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

Maximizing Survival  Coordinated and Integrated Planning  Preparation  Response  Treatment  Care

The Hartford Consensus Integrated Response  Fire/Rescue/EMS and Law Enforcement Critical Actions - THREAT T - T hreat suppression H - H emorrhage control RE - R apid E xtrication to safety A - A ssessment by medical providers T - T ransport 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

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)

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