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National Perspective on Active Shooter Preparedness and Response

This report from September 13, 2013, by Ernest Mitchell, US Fire Administrator, highlights the importance of coordinated planning, preparation, and response in active shooter/mass casualty events. It emphasizes maximizing survival through pre-planned coordination, integrated response, and tactical emergency casualty care strategies. Key aspects include threat suppression, hemorrhage control, rapid extrication, medical assessment, and transport. Recommendations cover developing local protocols, incorporating TECC, and utilizing the Incident Command System for effective management. The report stresses the need for whole community involvement to maximize survivability and minimize deaths in such incidents.

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National Perspective on Active Shooter Preparedness and Response

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  1. USFA Report: “A National Perspective” September 13, 2013 Ernest Mitchell United States Fire Administrator

  2. 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.

  3. Coordinated and Integrated Planning • Preparation • Response • Treatment • Care Maximizing Survival Pre-PlannedCoordination

  4. The Hartford Consensus • Integrated Response • Fire/Rescue/EMS and Law Enforcement • Critical Actions - THREAT • T -Threat suppression • H -Hemorrhage control • RE -Rapid Extricationto safety • A - Assessment by medical providers • T - Transport to definitive care

  5. 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

  6. Incorporate Tactical Emergency Casualty Care (TECC) into Planning and Training • Provide Appropriate Protective Gear • Consider Fire Hazards Secondary • Consider Secondary Devices • Transportation and Communications

  7. Public • Fire/EMS • Law Enforcement • Medical Transportation • Medical Treatment Facilities Whole Community MAXIMIZE SURVIVABILITY & MINIMIZE DEATHS

  8. Incident Command System (ICS) • Unified Command • Plan for Treatment of Casualties • Media/Public Information Office (PIO) • Emergency Operations Plan (EOP) General AS/MCI Operational Principles T H R E A T

  9. 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 Integrated Response

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