Mass Shooting Multi-Casualty Response San Bernardino City Fire Department

Size: px
Start display at page:

Download "Mass Shooting Multi-Casualty Response San Bernardino City Fire Department"

Transcription

1 Mass Shooting Multi-Casualty Response San Bernardino City Fire Department

2 At the end of the session, the participant will be able to: Familiarize with the events and response to the Waterman/IRC Incident from the eyes of the San Bernardino City Fire Department Recognize and discuss lessons learned to use in building and maintaining programs within various organizations

3 The December 2 nd, 2015, terrorist attack at the Inland Regional Center is still an active Federal criminal investigation. This presentation will only cover the medical response, and lessons learned during the incident to help better prepare first responders.

4 Mass Shooting: FOUR or more shot and/or killed in a single event (incident), at the same general time and location, not including the shooter. 2 Active Shooter: An individual actively engaged in killing or attempting to kill people in a confined and populated area. 1 1.Ellifritz, G. (2016). 10 lessons learned from the new FBI study on active shooters. Active Response Training. Retrieved from lessons-learned-from-the-new-fbi-study-on-active-shooters 2. Mass Shootings. (2016). Retrieved from

5 July 18, 1984 San Ysidro, California 21 killed, 19 wounded August 20, 1986 Edmond, Oklahoma 14 killed, 6 wounded June 18, 1990 Jacksonville, Florida 10 killed, 4 wounded October 16, 1991 Killeen, Texas 22 killed, 20 wounded March 24, 1998 Jonesboro, Arkansas 5 killed, 10 wounded April 20, 1999 Columbine, Colorado 13 killed, 24 wounded April 16, 2007 Blacksburg, Virginia 32 killed, 17 wounded November 5, 2009 Fort Hood, Texas 13 killed, 32 wounded July 20, 2012 Aurora, Colorado 12 killed, 58 wounded December 14, 2012 Newtown, Connecticut 27 killed, 1 wounded October 1, 2015 Roseburg, Oregon 9 killed, 9 wounded December 2, 2015 San Bernardino, California 14 killed, 23 wounded Los Angeles Times. (2015). Deadliest U.S. mass shootings: Retrieved from:

6 8 medic engines with 3 personnel 2 medic trucks with 3 personnel 1 Battalion Chief in the City 2 Battalion Chief s in a anti-terrorist class in Rialto Deputy Chief in a anti-terrorist class in Rialto Fire Chief in a meeting in the City EMS Coordinator Engineer on light duty Swat medic in training 2 Battalion Chief s came in to assist

7

8 Terrorists enter a holiday gathering of County employees at the IRC and begin shooting Most Active Shooter incidents end within 5 minutes1 The IRC provides support to those with developmental disabilities A total of 33 victims were struck by gunfire, 14 of the 33 died Weapons used were AR-15 rifles The terrorists left an Improvised Explosive Device Response to the incident was rapid The terrorists were killed hours later in gun battle with officers One officer suffered a gunshot wound to the thigh 1: Ellifritz, G. (2016). 10 lessons learned from the new FBI study on active shooters. Active Response Training. Retrieved from

9

10

11 STAGING NORTH STAGING SOUTH STATION 11/ SECONDARY TRIAGE/TREATMENT

12 10:58 Initial reports of shots fired 11:03 ME 231 dispatched to stage 11:07 ME 231 arrived on scene/staged 11:04-11:11 11 additional units dispatched/on scene 11:12 MCI declared by ME :15 MCI Treatment Area established 11:17 Comm Center Reddinet poll initiated 11:21 AMR responding with 15 units 11:24 Bed Availability provided to Med Comm 11:36 3 AMR supervisors responding 11:47 Last critical patient transported off scene 11:54 2 ALS/8 BLS Symons units responding 11:59 Treatment area moved to :03 Possible explosive device in building

13

14 Established Incident Command Predesignated assignments to incoming units Assigned 2 nd Battalion Chief to Unified Command and assumed Operations Coordinated with other agencies for treatment and transport of victims Assigned resources for 2 nd incident (shoot out)

15 4 months on the job Declared a MCI Reddinet Communication

16

17 Ribbon process - initial triage Triage tags secondary triage

18

19 Triage/Treatment Area Shooting

20

21

22

23 Injury Triaged Treated Transported Gunshot Other Total * Data is from initial incident only

24 Number of Transported to Hospital Mode 22 Ambulance 2 Air Rescue 1 Police Vehicle 3 Private Vehicle or walked 28 Total

25 Patient Transportation Record Patient # Ambulance Company Priority Destination Disposition 1 AMR Minor SARH Discharge 2 AMR Minor SARH Discharge 3 PD (Probation) Immediate ARMC Discharge 4 AMR Immediate ARMC OR Admit Discharge 5 AMR Immediate ARMC Admit Discharge 6 AMR Immediate ARMC OR Admit Discharge 7 AMR Immediate ARMC OR Admit Discharge 8 AMR Immediate AMRC Admit Discharge 9 AMR Minor CHSB OR Admit Discharge 10 AMR Immediate LLUMC OR Admit Discharge 11 AMR Immediate LLUMC OR Admit Discharge 12 AMR Minor KHO Discharge 13 AMR Minor KHO Discharge 14 AR Immediate Riverside County OR Admit Discharge 15 AR Delayed Riverside County OR Admit Discharge 16 AMR Immediate LLUMC OR Admit Discharge 17 AMR Immediate LLUMC OR Admit Discharge 18 AMR Minor CHSB OR Admit Discharge 19 AMR Minor KHF OR Admit Discharge 20 AMR Immediate HSTB OR Admit Discharge 21 POV HSTB Discharge 22 AMR HTSB Discharge 23 AMR HTSB Discharge 24 AMR HTSB Discharge 25 AMR HTSB Discharge 26 POV Minor KHF Discharge 27 POV Minor KHF Discharge 28 AMR LLUMC Discharge

