2. MEDICAL TREATMENT AT AN ACTIVE
SHOOTING INCIDENT
• This training will cover medical personnel response to an
active shooter incident. Over the years active shooting
tactics and response has changed. In the past it focused
on Police response and the need to stop the threat as
fast as possible, Immediate action by police.
• Today training will focus on the need for quick medical
treatment at the scene and tactics to bring medical
personnel to the victims of a mass shooting as soon as
possible.
3. MEDICAL TREATMENT AT AN ACTIVE
SHOOTING INCIDENT
• Studies have shown that the quicker victims receive
medical treatment the more likely they are to survive.
• In the past medical personnel did not enter a building
until it was cleared and safe. That could take 30 – 90
minutes for a large building, like a high school or Mall.
• Police can clear a Warn Zone in 5 – 15 minutes and get
medical personnel to the victims faster
4. HAZARD ZONES
• Inner Perimeter: Perimeter around the Hot Zone that
contains the threat.
• Outer Perimeter: Perimeter around an incident that
keeps people away and in a safe area.
• Warm Zone: Area between the hot and cold Zone
5. ACTIVE SHOOTER HAZARD ZONES
• Hot Zone: unsecured area where threat remains active.
• Cold Zone: Secured area outside of immediate threat.
This is the personnel standby zone- Staging area
• Warm Zone: Area inside the hot zone that has been
swept- cleared for immediate threats. Law Enforcement
Officers provides force protection for medical personnel
responding to warm zone
7. TRIAGE WARM ZONE
• An area where medical personnel can treat injured
people- Casualty Collection Zone
• Building has not been fully secured
• Officers secure a small area in the building for medical treatment
• Officers Provide security for medical personnel in the building
• Other officers are still clearing the building and looking for threats
8. TREATING THE INJURED
• Active Shooter with one or two casualties
• It may be easier and quicker to remove the casualties from the area and take
them to medical personnel
• Active Shooter with numerous casualties
• Creating a casualty collection zone and bringing medical personnel into the
warn zone to treat the casualties is faster and better
• ASM: now has several tactical medics that will enter a hot zone with
officers- as part of the entry team
• The Entry Team provide security for them
• EMS personnel will enter a warm zone and treat the injured.
• Officers will provide security for them
9. MEDICAL PERSONNEL
• You will respond to the staging area in the Cold Zone
• Officers will secure an area and set up a warm zone
• Officers will direct you where to respond
• You will be given a route to take and an area to park
• Do not deviate from the route- some areas are not secure
• Officers will meet you and provide security for you
• Stay in the warm zone
• Approach and leave as directed
• If you need to Move out of the warm zone have an officer
escort you.
10. MASS CASUALTY TRIAGE
• Some officer are providing security and can not
assist with medical treatment
• Some officer can help with medical treatment and
will assist you as needed
• Vernon Officers are EMR trained and can assist with
Triage, Tourniquet application, quick clot and other
tasks.
• Other department may not train their officers in
Triage or medical care.
11. MASS CASUALTY TRIAGE
• You may not be able to reach the warm zone by
ambulance. In which case officers will escort you to
the warm zone- victims
• You may only get one ambulance into the warm zone
• You may have to fill the ambulance and transport
victims to other ambulance in the cold zone
• Don’t block the route with ambulances or cars.
Vehicles must be able to get in and out
12. CONTACT WITH SHOOTER
• If you come under fire
• Look for cover- Something that will stop a bullet
• Brick -concrete wall, heavy solid object, engine of a vehicle
• Get down, make yourself a small target
• Clear the area if possible
• Request help
• Don’t grab officers- they can not shoot if you pull them
• If an officer tells you to move- do it
• Don’t touch bags and packages. Suspect may have left an
explosive device. If you see something suspicious tell an
officer
13. POLICE- RAPID DEPLOYMENT BAG
• Vernon Cruisers are equipped with medical bags in the
trunk and Rapid Deployment Bags in the front seat
• Officer will carry their black- Rapid Deployment bags over
their shoulder
• Rapid Deployment bags contain some medical supplies
• Tourniquet
• Quick Clot
• Chest Seals
• Nasal Airway
• Dressings
• Scissors and light
14. HOW IT WORKS
SCENARIO –ACTIVE SHOOTER
• Active Shooting Northeast School
• Officers will respond to the school
• Officers will make entry and start clearing the school
• Clearing the entire building could take 30-90 minutes
• A warm zone can be cleared in 5-15 minutes
• Vernon Ambulance- Fire Department
• Will respond to the staging area
• Beni’s 1280 Hartford Turnpike
19. POLICE DON’T KNOW WHERE THE SHOOTER IS.
POLICE WILL CONTINUE CLEARING THE BUILDING
20. MORE POLICE ARRIVES AND START TRIAGE.
THEY MOVES VICTIMS INTO FIRST TWO
ROOMS AND SETS UP WARM ZONE
21. WARM ZONE IS CREATED AND
SECURED BY OFFICERS . OFFICER WILL
MAINTAIN SECURITY ON WARM ZONE
22. OFFICERS WILL DIRECTED MEDICAL PERSONNEL INTO THE
WARM ZONE- FOLLOW OFFICERS DIRECTIONS-
GROVE ST TO KING ST PARK IN FRONT OF DOOR 7
23. MEDICAL PERSONNEL AND OFFICERS WILL TRIAGE
VICTIMS AND MAKE A PLAN TO CARE AND MOVE VICTIMS
FROM THE SCENE.
24. TRIAGE
• Medical personnel must coordinate movement with the
police.
• If more equipment or staffing is needed the police may have to
increase the size of the Warm Zone or escort medical staffing into
the warm zone
• Medical staffing should not direct others into the warm zone
without clearing it with the police.
• The area around the warm zone is still hot, and there could be threats.
• Bringing other people in or stacking ambulances could put people in
danger
