of them are solved by a tourniquet.The calls teams get

How to use these executive protection medical terms

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