26 Injury Severity Number Death 14 Gunshot Wound/Critical 11 Gunshot Wound/Complex 5 Gunshot Wound/Soft Tissue Only 3 Orthopedic 9 Total 42 Definitions: Death Triaged on scene as dead Gunshot Wound/Critical Patient required emergency surgery Gunshot Wound/Complex Patient had wounds involving multiple systems, i.e., soft tissue with fractures or soft tissue with neurological deficit Gunshot Wound/Soft Tissue Only Did not require surgical repair or was not accompanied by lifethreatening blood loss Orthopedic Non-life threatening wounds not caused by gunshots, i.e., trip and fall

27

28 Hospitals All critical patients off site in approximately 15 minutes Last critical patient arrived at hospital within 57 minutes of extrication EOC s set-up within 20 minutes with surgeons, pharmacy and blood bank Hospitals commended for protecting the privacy of patients

29 Engines and ambulances staged Reduced force protection (Waterman) IED s/pipe bombs found in SUV Cross fire and/or innocent bystanders Four (4) patients injured in TC secondary to car chase and shoot-out (all minor)

30 Set up unified command between Fire/EMS and LE immediately Interoperability for Communication Set up triage/treatment immediate to control use of POV s Predetermine assignments PTA Set up triage/treatment as close as possible to casualty collection point for easy egress in and out Perimeter Control for triage/treatment Areas Utilize apparatus as safety barriers for triage/treatment areas TIME! Effectiveness of treatment

31

32 Ellifritz, G. (2016). 10 lessons learned from the new FBI study on active shooters. Active Response Training. Retrieved from lessons-learned-from-the-new-fbi-study-on-active-shooters Los Angeles Times. (2015). Deadliest U.S. mass shootings: Retrieved from: Mass Shootings. (2016). Retrieved from

The San Bernardino terrorist attack was the

The San Bernardino terrorist attack was the INLAND EMPIRE CENTER - INLANDEMPIRECENTER.ORG 12 Emergency Medical Response Photo Credit: Kristian Johansson Flickr by Joe Noss 20 The San Bernardino terrorist attack was the deadliest on American soil

More information

Tactical medics made life-or-death difference to San Bernardino shooting victims

Tactical medics made life-or-death difference to San Bernardino shooting victims Tactical medics made life-or-death difference to San Bernardino shooting victims By Beatriz Valenzuela San Bernardino County Sun SAN BERNARDINO, Calif. When Ryan Starling and the rest of the members of

More information

Contents. The Event 12/29/2016. The Event The Aftershock The Recovery Lessons Learned Discussion Summary

Contents. The Event 12/29/2016. The Event The Aftershock The Recovery Lessons Learned Discussion Summary #OrlandoUnited: Coordinating the medical response to the Pulse nightclub shooting Christopher Hunter, M.D., Ph.D. Director, Orange County Health Services Department Associate Medical Director, Orange County

More information

Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the

Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the April, 2015 Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the planning, training, and equipment required to manage

More information

ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES

ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES R SUBJECT: ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES Rescue Task Force Response SOP# A.* * /Cat * Initiated APPROVED: James Schw artz Fire Chief Revised A. PURPOSE To establish policies

More information

San Diego Operational Area. Policy # 9A Effective Date: 9/1/14 Pages 8. Active Shooter / MCI (AS/MCI) PURPOSE

San Diego Operational Area. Policy # 9A Effective Date: 9/1/14 Pages 8. Active Shooter / MCI (AS/MCI) PURPOSE PURPOSE The intent of this Policy is to provide direction for performance of the correct intervention, at the correct time, in order to stabilize and prevent death from readily treatable injuries in the

More information

Law Enforcement and Public Safety. Medical Response to Trauma: The Hartford Consensus. This module uses information from: Objectives 9/25/2014

Law Enforcement and Public Safety. Medical Response to Trauma: The Hartford Consensus. This module uses information from: Objectives 9/25/2014 Law Enforcement and Public Safety Medical Response to Trauma: The Hartford Consensus This module uses information from: Improving Survival from Active Shooter Events: The Hartford Consensus Pre-Hospital

More information

Law Enforcement and Public Safety. Medical Response to Trauma: The Hartford Consensus

Law Enforcement and Public Safety. Medical Response to Trauma: The Hartford Consensus Law Enforcement and Public Safety Medical Response to Trauma: The Hartford Consensus This module uses information from: Improving Survival from Active Shooter Events: The Hartford Consensus Pre-Hospital

More information

Federal Initiatives on Active Shooter and Large-scale Incidents

Federal Initiatives on Active Shooter and Large-scale Incidents Federal Initiatives on Active Shooter and Large-scale Incidents - Can we help? - Are you prepared? Deputy Director s Office of Partner Engagement, Active Shooter Initiative Section Chief Katherine Schweit;

More information

9/5/2017. Pulse Nightclub Tragedy. Pulse Nightclub Tragedy. Pulse Nightclub: Deadliest Mass Shooting In U.S. History

9/5/2017. Pulse Nightclub Tragedy. Pulse Nightclub Tragedy. Pulse Nightclub: Deadliest Mass Shooting In U.S. History Pulse Nightclub: Deadliest Mass Shooting In U.S. History Joseph A. Ibrahim, MD FACS Michael L. Cheatham, MD FACS Pulse Nightclub Tragedy Pulse Nightclub Tragedy 1 Pulse Nightclub Tragedy Orlando Regional

More information

SAN LUIS OBISPO CITY FIRE EMERGENCY OPERATIONS MANUAL E.O MULTI-CASUALTY INCIDENTS Revised: 8/14/2015 Page 1 of 10. Purpose.

