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USFA Report:“A National Perspective”

September 13, 2013

Ernest MitchellUnited States Fire Administrator

Active shooter/mass casualty events are a reality in modern American life.

The overall goal is to plan, prepare and respond to save the maximum number of lives possible.

Maximizing Survival Coordinated and Integrated Planning

Preparation

Response

Treatment

CarePre-

Planned Coordination

The Hartford Consensus

Integrated Response Fire/Rescue/EMS and Law Enforcement

Critical Actions - THREAT

T - Threat suppression

H - Hemorrhage control

RE - Rapid Extrication to safety

A - Assessment by medical providers

T - Transport to definitive care

Develop Local Protocols

Plan for and Practice Rapid Treatment and Evacuation

NIMS and ICS

Plan and Train Together

Tabletop and Field Exercises

Common Communications Terminology

Incorporate Tactical Emergency Casualty Care (TECC) into Planning and Training

Provide Appropriate Protective Gear

Consider Fire Hazards Secondary

Consider Secondary Devices

Transportation and Communications

Whole Community Public

Fire/EMS

Law Enforcement

Medical Transportation

Medical Treatment Facilities

MAXIMIZE SURVIVABILITY

&MINIMIZEDEATHS

General AS/MCI Operational Principles

1. Incident Command System (ICS)

2. Unified Command

3. Plan for Treatment of Casualties

4. Media/Public Information Office (PIO)

5. Emergency Operations Plan (EOP)

THREAT

Integrated Response Shared definitions of terms used in mass

shooting events

Jointly developed local protocols for responding to active shooter events

Inclusion of active shooter events in table-top and field exercises to improve familiarity with jointly developed protocols