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MMRS Active Shooter Response Plan: What is an Active Shooter & an Introduction to Concepts

MMRS Active Shooter Response Plan: What is an Active Shooter & an Introduction to Concepts. Dayton MMRS Mumbai Committee Wright State University Division of Tactical Emergency Medicine. by Jason Pickett, MD Captain Alan Hill, Oakwood Public Safety Brian Springer, MD. CONFIDENTIAL - FOUO.

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MMRS Active Shooter Response Plan: What is an Active Shooter & an Introduction to Concepts

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  1. MMRS Active Shooter Response Plan: What is an Active Shooter & an Introduction to Concepts Dayton MMRS Mumbai Committee Wright State University Division of Tactical Emergency Medicine by Jason Pickett, MD Captain Alan Hill, Oakwood Public Safety Brian Springer, MD

  2. CONFIDENTIAL - FOUO • Presentation is CONFIDENTIAL (non-classified) and For Official Use Only (FOUO) • Security record under ORC 149.433 • NOT a public record • NOT subject to mandatory release or disclosure to press or public

  3. What is an Active Shooter Event?

  4. Active Shooter Incident Incident in which one or more people use deadly force on others, and continue to do so while having unrestricted access to victims Mass Shooting: >5 casualties, one or more shooters, time frame <24 hours

  5. SOP DEFINITION: • Active Shooter(s) (AS): person(s) continues to use deadly force while having unrestricted access to additional victims.

  6. Active Shooters Type 1: one or two individuals with probable multiple weapons and minimal or poor planning Type 2: One or more individuals with multiple weapons and better planning, including use of IEDs or devices to hamper LE interdiction such as chaining doors Type 3: Full blown terrorist incident

  7. Mass Shooting Statistics • Most common weapons used: • Hand guns 36% • Rifles 53% • Shotguns 11% • Handguns and shotguns had higher rates of mortality.

  8. Law Enforcement (LE) Response • Prior to Columbine: • Cordon off area • Wait for SWAT • Allows for greater number of victims and delays access to medical care

  9. Law Enforcement Response • Post-Columbine: • Immediately pursue, establish contact with, and neutralize the killer • Responding officers form 3-4 man teams (wedge or diamond) • May be a single officer

  10. Immediate LE Action Rapid Deployment Individual or multiple officers move to and neutralize threat Casualties are bypassed until threat neutralized

  11. Contact Team Identify and move to threat e.g., sound of gunfire Eliminate or isolate threat

  12. RTF Provides care and evacuation from within the Warm Zone Two EMS personnel Two LEOs

  13. Training Needs Interaction and movement with LEO Working in body armor/helmets Mental preparation for bypassing a casualty Life-Saving Interventions (LSIs) only Effective and proficient tourniquet (TQ) application Lifts, Drags, and Carries SOP

  14. Equipment Needs Wright State University Division of Tactical Emergency Medicine Rifle Plate Body Armor Ballistic Helmet Sufficient supply of TQ/Dressings/NPA Decompression Needles Less need for IV fluids O2 canisters etc. Triage Ribbon Kits

  15. Summary LEO response to Active Shooter incidents has evolved Medical response must also evolve Best medicine when there is still shooting is to neutralize/isolate the threat Medical RTF members require specialized training and equipment

  16. AWARENESS & TRAINING: • Dayton MMRS will provide: • Video and Job Aid for non-RTF Fire and EMS personnel • Video and handout materials for all LEOs

  17. AWARENESS & TRAINING: • Draft language for LE SOPs with emphasis on: • Expectations for LEOs assigned to RTFs • LE focus (ignoring victims) until absolute certainty all perpetrators contained • Job Aid for public safety dispatchers

  18. TACTICAL EQUIPMENT: • Level IIIA Tactical Vest • Large amount of overall chest and back coverage • Adjustable to fit multiple medics • Identification with Dayton MMRS patch, and Rescue TF patch on front and back

  19. TACTICAL EQUIPMENT: • Level IIIA ballistic Helmet • Lightweight with high-cut back • Four-point harness

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