SAN LUIS OBISPO CITY FIRE EMERGENCY OPERATIONS MANUAL E.O MULTI-CASUALTY INCIDENTS Revised: 8/14/2015 Page 1 of 10. Purpose. Revised: 8/14/2015 Page 1 of 10 Purpose The establishment of these procedures is designed to provide an organized, coordinated and expandable resource management approach to be utilized by the numerous

More information

ESCAMBIA COUNTY FIRE-RESCUE

ESCAMBIA COUNTY FIRE-RESCUE Patrick T Grace, Fire Chief Page 1 of 7 PURPOSE: To create a standard of operation to which all members of Escambia County Public Safety will operate at the scene of incidents involving a mass shooting

More information

Pulse Nightclub: Deadliest Mass Shooting In U.S. History William Havron III MD FACS General Surgery Program Director - ORMC

Pulse Nightclub: Deadliest Mass Shooting In U.S. History William Havron III MD FACS General Surgery Program Director - ORMC Pulse Nightclub: Deadliest Mass Shooting In U.S. History William Havron III MD FACS General Surgery Program Director - ORMC Pulse Nightclub Tragedy Pulse Nightclub Tragedy Pulse Nightclub Tragedy Orlando

More information

Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN

Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted January 2000 Revised February 2008 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organizations Affected 5.0 Standard

More information

Model Policy. Active Shooter. Updated: April 2018 PURPOSE

Model Policy. Active Shooter. Updated: April 2018 PURPOSE Model Policy Active Shooter Updated: April 2018 I. PURPOSE Hot Zone: A geographic area, consisting of the immediate incident location, with a direct and immediate threat to personal safety or health. All

More information

Active Shooter Guideline

Active Shooter Guideline 1. Purpose: This procedure establishes guidelines for Monterey County Public Safety Personnel who respond to Active Shooter Incidents (ASI). The goal is to provide effective rescue and treatment procedures,

More information

Town of Brookfield, Connecticut Mass Casualty Incident Plan

Town of Brookfield, Connecticut Mass Casualty Incident Plan Town of Brookfield, Connecticut Mass Casualty Incident Plan 1.0 Definition Of Mass Casualty Incident: A Mass Casualty Incident is an incident having multiple patients that would exceed the amount Brookfield

More information

Mass Casualty Incident (MCI)

Mass Casualty Incident (MCI) Mass Casualty Incident (MCI) This Mass Casualty Incident (MCI) procedure is to be used for any incident when the number of injured exceed the capabilities of the first arriving units to efficiently triage,

More information

Marin County EMS Agency

Marin County EMS Agency Marin County EMS Agency Multiple Patient Management Plan Excellent Care Every Patient, Every Time July 2013 899 Northgate Drive #104, San Rafael, CA 94903 ph. 415-473-6871 fax 415-473-3747 www.marinems.org

More information

MASSACHUSETTS STATE POLICE

MASSACHUSETTS STATE POLICE MASSACHUSETTS STATE POLICE What is an Active Shooter? An Active Shooter is an individual actively engaged in killing or attempting to kill people in a confined and populated area. Active Shooters are unpredictable

More information

Pediatric Disaster Management and the School System

Pediatric Disaster Management and the School System Pediatric Disaster Management and the School System Greg Pereira, MBA, RN, CPEN Director of Trauma And Transport Objectives Discuss relationship between Emergency Preparedness and the Community in relation

More information

Multiple Patient Management Plan

Multiple Patient Management Plan 2018 [NAME OF PLAN] Multiple Patient Management Plan Marin County Health & Human Services Emergency Medical Services Agency Supports the Marin County Operational Area Emergency Operations Plan and Medical

More information

Integrated Operations for HighThreat Incidents. (Rescue Task Force) 1/24/2018. Disclaimers. Are We Paying Attention Yet?

Integrated Operations for HighThreat Incidents. (Rescue Task Force) 1/24/2018. Disclaimers. Are We Paying Attention Yet? Integrated Operations for HighThreat Incidents (Rescue Task Force) Geoffrey L. Shapiro Director, EMS & Operational Medicine Training The George Washington University Committee for Tactical Emergency Casualty

More information

ATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST

ATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST ATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST 1) CONSIDER: a) Safety Needs Full Personal Protective Clothing b) Decontamination c) Secondary Devices 2) MASS CASUALTY INCIDENT PLAN: a) Type of

More information

Dayton MMRS. Metropolitan Medical Response System

Dayton MMRS. Metropolitan Medical Response System Confidential - FOUO This presentation is CONFIDENTIAL (nonclassified) and For Official Use Only (FOUO). Presentation is a security record under Section 149.433 of the Ohio Revised Code. This is NOT a public

More information

Automating Hospital Mass Casualty Incident Response: What Matters and Why?

