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Fire, EMS, & the Rescue Task Force

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by

Charles Higgins

on 13 July 2016

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Transcript of Fire, EMS, & the Rescue Task Force

2000-2008
1999
Fire, EMS, and Rescue Task Force
13 People Killed
Law Enforcement Begins to Change Tactics
Multiple Agencies Reconsider Their Response to Active Shooters

Officers Directed by Their Superiors to ENGAGE
FBI: An Active Shooter Event Occurs Every Other Month
Journal of Emergency Medicine Publishes Article on Arlington County, Virginia FD's
Rescue Task Force
*http://www.jems.com/article/major-incidents/arlington-county-va-task-force
FBI: Active Shooter Event Occurs Every Month in the United States
Since 1966, 281
"Active Shooter"
Events in the United States*

(*Lt. Parker, Bob
Active Shooter Events Survey, Summer 2012
http://ntoa.org/massemail/SU12Parker.pdf)
Armed person/persons who have used deadly physical force on other persons, and continues to do so while having unrestricted access to additional victims

2009-Present
2009
EMS & Fire Agencies Begin to Reconsider Tactics, Treatments, and Responses
Several Fire/EMS Agencies have Active Shooter S.O.G.s in Development or Use by 2012
2013
The Hartford Consensus, a Committee Comprised of Public Safety Members (FBI, Municiple Law Enforcement, Fire, EMS, Hospital Trauma Care, and the Military) Create a National Policy for Active Shooter Events.
The acronym
THREAT
is introduced:

1.
T
hreat suppression

2.
H
emorrhage control

3.
R
apid Extrication to safety

4.
A
ssessment by medical providers

5.
T
ransport to definitive care*
*http://www.naemt.org/Files/LEFRTCC/Hartford_Consensus.pdf
2009-Present
Tactical Emergency Medical Support (TEMS)
Modified to Incorporate Lessons from Military and Civilian Combat Events
"Secure" Scenes are No Longer Mandatory for Providers to Enter
Still, Active Shooter S.O.G.s Based on a
Decade of Research and Experience Not Yet the Norm
COLUMBINE
Virginia Tech Massacre
VT and Blacksburg PD Each Responded to the Shootings With Tactical Medics Attached to Emergency Response Teams
Just 7 Minutes After Arrival These Medics Where in Norris Hall Performing Triage
The Suspect Was Reported "Down" and the Scene "Safe for EMS" After 20 Min*
2007
*http://www.emsworld.com/article/10321548/virginia-tech-mass-shooting-review-panel-report
Success of Immediate Care to Victims in the Norris Hall "Warm Zone" One of Many Reasons RTF Begins to Gain National Notice as Effective, Efficient, and Life Saving.
Tactical Combat Casualty Care (Military)
Becomes
Tactical Emergency Casualty Care (Civilian)
Rapid Intervention Can Prevent Some of These Deaths
THE PRINCIPLES BEHIND THE RESCUE TASK FORCE RESPONSE ARE NOT NEW. THEY ARE NOT REVOLUTIONARY.






MOST MEN AND WOMEN IN THE FIRE SERVICE ARE WILLING TO RISK IT ALL TO SAVE A LIFE.
We Owe It to Ourselves to Learn From the Successes and Failures of the Past
Full transcript