Firefighters Support Foundation

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Firefighters Support Foundation

• Rapid Response and Treatment Model (R2TM)
• --------
• Top Ten Active Shooter Questions
• v1.0

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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
• Its 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 Agenciesvs. 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 ResponseModel 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