2. THE IDEA: Get Combat Veterans involved with their Communities in a way that their Combat Experience could be of benefit to their community when, and if, disaster should strike. THE PLAN: Have one person from a neighborhood community VOLUNTEER some of their time to speak to groups of Vets about what they could do as volunteers helping local emergency responders.

3. THE MISSION Have dedicated people within a neighborhood who know their area work in tandem with local emergency responders and these Vets, now meaningfully purposed as Community Sentinels. THE EXECUTION Requires a person, or persons, who do not need fund/funding and has the time to speak with local authorities about providing instruction on how the community can best help them.

4. So Why YOU?? Your training, experience and background can be helpful during an emergency incident when first responders might be overwhelmed or in need of assistance. There are 4 basic human responses to a traumatic event: The 4 F’s -FIGHT -FLIGHT -FREEZE -FAWN

5. The Good Samaritan Law The Good Samaritan law protects you when you act in good faith to help someone in an emergency. Article 6701d, Vernon's Civil Statutes ; Chapter 74, Civil Practice and Remedies Code Section 74.001 LIABILITY FOR EMERGENCY CARE A person who in good faith administers emergency care at the scene of an emergency or in a hospital is not liable in civil damages for an act performed during the emergency unless the act is willfully or wantonly negligent.

6. WHAT’S IMPORTANT TO THE FIRST RESPONDERS? POLICE: - THREAT NEUTRALIZATION. - SCENE SECURITY! - PERIMETER LOCK-DOWN. Considerations: Be careful of your actions on scene once PD arrives. They do not know who you are or what you are trying to do. Identify yourself and do what you are instructed. Keep your hands clearly visible until PD determines you are not a threat.

7. Actions helpful for Police: * Help with barricades or scene tape to secure perimeter. * Notify neighbors or bystanders of possible hazards or incident happenings. * Assist with injuries. * Assist with access / egress for EMS.

8. FIRE DEPARTMENT: - SCENE SIZE UP! - IDENTIFY PROBLEMS - CALL IN NEEDED RESOURCES Considerations: Identify yourself and ask if there is anything you can do. Try to stay out of any hazard zone if there is a fire or HazMat material involved. Understand that LIFE SAFETY is the #1 concern for the fire department and they do not need to worry about civilians inside the Hot Zone.

9. Actions helpful for the Fire Department: * Notify neighbors or bystanders of the emergency. * Help keep “wondering civilians” out of the hazard zone. * Help pull hoses if outside of the Hot Zone. ( LDH ) * Help moving equipment if needed. ( ladders, fans, etc. )

10. EMERGENCY MEDICAL SERVICES: - SCENE SAFETY - TRIAGE OF VICTIMS - TREATMENT OF VICTIMS - TRANSPORT OF VICTIMS Considerations: Identify yourself and ask if you may assist in any way. Give any pertinent information about injuries that you have found and treatments prior to EMS arrival. Be aware of any bodily fluids from victims and protect yourself. (gloves, glasses, etc.)

11. Actions helpful for EMS: * Look for and treat any life-threatening injuries first. * Assist with moving any victims where EMS directs you. * Help with moving any needed equipment to and from scene. * Direct EMS units and personnel to the injured person.

12. Steps to take during a Mass Casualty Incident 1. Always protect yourself! 2. In cases of explosions - Beware of a secondary device. 3. Establish Security – be aware of your surrounding at all times. 4. Make sure someone is calling 911 with accurate information. 5. Treat MAJOR wounds FIRST! Bleeding and Airway problems. Improvised tourniquets and chest seals.

13. 7. Apply direct pressure to wounds not needing tourniquets. 8. Stabilize any impaled objects. Do not remove! 9. Treat for shock. Elevate legs 12-14 inches and keep warm. 10. Communicate with victims. Keep them calm. 6. Open the airway and check for breathing. (5-10 seconds)

14. The explosions killed 3 spectators and injured 264 others, who were treated in 27 local hospitals. At least 14 people required amputations, with some suffering traumatic amputations as a direct result of the blasts.

19. Additional steps if you have time: * Establish a Casualty Collection Point – should have enough access / egress for first responders * Have the “walking wounded” move to one area and STAY THERE to clear out space to work on the critically injured. * The hardest thing to deal with during an incident of this size is ACCOUNTABILITY!

20. QUESTIONS