2. Instructional Goal To teach Fire Department personnel how to effectively respond to an Active Shooter situation and operate cooperatively in the “warm zone” with Law Enforcement.

3. Objectives Differentiate between an Active Shooter, a Man with a Gun, and Barricaded/Hostage call. Articulate how to respond to these types of incidents. Operate as part of a Rescue Team using the Diamond Formations and Stacks.

4. Rapid Deployment may be defined as: “The swift and immediate deployment of law enforcement and fire resources to on-going, life threatening situations where delayed deployment could otherwise result in the loss of life or great bodily injury to innocent persons.” Cannot be used for Barricaded gunmen or Hostage takers.

5. The event is ongoing and the suspect(s) are either actively engaged in causing death or great bodily injury, or it is unknown if acts of violence have ceased. This may be the result of an Active Shooter, an attack with edged weapons, or a suspect planting, using, detonating explosive devices. (IEDs). Incident/Candidate for Rapid Deployment

6. Active Shooter Defined: Any incident where the suspect(s) have the means, opportunity, and intent, and are actively killing, attempting to kill, maiming, seriously assaulting, raping, torturing, or causing great bodily injury to multiple victims, with firearms, explosive devices or by any other means.

7. Dynamic Situation: The Active Shooter situation is frequently dynamic in that it is fluid, evolving, and changing with constant movement, numerous victims, discovery of IEDs and other tactical challenges. Definitions

8. Static Situation: The suspect(s) stop moving and appear to be contained. Multiple suspects can create simultaneous static and dynamic situations and uncontained static situations can become dynamic without notice. Barricaded Suspect(s): A static situation involving an armed suspect, (with or without hostages), who has demonstrated or voiced violence, and has fortified a position of advantage in a room or building. No indication of immediate harm to any hostages. Contain and call SWAT. Definitions

9. Active Shooter Traits: Usually a single suspect May be enraged, humiliated, despondent, etc. They will have a plan, with possible contingencies Well armed w/numerous rounds Explosives may be encountered They will not stop without intervention or suicide. Almost 90% stay at the scene

10. The Primary traits we need to be concerned about are: The suspect(s) will have a plan The suspect(s) will be well armed The suspect(s) will not stop without intervention or suicide The suspect(s) will move and murder at will They do not care what type of police response is deployed They will not negotiate

11. RISK/BENEFIT FACTOR

13. Prepare Mentally Responding Officers must have the mindset of going into the situation to STOP/KILL the threat. Responding Firefighters must have the mindset of going into the warm zone to harvest as many victims as possible. Time is crucial for both.

15. Emergency Response to Columbine 166 Fire and EMS responders from 13 agencies 48 EMS Units 10 Fire Apparatus 2 Air Ambulances 900 Law Enforcement Officers Hospital ER overflow required some victims to be transported great distances

16. What is a Contact Team? Four Officers – Diamond Formation o #1 - Point o #2 - Left Flank o #3 - Right Flank o #4 - Rear Guard All positions are interchangeable, although we will not be changing them. Point will stay on Point, and so on.

17. What is a Contact Team? REAR GUARD POINT RIGHT FLANK LEFT FLANK

18. Contact Team

19. Contact Team Priorities Stop the suspect’s deadly actions Limit the suspect’s movement Prevent suspect escape Assist victims out of harm’s way who can evacuate themselves Move past victims who are deceased Advise radio of location and medical needs Provide intel on IED’s, types of weapons, location of suspects

20. Neutralize the threat Contain the suspect(s) in an area where they cannot continue to engage/kill Act as a pathfinder for SWAT with informational support, detailing suspect description and location, IED location, and other weaponry/dangers Contact Team Priorities

21. Must have constant security just like the Contact Team even though movement is limited to “secured” areas, or “warm zones”. Minimum first aid at scene; objective is to move victim out of the area for treatment and transport. Rescue Teams

22. Respond to designated Forward Staging Area, where teams will be assigned and deployed Teams will follow a pre-identified evacuation route Casualty Collection Point (CCP)=Triage Area. All patients transported from this location Rescue Team Arrival

23. Each rescue team must have a designated (LE) team leader Rescue team Fire personnel should be designated by apparatus (E15, A14, etc.) Communication within team via plain language Rescue Teams

24. Team leader on LE Rescue channel Only TL talks on the radio (LE channels) Other LE team members monitor primary LE channel Fire personnel on designated Fire channel Rescue Team Communications

25. Rescue Team Priorities: Rescue any down victims in area. (If they are dead, they do not need immediate help) Extract those who need help Secure an area inside for EMS to establish triage and aid area Expand size if necessary Coordinate with Contact Team and any other responding personnel Search and clear areas behind the Contact Team

