Transcript Firefighters Support Foundation

Firefighters Support
Foundation
Rapid Response and
Treatment Model (R2TM)
-------Top Ten Active Shooter Questions
v1.0
About FSF
The Firefighters Support Foundation is a 501c3
non-profit organization whose primary
mission is to develop, produce and distribute
training programs to firefighters and first
responders. All of our programs are
distributed free of charge.
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Permission
Permission is granted to reproduce or
distribute this material so long as the
Firefighters Support Foundation is
credited as the source
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Accompanying Video
This PowerPoint presentation accompanies the
video presentation of the same title.
This program should be viewed in conjunction with our
other two programs on active shooter response:
Active Shooter Response: The Rapid Treatment
Model, and Rapid Response and Treatment Model
(R2TM) for Active Shooter Incidents: Operational
Detail
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Presenters
• Jeff Gurske is an Engineer and Acting
Lieutenant in the Portland metro area. Jeff is a
training contractor/consultant, contributing
author and adjunct college instructor.
• Craig Allen is serves as Training Sergeant in the
Portland metro area. Craig holds numerous
instructor certifications in firearms, defensive
tactics, less lethal weapons and other tactical
subjects.
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#1: Does Law
Enforcement Triage Patients?
• Only conduct a “hasty” field triage
• Follow TECC Direct Threat guidelines
• Hemorrhagic care vs. LE advanced medical
training
– How does this affect resource utilization?
– Need to understand our basic strategy first; then
we can customize.
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#2: Tell us more about the CCP
• You can have multiple; but do it out of NEED
• The CCP should be place strategically
• It’s a marriage!: LE enforces CCP security and
EMS controls CCP activities
• A FOB can transition into a CCP
• Umbilical for medical resources
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#3: Where Does R2TM Fit into ICS?
• Follow standardized ICS structure
– NIMS is the national format
– Resist the need for complexity
• Make functional groups/branches under a
Unified Command
• Non-functioning UCs are common and
regrettable after action critiques
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#4: What Additional Resources
Does R2TM Require?
• Equipment
– Use caution when it comes to variables
• Training
– Use a foundational response and build upon it to
create simplicity
– Minimal additional training; lifetime positive
impact when inclusive and methodical
• Make it sustainability!
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#5: How Much Medical
Training Should We Give LE?
• Sustainability of practice vs. frequency of use
• Balance between time spent in zone vs.
definitive medical care
• Recognize the need to adopt TECC principles
for both LE and fire/EMS
– Use sound practical judgment
• LE should train with tourniquets and officer
down regularly
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#5: How Much Medical
Care Should We Give LE?
• Treat the problem; not the symptom
– Quick fixes may not be “real world” practical
– Keep TEMS in context to what it was designed for
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#6: How should we begin training?
• Include variables
– “Tactical Decision Making Under Stress”
• Have a basic philosophical understanding of
integration strategy before drilling
– Stay close to normal SOPs
• Segmented Training
– Crawl, walk, run
– Intellectual understanding, dry drills working the
components, stress transition points, full scale
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#7: Small Agencies
vs. Big Agencies?
• Need to be a scalable resource
• Manage right away vs. late in the incident
• Both ends of the spectrum can be problematic
– Few Resources: Be creative and flexible
• Understand the Economy of Force and Mass principles
– Many Resources: Pre-identify job tasks
• Threat mitigation, interior stabilization, exterior
stabilization, fire security
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#8: Does One Active Shooter Response
Model Fit All Needs?
• No
• All agencies need to have a customizable
integration model based on:
– Agency culture
– Capabilities (training, time and financial)
– Sustainability
– Current practices
• Can your neighbors plug in?
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#9: Should LE Transport Victims?
• Avoid blind transportation
– You may shift the MCI and cause further damage
• Can be a last resort contingency
• If LE is ready and EMS cannot commit,
coordinate with EMS
– LE transport to medical stage?
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#10: Why Have LE Transfer
Victims vs. Imbedded Teams?
• Priority of Life is #1
• Need to stop the progression of killing and
dying
– Competing interest vs. a component of the overall
objective
• Resource driven, instinctual and foundational
• Continual sweeping does not aid the currently
wounded (if threat indicators are not present)
– Time becomes the enemy
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