Automating Hospital Mass Casualty Incident Response: What Matters and Why? Automating Hospital Mass Casualty Incident Response: What Matters and Why? NH EMERGENCY PREPAREDNESS CONFERENCE Overview Review of the threat landscape Lessons learned Describe the need for an MCI Protocol

More information

The Israeli Experience

The Israeli Experience E.M.S Response To Terrorism The Israeli Experience GUY CASPI Chief MCI Instructor and Director of Exercises and Operational Training MAGEN DAVID ADOM IN ISRAEL Israel National EMS and Blood Services guyc@mda.org.il

More information

San Joaquin County Emergency Medical Services Agency. Active Threat Plan

San Joaquin County Emergency Medical Services Agency. Active Threat Plan San Joaquin County Emergency Medical Services Agency Active Threat Plan An Integrated Response for Law Enforcement and Multi-Casualty Branch Operations Page 1 of 13 Acknowledgments This plan is based on

More information

MCI PLAN MASS CASUALTY INCIDENT PLAN

MCI PLAN MASS CASUALTY INCIDENT PLAN Pierce County Fire Chiefs Association MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted 1998 Revised May 2003 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organization Affected 5.0 Standard

More information

Corporal James Browning

Corporal James Browning Corporal Jeremiah Waters Corporal James Browning How often are fire drills conducted? When was the last death due to a school or business fire? How often are active shooter or intruder drills conducted?

More information

Providence Holy Cross Medical Center 2008 Metrolink Train Derailment

Providence Holy Cross Medical Center 2008 Metrolink Train Derailment Providence Holy Cross Medical Center 2008 Metrolink Train Derailment Presented by Melanie Ridgley RN, MICN, PCC Missy Blackstock RN, ED Manager Patricia Aidem Public Information Officer Introduction On

More information

SANTA BARBARA COUNTY

SANTA BARBARA COUNTY SANTA BARBARA COUNTY MULTI-CASUALTY INCIDENT (MCI) RESPONSE PLAN Santa Barbara County Emergency Medical Services Agency Updated August 22, 2013 - i - Santa Barbara County MCI Plan TABLE OF CONTENTS Page

More information

Palm Beach County Fire Rescue Standard Operating Guideline

Palm Beach County Fire Rescue Standard Operating Guideline Palm Beach County Fire Rescue Standard Operating Guideline Operational Procedure for the Protective Element Medical Team Effective Date /DRAFT Revised Date DRAFT SCOPE: PURPOSE: AUTHORITY: This guideline

More information

Active Shooter Awareness Training For Tenant Agencies

Active Shooter Awareness Training For Tenant Agencies Active Shooter Awareness Training For Tenant Agencies 1 Today s Discussion Previous active shooter incidents Evolution of police response Police response tactics How to react to an active shooter Facility

More information

Chelan & Douglas County Mass Casualty Incident Management Plan

Chelan & Douglas County Mass Casualty Incident Management Plan Chelan & Douglas County Mass Casualty Incident Management Plan Updated 6/2016 1.0 Purpose 2.0 Scope 3.0 Definitions 4.0 MCI Management Principles 4.1 MCI Emergency Response Standards 4.2 MCI START System

More information

NOTIFICATION, RESPONSE, AND ON-SCENE

NOTIFICATION, RESPONSE, AND ON-SCENE DAYTON MMRS RESCUE TASK FORCE (RTF): NOTIFICATION, RESPONSE, AND ON-SCENE BY DAYTON MMRS MUMBAI COMMITTEE Chief Jacob King, WPAFB FD CONFIDENTIAL - FOUO Presentation is CONFIDENTIAL (nonclassified) and

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual: Subject: Emergency Medical Services Administrative Policies and Procedures Multi-Casualty

More information

Active School Shooter Exercise. Presented by: Rodney Diggs Director Anson County Emergency Services

Active School Shooter Exercise. Presented by: Rodney Diggs Director Anson County Emergency Services Active School Shooter Exercise Presented by: Rodney Diggs Director Anson County Emergency Services Participating Agencies Planning the Exercise The planning team consisted of representatives from: Anson

More information

Violence on Campus. Surviving an Active Shooter

Violence on Campus. Surviving an Active Shooter Violence on Campus Surviving an Active Shooter Campus Shootings since 2007 -February 21, 2014: San Jose State University 1 dead -January 30, 2014: Eastern Florida State University - 1 injured -January

More information

Contra Costa County. Emergency Medical Services Multi-Casualty Incident Plan

Contra Costa County. Emergency Medical Services Multi-Casualty Incident Plan Contra Costa County Emergency Medical Services Plan July 1, 2007 Contra Costa County Health Services Department Emergency Medical Services Agency Plan Table of Contents Plan Scope 2 Plan Objectives

More information

United States Active Shooter Events from 2000 to 2010: Training and Equipment Implications

United States Active Shooter Events from 2000 to 2010: Training and Equipment Implications United States Active Shooter Events from 2000 to 2010: Training and Equipment Implications Prepared by J. Pete Blair, Ph.D. Director of Research Advanced Law Enforcement Rapid Response Training (ALERRT)

More information

Active Violence and Mass Casualty Terrorist Incidents

Active Violence and Mass Casualty Terrorist Incidents Position Statement Active Violence and Mass Casualty Terrorist Incidents The threat of terrorism, specifically active shooter and complex coordinated attacks, is a concern for the fire and emergency service.