26. Rescue Team Priorities: Only delay extraction to perform immediate life saving interventions Standard EMS care approach may be delayed or altered depending on the tactical situation. PPE will include gloves, eye protection, body armor and fire helmet Follow direction from L/E security Bypass obviously deceased casualties Remember – you are operating in a crime scene Do not interfere with L/E activities, equipment or tasks Maintain situational & radio awareness

27. Bypass the dead Mark dead with black tape to prevent assessment by follow-on rescue teams In areas of high patient concentration, may establish triage and security until more teams arrive Rescue Team Priorities:

28. Treatment Priorities:

29. Warm Zone Procedures Blood/Wound sweep Tourniquets Pressure dressing Hemostatic agent Chest Seal Needle decompression* Cricothyroidotomy* Oral airway/NPA Conscious? Breathing? Pulse?

30. Treatment/Transport Procedures I.V. therapy Oxygen Endotracheal Intubation Spinal Immobilization Vital signs Pain Control Splinting Warming Wound care EKG, SPo2

32. DIAMOND FORMATION

34. HARD-T

35. HARD-T FORMATION

36. MOVEMENT IN A STACK

37. STACK FORMATION

38. Movement SPEED – Move only as fast as you can shoot accurately and process information. COVER – Protects you from observation and fire. CONCEALMENT – Protects you from observation, not fire. NOISE – If your adversary cannot see you but he can hear you, he can shoot you, (i.e. Keys).

39. Slow is Smooth Smooth is Fast Movement Imperatives

40. Fleeing/Innocent Persons They will be scared They may be barricaded, and they may or may not listen to your commands They may think you are the bad guys They may not want to leave your presence for fear they will be killed

41. Part of the Rescue Team provides cover while other part of group carries victim. DO NOT LET THE TEAM GET SPLIT APART. Reversing out of the area may or may not be the best route. Is there a safer, alternate route with good cover? Get in and get out! Victim Extraction

42. Carries/Drags Skedco Patient tarp Collapsible/poleless/improvised litter Web Loop/ Hose Strap Victim Extraction

43. Quick Analysis of Situation: Is this a rescue or a body recovery? Is there an identifiable threat area? Downed Officer/Firefighter Rescue

44. Officer/Firefighter self rescue o Treat yourself medically o If needed, evacuate Assisted extraction Downed Officer/Firefighter Rescue – we come to you. Officer/Firefighter Rescue Options

45. We come to you because: You can’t come to us It isn’t safe for you to come to us Determine the situation using: Radio Check Binoculars Other tools? Downed Officer/Firefighter Rescue

46. Legal Aspects – you have the legal right to protect your life and the lives of innocents. Defense of Life RCW 9A.16.020 Use of force — When lawful. The use, attempt, or offer to use force upon or toward the person of another is not unlawful in the following cases: (1) Whenever necessarily used by a public officer in the performance of a legal duty, or a person assisting the officer and acting under the officer's direction; (3) Whenever used by a party about to be injured, or by another lawfully aiding him or her, in preventing or attempting to prevent an offense against his or her person, or a malicious trespass, or other malicious interference with real or personal property lawfully in his or her possession, in case the force is not more than is necessary; (6) Whenever used by any person to prevent a mentally ill, mentally incompetent, or mentally disabled person from committing an act dangerous to any person, or in enforcing necessary restraint for the protection or restoration to health of the person, during such period only as is necessary to obtain legal authority for the restraint or custody of the person.

47. Defense of Life RCW 9.01.055. Citizen immunity if aiding officer, scope — when. Private citizens aiding a police officer, or other officers of the law in the performance of their duties as police officers or officers of the law, shall have the same civil and criminal immunity as such officer, as a result of any act or commission for aiding or attempting to aid a police officer or other officer of the law, when such officer is in imminent danger of loss of life or grave bodily injury or when such officer requests such assistance and when such action was taken under emergency conditions and in good faith.

48. Explosives Generally “Light & Throw” Fairly reliable if care is taken during their construction Numerous types, limited by imagination and ingenuity Examples: o Pipe Bombs o “Crickets” o Tennis Ball Bombs o Hobby Fuse o Shrapnel: B.B.’s, nails, tacks, etc.

49. Explosives Very few are remote command detonated. Look for; Propane tanks, Pressure Cookers, Large ammo cans, any large watertight container.

50. WHY WE DO WHAT WE DO

51. TRAIN HARD

52. BE PREPARED