JB-15.17 Response Accepted

Police medic training on catastrophic haemorrhage

Recommendation

Police medic training should emphasise that, in cases of catastrophic external torso haemorrhage, the immediate action is to apply direct pressure and then progress directly to using haemostatic gauze. Chest seals should only be used where there is no evidence of ongoing catastrophic haemorrhage.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The Metropolitan Police Service stated on 28 October 2022 that its Senior First Aid Advisor Sue Warner had reviewed training in September 2021 and confirmed no gap in provision, with specific scenarios on upper chest and neck catastrophic bleeding included in the training programme (MPS Response to Jermaine Baker Inquiry, October 2022).
- The College of Policing updated APP-AP in August 2023 incorporating guidance on police medic treatment of catastrophic external torso haemorrhage (College of Policing APP-AP update, August 2023).
Sources
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 10 Apr 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation asks for cultural or behavioural change, which is difficult to verify from published sources alone. The evidence above reflects policy commitments rather than measured outcomes.
Jurisdiction
England
Section Reference
15.17
Response
Accepted
Accepted Metropolitan Police Service Initial Response
28 Oct 2022

MPS formally responded on 28 October 2022 (paras 32-34). Senior First Aid Advisor Sue Warner reviewed training September 2021; confirmed no gap. Specific scenario on upper chest/neck catastrophic bleed now included in training.

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Accepted College of Policing Follow-up
01 Aug 2023

College of Policing updated Authorised Professional Practice – Armed Policing (APP-AP) in August 2023 incorporating emphasis on direct pressure and haemostatic gauze for catastrophic haemorrhage before chest seals.

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Progress Timeline
Official Report
01 Aug 2023

Status as of College of Policing APP-AP update (August 2023): Completed

Source
Source
Inquiry Jermaine Baker Inquiry
Report Report into the Death of Jermaine Baker 05 Jul 2022
View Source
Responsible Bodies
College of Policing Primary
Themes & Tags
Emergency responder equipment training Staff training and development Medical Training First Aid Armed Policing
Recommendation age 4.1 yrs
Last formal update 1093 days ago