More information

Annex 6: Lewis County Mass Casualty Incident Plan

Annex 6: Lewis County Mass Casualty Incident Plan Annex 6: Lewis County Mass Casualty Incident Plan Approved by the Lewis County EMS Council 11/21/06 Reviewed by Lewis County LEPC 11/27/06 and Fire Advisory on 12/20/06 Approved by the Lewis County 911

More information

Oswego County EMS. Multiple-Casualty Incident Plan

Oswego County EMS. Multiple-Casualty Incident Plan Oswego County EMS Multiple-Casualty Incident Plan Revised December 2013 IF this is an actual MCI THEN go directly to the checklist section on page 14. 2 Index 1. Purpose 4 2. Objectives 4 3. Responsibilities

More information

SAFE-D Scenarios Lt. Kennard, Sgt. Standifer, Sgt. Adams

SAFE-D Scenarios Lt. Kennard, Sgt. Standifer, Sgt. Adams SAFE-D Scenarios Lt. Kennard, Sgt. Standifer, Sgt. Adams www.dps.texas.gov Overview: Provide basic information on SAFE-D encounters and explore protection options to defend against a deadly encounter.

More information

New Hampshire Bureau of Emergency Medical Services. EMS in the Warm Zone Active Shooter Best Practice Guide. Version 1.

New Hampshire Bureau of Emergency Medical Services. EMS in the Warm Zone Active Shooter Best Practice Guide. Version 1. 2015 New Hampshire Bureau of Emergency Medical Services EMS in the Warm Zone Active Shooter Best Practice Guide Version 1.0 02/05/2015 1 EMS in the Warm Zone Active shooter events can happen in any community

More information

This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities.

This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities. A N N E X C : M A S S C A S U A L T Y E M S P R O T O C O L This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities.

More information

MASS CASUALTY INCIDENT S.O.P January 15, 2006 Page 1 of 13

MASS CASUALTY INCIDENT S.O.P January 15, 2006 Page 1 of 13 January 15, 2006 Page 1 of 13 INTRODUCTION This plan establishes a standard structure and guidelines for the management of fire and E.M.S. Operations in a multi-casualty emergency medical situation. This

More information

5/19/2014. Active Shooter Guidance for Healthcare Facilities. Panama City School Board Meeting December 14, 2010

5/19/2014. Active Shooter Guidance for Healthcare Facilities. Panama City School Board Meeting December 14, 2010 Active Shooter Guidance for Healthcare Facilities Scott Cormier Director, Emergency Preparedness & Management Panama City School Board Meeting December 14, 2010 2 Marine Corps Air Station Yuma Hospital

More information

Albert Bahn. Alice Training Institute

Albert Bahn. Alice Training Institute Albert Bahn Alice Training Institute Proprietary Notice Much of the information in this presentation is proprietary property of Edu-Safe Associates and the Alice Training Institute. It may not be reproduced

More information

Principal JJMS Group 25 years in Emergency Services Certified CSTI Outreach Instructor CCSF Adjunct Faculty Hazardous Materials Specialist

Principal JJMS Group 25 years in Emergency Services Certified CSTI Outreach Instructor CCSF Adjunct Faculty Hazardous Materials Specialist Principal JJMS Group 25 years in Emergency Services Certified CSTI Outreach Instructor CCSF Adjunct Faculty Hazardous Materials Specialist 1 Preparing to manage the Mass Casualty Incident 2 What we are

More information

MCI PLAN MASS CASUALTY INCIDENT PLAN

MCI PLAN MASS CASUALTY INCIDENT PLAN Pierce County Fire Chiefs Association MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted 1998 Revised May 2003 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organization Affected 5.0 Standard

More information

Resource classification Personnel. 6 NIMS (3 of 3) Major NIMS components: Command and management

Resource classification Personnel. 6 NIMS (3 of 3) Major NIMS components: Command and management 1 Chapter 38 Incident Management and Triage 2 Incident Command System (1 of 2) ICS=An organized approach for dealing with operations. ICS is used to help control, direct, and coordinate resources. It ensures

More information

Multi-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # /15/2017

Multi-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # /15/2017 Multi-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # 210 04/15/2017 - i - TABLE OF CONTENTS SECTION 1.0: MCI PLAN ADMINISTRATIVE ELEMENT 1.1 Scope

More information

ACTIVE SHOOTER HOW TO RESPOND

ACTIVE SHOOTER HOW TO RESPOND ACTIVE SHOOTER HOW TO RESPOND October 2008 Emergency Numbers EMERGENCY SERVICES: 9-1 -1 LOCAL EMERGENCY INFORMATION LINE: LOCAL POLICE DEPARTMENT: LOCAL FIRE DEPARTMENT: LOCAL HOSPITAL: LOCAL FBI FIELD

More information

UNIVERSITY OF TOLEDO

UNIVERSITY OF TOLEDO UNIVERSITY OF TOLEDO SUBJECT: CODE VIOLET VIOLENT SITUATION Procedure No: EP-08-015 PROCEDURE STATEMENT Code Violet will be initiated for serious situations involving any individual(s) exhibiting or threatening

More information

MALL SHOOTING CLACKAMAS TOWN CENTER DECEMBER 11TH, 2012 HAPPY VALLEY, OREGON

MALL SHOOTING CLACKAMAS TOWN CENTER DECEMBER 11TH, 2012 HAPPY VALLEY, OREGON MALL SHOOTING CLACKAMAS TOWN CENTER DECEMBER 11TH, 2012 HAPPY VALLEY, OREGON Where is Clackamas County? 1,879 Square Miles 2011 Population 380,000 Location A favorite shopping, dining and entertainment

More information

COMMAND MCI PROCEDURE FOG #1

COMMAND MCI PROCEDURE FOG #1 COMMAND MCI PROCEDURE FOG #1 Don the appropriate vest and use the radio designation COMMAND. Establish the Command Post in a safe, visible and fixed location uphill and upwind. Consider assigning an aide.

