1. Mass Casualty Care
What you can do to help

2. Lessons Learned from Columbine
At least one teacher slowly bled to death while the scene was being secured so that people could be evacuated.
That teacher’s life would have been saved if there had been a tourniquet applied. Two students in the classroom tried to use their T shirts to apply pressure but it wasn’t enough

3. Lessons Learned from Sandy Hook
Actions by school personnel saved lives: The office acted to protect themselves and were therefore able to call 911 and get help. They did not freeze in place but hid and called 911.
Locking Interior Doors Worked: No interior doors were breached by force. 20 people were killed in the 2 classrooms with unlocked doors
10 students in those 2 classrooms survived by fleeing.

4. Boston Marathon Bombing
Bystanders saved lives at the bombing by using makeshift tourniquets. This brought the use of tourniquets back into the forefront of civilian rescue as they had been used in the military for a long time. Many of the rescuers had military training.

5. From the Cambria ISD training:
Most of these these incidents are over in 10 minutes, but it takes another hour and a half for police to clear the scene,” Dumire said. “Kids are dying while we are messing around trying to make sure it’s safe.”
Those with severe arterial bleeding – usually characterized by spurting streams of blood – will lose consciousness in three to five minutes. They often go into shock, which is often lethal, he said.
“If you can stop the bleeding in 10 minutes, that child has an exponentially better chance of surviving than if you wait 20, 30 or 45 minutes,” Dumire said.
If the arterial wound is in an arm or leg, a tourniquet is often the best way to prevent further blood loss, he said.
Participants were instructed to place the tourniquet strap as close above the wound as possible and tighten until there is no pulse or spurting blood below the tourniquet.
“Despite what you see in the movies, if you put a tourniquet on, you don’t take it off,” Dumire said. “It stays on until EMS, or somebody else in the hospital removes it.”
For wounds in the shoulders, hips, neck or torso, a hemostatic dressing, surgical gauze or other absorbent material should be packed tightly into the wound. (we have regular gauze in our buckets that can be used to pack a wound)
Pressure should then be applied until paramedics arrive.
“It doesn’t matter who you are,” Dumire said. “You can save a life. You don’t have to be a physician. A family member, a neighbor or a schoolmate can save a life.”
Blood loss is the leading killer for trauma patients – which includes motor vehicle accidents.

9. Bleeding Control

10. Be in the Know Know which classrooms near you have tourniquets
Recognize the emergency and that you can do something about it
Remember to keep your classroom door closed and locked. In past school shootings, the shooters have gone door to door until they find one open and there they shoot

11. Tourniquets at Evans 101 Band 128 Winton 153 DGallagher
103 Boling 131 Homyk 154 Alvey
111 Tone 134 Littlefield Boys Gym
114 Thomas 136 Russwurm Girls Gym
116 Gibson 140 Parks in each AED
118 Furgeson 142 Correll box
121 Roney 144 J Gallagher
125 Gentry 147 Haltom

12. What to do to survive:
Run: if it is possible to get away do so quickly
Hide: away from windows with door locked
Fight: if no other option
Respond quickly to bleeding injuries to save lives