Active Shooter/Hostile MCI

Active shooter incidents are happening more frequently and can affect any school, workplace, or community. Emergency responders need to be prepared for these situations, but non-responders such as teachers, building supervisors, and safety officers may have a role to play, too. Most active shooter incidents involve the use of a firearm, but hostile mass casualty incidents (MCI) are not limited to a type of weapon. Multi-car accidents and mass contamination incidents can stretch emergency resources, too.

Tactical Emergency Medical Services (TEMS)

The Columbine High School Shootings marked a tragedy and a transformation. Before this 1999 incident, emergency medical services (EMS) didn’t enter the scene of an active shooter or hostile MCI until law enforcement had neutralized the threat. Tragically, this led to victims “bleeding out” while EMS waited to enter the building. In the aftermath of the Columbine massacre, responder organizations embraced a tactical emergency medical service model (TEMS) that’s designed to provide care more rapidly.

Stop the Bleed Training for Everyone

No matter how quickly professional responders arrive, bystanders will always be the first on the scene. Because a person who is bleeding can die from blood loss within five minutes, stopping this blood loss is critical – and something that almost anyone who’s at the scene of an incident can do. That’s why Emergency Response Consulting (ERC) offers Stop the Bleed Training, an initiative developed by the U.S. Department of Security’s Office of Health Affairs.

During Stop the Bleed Training, participants learn how to apply firm, steady pressure to life-threatening hemorrhages. This includes the use of the hands, dressings made from bandages or clothing, and tourniquets. ERC provides Stop the Bleed Training to non-EMS personnel, but this is training that’s needed by anyone who works at schools, colleges, or universities; offices, factories, or commercial facilities; and in public places such as museums and sporting venues.

Warm Zone Training and Inter-Agency Cooperation

Active shooter incidents and hostile MCI require close coordination between law enforcement, fire, and EMS personnel. When different agencies operate in close quarters under chaotic, confusing, and urgent conditions, standard operating guidelines are required. The use of zones (hot, warm, and cold) lets responders know the threat level in a location. The warm zone is where a potential threat exists, but that threat is neither direct nor immediate.

Emergency Response Consulting is unique in its ability to train first responders for warm zone operations. Through exercise and evaluation programs, ERC gets different agencies to work together to create a unified response under challenging conditions. Under the direction of Amalio “AJ” Jusino, ERC has won a contract with Massachusetts’ Western Region Homeland Security Advisory Council (WRHSAC) and been profiled in Combat and Casualty Care Magazine.

For more information about ERC’s capabilities in this critical area


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