More information

Chapter 44. Objectives. Objectives 01/09/2013. Multiple-Casualty Incidents and Incident Management

Chapter 44. Objectives. Objectives 01/09/2013. Multiple-Casualty Incidents and Incident Management Chapter 44 Multiple-Casualty Incidents and Incident Management Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved.

More information

SHOTS FIRED: Experiences and Lessons Learned During the Las Vegas Mass Shooting

SHOTS FIRED: Experiences and Lessons Learned During the Las Vegas Mass Shooting SHOTS FIRED: Experiences and Lessons Learned During the Las Vegas Mass Shooting Christopher Lake, PhD Executive Director, Community Resilience Nevada Hospital Association Las Vegas, Nevada Approximately

More information

ACTIVE SHOOTER HOW TO RESPOND. U.S. Department of Homeland Security. Washington, DC

ACTIVE SHOOTER HOW TO RESPOND. U.S. Department of Homeland Security. Washington, DC U.S. Department of Homeland Security Washington, DC 20528 cfsteam@hq.dhs.gov www.dhs.gov ACTIVE SHOOTER HOW TO RESPOND October 2008 MANAGING THE CONSEQUENCES OF AN ACTIVE SHOOTER SITUATION LESSONS LEARNED

More information

American College of Surgeons Bleeding Control Legislative Toolkit

American College of Surgeons Bleeding Control Legislative Toolkit American College of Surgeons Bleeding Control Legislative Toolkit This document is a resource for ACS Chapters, Fellows, and Committee on Trauma (COT) advocates to promote the Stop the Bleed program and

More information

STANDARD OPERATING GUIDELINE Civil Disturbances

STANDARD OPERATING GUIDELINE Civil Disturbances Purpose Fire Ground Safety Initiative STANDARD OPERATING GUIDELINE Civil Disturbances This standard operating guideline has been developed to provide basic operating guidelines for the personnel responding

More information

MULTI CASUALTY INCIDENT PLAN

MULTI CASUALTY INCIDENT PLAN Approved: 10/14/2015 Revised: 7/1/16 EL DORADO COUNTY EMS AGENCY MULTI CASUALTY INCIDENT PLAN TABLE OF CONTENTS Policy Statement 2 Key Points 3 ICS Chart 5 Roles and Responsibilities Division Supervisor/Medical

More information

1/7/2014. Dispatch for fire at Rosslyn, VA metro station Initial dispatch as Box Alarm

1/7/2014. Dispatch for fire at Rosslyn, VA metro station Initial dispatch as Box Alarm 1 Dispatch for fire at Rosslyn, VA metro station Initial dispatch as Box Alarm 4 engines, 2 trucks, 1 rescue, 1 medic unit, 2 battalion chiefs, 1 EMS supervisor, 1 battalion aide First arriving units report

More information

JOINT COMMITTEE TO CREATE A NATIONAL POLICY TO ENHANCE SURVIVABILITY FROM MASS CASUALTY SHOOTING EVENTS HARTFORD CONSENSUS II

JOINT COMMITTEE TO CREATE A NATIONAL POLICY TO ENHANCE SURVIVABILITY FROM MASS CASUALTY SHOOTING EVENTS HARTFORD CONSENSUS II July 11, 2013 JOINT COMMITTEE TO CREATE A NATIONAL POLICY TO ENHANCE SURVIVABILITY FROM MASS CASUALTY SHOOTING EVENTS HARTFORD CONSENSUS II Concept to Action On April 2, 2013, representatives from a select

More information

Celebrating 35 Years!

Celebrating 35 Years! Association of SWAT Personnel Wisconsin Celebrating 35 Years! 2017 Conference & Vendor Expo Milwaukee, WI March 6-8, 2017 35 th Anniversary 2017 Conference & Vendor Expo Welcome! The Executive Board &

More information

ACTIVE SHOOTER INCIDENT MANAGEMENT

ACTIVE SHOOTER INCIDENT MANAGEMENT ACTIVE SHOOTER INCIDENT MANAGEMENT WHITE PAPER PREPARATION. READINESS. EXECUTION. PREPARATION. READINESS. EXECUTION. Copyright 02/2016 Mission Manager, Inc. (619) 562-5411 contact@missionmanager.com www.missionmanager.com

More information

ACTIVE SHOOTER GUIDEBOOK

ACTIVE SHOOTER GUIDEBOOK ACTIVE SHOOTER GUIDEBOOK HOW TO RESPOND WHAT IS AN ACTIVE SHOOTER? An Active Shooter is an individual actively engaged in killing or attempting to kill people in a confined and populated area; in most

More information

PRESS RELEASE. Chester County Law Enforcement Is Prepared for Active Threat Incidents

PRESS RELEASE. Chester County Law Enforcement Is Prepared for Active Threat Incidents CHESTER COUNTY DISTRICT ATTORNEY S OFFICE TELEPHONE: 610-344-6801 FAX: 610-344-5905 THOMAS P. HOGAN DISTRICT ATTORNEY 201 W. MARKET STREET, SUITE 4450 POST OFFICE BOX 2748 WEST CHESTER, PA 19380-0991 March

More information

GREY NUNS COMMUNITY HOSPITAL ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN

GREY NUNS COMMUNITY HOSPITAL ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN GREY NUNS COMMUNITY HOSPITAL ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN ALGORITHM Staff Member Discovering the incident Staff in close proximity to the incident Recognizes

