Medical Applications With Baer Solutions: Timers and Switches

CADRE Dispatch

Last week, we kicked off the first article in our five-part series about the Medical Applications Course at Baer Solutions. Led by Paul “Doc” Pollack, this course benefits from his extensive experience as a former Fleet Marine Force Corpsman, a current EMS Critical Care Paramedic, and a District Chief and deputy in his Sheriff’s Office Special Operations Division. He’s also a Safariland CORE member.

In our first post, we covered the M.A.R.C.H. algorithm, a helpful tool that officers, first responders, and responsible citizens can use to manage medical emergencies effectively. If you missed it, be sure to check it out!

Today, we’re shifting gears to discuss the concept of physiological timers and switches.

As Paul Pollack explains, “A lot of times, we go on the range and we do qualifications [with] basically just a white piece of paper with some scoring zones, but there’s no anatomy associated with it. So we try to plug and play that with an anatomical target to show them what timers and switches are.” 

Paul “Doc” Pollock explains physiological timers and switches, breaking down how the body responds to trauma in a medical applications course for law enforcement.

What Are Physiological Timers and Switches?

When a person is injured, it’s important to understand how the body reacts and what happens as it begins to decompensate. Some injuries lead to a gradual decline, while others cause immediate effects.

These responses are what we call timers and switches. 

  • Timers are injuries that cause a slow, steady decline. For example, an arterial bleed. At first, the injury might not seem critical, but as blood is lost, the person’s blood pressure drops. If untreated, this can eventually lead to unconsciousness
  • Switches are injuries that cause an immediate disruption to the nervous system. For example, a direct hit to the T-box can sever neural connections, causing immediate incapacitation. If you witness someone collapsing as if “someone clipped the strings of a puppet,” that’s a sign of a switch.
physiology of death poster, used to teach about physiological timers and switches
The T-box—the area from the eyes to the upper lip—houses the brainstem, a critical target that can immediately incapacitate a person by disrupting neurological function.

Why It Matters

Understanding how the body reacts to injuries is essential, especially for those in high-risk professions or anyone involved in firearms use. With the training provided by Paul Pollack, participants gain practical skills to recognize and respond to these life-threatening bodily reactions.

For a more in-depth explanation, check out the full video here:

Learn More

Interested in improving your medical response skills? Baer Solutions offers upcoming courses designed to give you hands-on training. To register or inquire about custom training options, visit their website.

Under Paul “Doc” Pollock’s watchful eye, students apply a tourniquet and pack a pelvic wound, testing their ability to control real-time bleeding.

Stay tuned for our next article in this series, Why You Should Carry a Tourniquet.

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