Joint Action Guide

Question 1

A trauma kit used by law enforcement officers to render aid for a single individual. Typically, these kits are kept on the passenger side head rest in NoVA cruisers.

Answer 1

Blow Out Kit

Question 2

A location (or locations) where patients can be assembled for treatment and triage. Selected by police in high-threat events.

Answer 2

Casualty Collection Point (CCP)

Question 3

Term used by law enforcement to indicate that an area does not have a clear threat

Answer 3

Clear

Question 4

: Area where there is little to no threat present due to geographic distance from the
threat or the area has been secured by law enforcement.

Answer 4

Cold zone

Question 5

A position which offers a hide from view but does not offer protection from
ballistic threats.

Answer 5

concealment

Question 6

A person taken or held against their will by an assailant for the purpose of prolonging an ongoing attack, maximizing media coverage, and eventually being executed or dying from injuries sustained during the attack.

Answer 6

doomed captive

Question 7

A systematic removal of non-injured people under law enforcement direction.

Answer 7

evacuaction

Question 8

Groups of individuals assigned to remove patients.

Answer 8

Extraction Team

Question 9

What is an extraction team comprised of?

Answer 9

a minimum of three individuals, one must be a law enforcement officer.

Question 10

A location (i.e. CCP) protected by law enforcement, with no
known threats, that fire/EMS personnel may enter.

Answer 10

Hardened area/location

Question 11

Any area where there is known hazard or direct and immediate threat. Only law enforcement teams shall operate here

Answer 11

Hot zone

Question 12

Maintains access to the scene through an orderly positioning of units and avoids over convergence of units. Do not block access for later arriving units

Answer 12

Open Access route

Question 13

A term used by law enforcement to describe the boundary lines of an event.

Answer 13

perimeter

Question 14

The barrier between hot and warm zone that serves to facilitate the
self-evacuation of witness and victims and to prevent escape of potential threats.

Answer 14

inner perimeter

Question 15

The barrier between the warm and cold zone, secured by law
enforcement, to prevent access to all non-participants

Answer 15

outer perimeter

Question 16

A pathway secured by law enforcement.

Answer 16

protected corridor

Question 17

A police driven method whereby a CCP is established and secured by law enforcement within the structure or area of operations

Answer 17

protected island

Question 18

Teams of fire/EMS and law enforcement who assemble for the
purpose of rapid patient treatment from within a warm zone.

Answer 18

Rescue Task Force (RTF)

Question 19

The medical management of casualties under
hostile conditions, expecting limited equipment, limited patient assessment, and limited treatment until the patient is removed from the warm zone or the threat is eliminated.

Answer 19

Tactical Emergency Casualty Care (TECC):

Question 20

A medical bag used by fire/EMS personnel to treat traumas in many scenarios.

Answer 20

TECC Bag

Question 21

A structure that brings together the Incident Commanders of all major organizations involved in the incident in order to coordinate an effective response, while at the same time carrying out their own jurisdictional responsibilities.

Answer 21

Unified Command

Question 22

An assembly area where public safety personnel, with
required equipment, will be integrated and assigned for rapid deployment under the direction of Command

Answer 22

Unified Forward Deployment Area

Question 23

Any area with a potential threat to safety or health.

Answer 23

Warm zone

Question 24

an agreed upon phrase that tells the basic
approach to meeting the stated goal in a high threat incident

Answer 24

“Stop the killing and stop the dying”

Question 25

the typical active shooting event in the United States lasts on average

Answer 25

between 12 and 13 minutes

Question 26

The key elements of joint action are:

Answer 26

§ Rapid integration of representatives from public safety agencies.
§ Effective sharing of information.
§ Joint critical decision making

Question 27

RTF teams will identify the deceased or critically injured within the
warm zone with the following markings

Answer 27

• Deceased: Black and white striped ribbon.
  -Critically injured / priority for extraction: Orange and white striped ribbon.

Question 28

Fire/EMS Command Checklist

Answer 28

-Announce staging location
o Avenues for approach
o Transportation corridor (or language consistent with MCIM)
-Establish Command
o Co-locate with Law Enforcement Command
-Joint personnel assembly area for formation/deployment
o RTF Group Supervisor/Manager
o RTF
o Extraction
-Bring all equipment necessary for deployment, carrying patients,
-TECC bags
-Request additional resources based on available intelligence and communication
o EMS Task Force
o MCI Alarm
o Suppression/Special Operation Response
o Mutual Aid
-Activate Regional Hospital Coordinating Center (RHCC)
-Determine need for/location of CCP(s)
-Obtain and communicate hot, warm, and cold zones information
from law enforcement
-Ingress and egress plan for transport units
-Establish additional command positions
-Consider resources to address patients on periphery
-Refer to preplan if available
-Assist law enforcement with building access (Knox Box, building
system controls)

Question 29

Considerations for CCP location

Answer 29

§ Proximity to evacuation assets.
§ Patient and provider flow.
§ Ability to search patients for weapons and other threats (such as IEDs) upon entry/exit.
§ Ensure proper and adequate personnel are available.
§ Ensure adequate medical and evacuation supplies are readily available.