More information

ANNEX V ACTS OF VIOLENCE

ANNEX V ACTS OF VIOLENCE ANNEX V ACTS OF VIOLENCE PROMULGATION STATEMENT Annex V: Acts of Violence, and contents within, is a guide to how the University conducts an emergency response specific to an act of violence. The Annex

More information

HISTORY: BEST TOOL FOR DISASTER PLANNING 1920 BROAD STREET BOMBING (CULPRITS NEVER FOUND: ACCIDENT??) LED TO FOUNDING OF BEEKMAN HOSPITAL IN 1924

HISTORY: BEST TOOL FOR DISASTER PLANNING 1920 BROAD STREET BOMBING (CULPRITS NEVER FOUND: ACCIDENT??) LED TO FOUNDING OF BEEKMAN HOSPITAL IN 1924 HISTORY: BEST TOOL FOR DISASTER PLANNING 1920 BROAD STREET BOMBING (CULPRITS NEVER FOUND: ACCIDENT??) LED TO FOUNDING OF BEEKMAN HOSPITAL IN 1924 THE TWO GOALS OF DISASTER PLANNING: 1)EVACUATION 2) TREATING

More information

The 2013 Boston Marathon Bombings

The 2013 Boston Marathon Bombings The 2013 Boston Marathon Bombings Lessons Learned from a Resource-Rich Urban Battlefield Presented at the 41 st Convention of the American Society of Plastic Surgical Nurses Boston, Massachusetts October

More information

Preparation. Are We Ready? Preparing for the Unpredictable

Preparation. Are We Ready? Preparing for the Unpredictable Are We Ready? Preparing for the Unpredictable Eric Goralnick, MD, MS Medical Director, Emergency Preparedness Brigham and Women s Healthcare Preparation 2012 Prioritized Active Shooter in Hazard Vulnerability

More information

8/24/2017. Mass Casualty Incident (MCI) Communications and Drills (small exercises)

8/24/2017. Mass Casualty Incident (MCI) Communications and Drills (small exercises) Mass Casualty Incident (MCI) Communications and Drills (small exercises) Planning process SALT Triage and Materials Regional Hospital Notification System (RHNS) Regional MCI Radios and Talkgroups GDAHA

More information

MASS CASUALTY INCIDENTS. Daniel Dunham

MASS CASUALTY INCIDENTS. Daniel Dunham MASS CASUALTY INCIDENTS Daniel Dunham WHAT IS A MASS CASUALTY INCIDENT? Any time resources required exceed the resources available. The number of patients is not necessarily large or small, and may be

More information

Tactical Improvisation: After-Action/ Comprehensive Analysis of the Active Shooter Incident Response by the San Bernardino City Fire Department

Tactical Improvisation: After-Action/ Comprehensive Analysis of the Active Shooter Incident Response by the San Bernardino City Fire Department 2018 strategicreliability, LLC Making Better Decisions Tactical Improvisation: After-Action/ Comprehensive Analysis of the Active Shooter Incident Response by the San Bernardino City Fire Department DAVED

More information

Medical Response To A Major Freeway Bridge Collapse. Collapse. I-35W Bridge AUGUST 1, 2007

Medical Response To A Major Freeway Bridge Collapse. Collapse. I-35W Bridge AUGUST 1, 2007 Medical Response To A Major Freeway Bridge Collapse I-35W Bridge Collapse AUGUST 1, 2007 Built 1967 Rated in recent years as: structurally deficient, but not in immediate need of replacement 2000 ft span,

More information

Vision Our Common Goal. SSO Vs. SRO. SSO Vs. SRO 4/24/2017

Vision Our Common Goal. SSO Vs. SRO. SSO Vs. SRO 4/24/2017 Vision 2000 Our Common Goal Law Enforcement and School Partnerships Captain Joey C. Mayeaux Ascension Parish Sheriff s Office Be perceived as the finest Sheriff s Office in the state of Louisiana Have

More information

School Shepherds LLC.

School Shepherds LLC. School Shepherds LLC. Educators Protecting Educators Permission To Live 2013 Active Shooter Response Course In a moment of decision, the best thing you can do is the right thing. The next best thing is

More information

Violent Scenes Response

Violent Scenes Response , SOG 3.21 Violent Scenes Response 1. Intent and Purpose: Whether units have been dispatched to a violent scene or they are on an ordinary call that develops into a violent / threatened scene Union County

More information

Violence on Campus. Surviving an Active Shooter

Violence on Campus. Surviving an Active Shooter Violence on Campus Surviving an Active Shooter Campus Shootings since 2007 -June 1, 2016: UCLA 2 dead -November 1, 2015: Winston-Salem State University 1 dead, 1 injured -October 22, 2015: Tennessee State

More information

High Threat Mass Casualty 1/7/2014. Game changer..

High Threat Mass Casualty 1/7/2014. Game changer.. Changing the Paradigm: Guidelines for High Risk Scenarios E. Reed Smith, MD, FACEP Committee for Tactical Emergency Casualty Care 1 Game changer.. 2 High Threat Mass Casualty What is the traditional teaching

More information

Development of the ASPR TRACIE No- Notice Incident Fact Sheets & Recommendations for Use

Development of the ASPR TRACIE No- Notice Incident Fact Sheets & Recommendations for Use Development of the ASPR TRACIE No- Notice Incident Fact Sheets & Recommendations for Use Melissa Harvey Dr. John Hick Dr. Rick Hunt June 19, 2018 ASPR Visit to Las Vegas ASPR representatives visited with

More information

Healthcare Response to a No-Notice Incident: Las Vegas

Healthcare Response to a No-Notice Incident: Las Vegas Access the recorded webinar here: https://register.gotowebinar.com/ recording/3579578141668518147 Speaker Bios: https://asprtracie.s3.amazonaws.com/ documents/healthcare-response-to-a-no-noticeincident-speaker-bios.pdf

More information

NYC Pediatric Disaster Plan

NYC Pediatric Disaster Plan NYC Pediatric Disaster Plan Moving the Right Child, at the Right Time, to the Right Place. Presented by the NYC Department of Mental Health & Hygiene, NYC Pediatric Disaster Coalition (PDC) August 19,

More information

SIGNATURE OF COUNTY ADMINISTRATOR OR CHIEF ADMINISTRATIVE OFFICER

SIGNATURE OF COUNTY ADMINISTRATOR OR CHIEF ADMINISTRATIVE OFFICER APPLICATION FORM All applications must include the following information. Separate applications must be submitted for each eligible program. Deadline: June 1, 2016. Please include this application form

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual: Subject: Emergency Medical Services Administrative Policies and Procedures Multi-Casualty

More information

RESCUE TASK FORCE COURSE OVERVIEW AND INSTRUCTIONAL GOALS COURSE OVERVIEW INSTRUCTIONAL GOALS

RESCUE TASK FORCE COURSE OVERVIEW AND INSTRUCTIONAL GOALS COURSE OVERVIEW INSTRUCTIONAL GOALS COURSE OVERVIEW AND INSTRUCTIONAL GOALS COURSE LENGTH: 16 Hours (2 Days) COURSE OVERVIEW This course is designed to teach students the four main methods of warm zone care during active violence incidents.

More information

Active Shooter Conference LAW ENFORCEMENT PERSPECTIVE

Active Shooter Conference LAW ENFORCEMENT PERSPECTIVE Active Shooter Conference LAW ENFORCEMENT PERSPECTIVE FEBRUARY 10. 2017 St. Petersburg College- Allstate Center Lawrence Hickman, MS-CJA Boston P.D. S.W.A.T. AREAS OF DISCUSSION Defining Active Shooter

More information

MANDAN FIRE DEPARTMENT STANDARD OPERATION PROCEDURES

MANDAN FIRE DEPARTMENT STANDARD OPERATION PROCEDURES GENERAL ORDER # 105.03 DATE: September 18, 1998 Incident Command System 1 of 22 OBJECTIVE: To establish a procedure that will provide for a uniform Incident Management System. SCOPE: The Incident Command

More information

ANNEX R SEARCH & RESCUE

ANNEX R SEARCH & RESCUE ANNEX R SEARCH & RESCUE Hunt County, Texas Jurisdiction Ver. 2.0 APPROVAL & IMPLEMENTATION Annex R Search & Rescue NOTE: The signature(s) will be based upon local administrative practices. Typically, the

More information

IACP LAW ENFORCEMENT POLICY CENTER. Active Shooter. Model Policy Concepts & Issues Paper Need to Know...

IACP LAW ENFORCEMENT POLICY CENTER. Active Shooter. Model Policy Concepts & Issues Paper Need to Know... IACP LAW ENFORCEMENT POLICY CENTER Active Shooter Model Policy Concepts & Issues Paper Need to Know... Updated: April 2018 Publications of the IACP Law Enforcement Policy Center 44 Canal Center Plaza,

More information

National Resource and Technical Assistance Center for Improving Law Enforcement Investigations

National Resource and Technical Assistance Center for Improving Law Enforcement Investigations Readers to Enhance Criminal Investigations Assistant Chief of Police Travis Martinez Redlands Police Department Introduction With the vast majority of crimes involving the use of motor vehicles, law enforcement

More information

Chapter 1. Learning Objectives. Learning Objectives 9/11/2012. Introduction to EMS Systems

Chapter 1. Learning Objectives. Learning Objectives 9/11/2012. Introduction to EMS Systems Chapter 1 Introduction to EMS Systems Learning Objectives Define the attributes of emergency medical services (EMS) systems List 14 attributes of a functioning EMS system Differentiate the roles and responsibilities

More information

KILLER BEE ATTACKS & OLYMPIC PARK CENTENNIAL BOMBING

KILLER BEE ATTACKS & OLYMPIC PARK CENTENNIAL BOMBING KILLER BEE ATTACKS & OLYMPIC PARK CENTENNIAL BOMBING Disaster Case Study Presentation Group Number and Names of Group Members Date University of Massachusetts Lowell 44.213 Emergency Management Fall 2015

More information

Public Safety and Security

Public Safety and Security Public Safety and Security ESF #13 GRAYSON COLLEGE EMERGENCY MANAGEMENT Table of Contents Table of contents..1 Approval and Implementation.3 Recorded of Change.4 Emergency Support Function 13- Public Safety..5

More information

Cortland County. Department of Fire and Emergency Management. Fire / EMS. Mass Casualty Incident MCI Plan

Cortland County. Department of Fire and Emergency Management. Fire / EMS. Mass Casualty Incident MCI Plan Page 1 of 22 Cortland County Department of Fire and Emergency Management Fire / EMS Mass Casualty Incident MCI Plan Revised May 1 st, 2010 Page 2 of 22 INTRODUCTION FOREWORD The rationale for a consolidated

More information

Read the scenario below, and refer to it to answer questions 1 through 13.

Read the scenario below, and refer to it to answer questions 1 through 13. Instructions: This test will help you to determine topics in the course with which you are familiar and those that you must pay careful attention to as you complete this Independent Study. When you have

More information