Joint Action Guide for Active Violence Incidents Flashcards
From the time an Active Violence Incident is dispatched to the time all patients have been removed from the scene is usually
30-60 minutes of an incident
During an AVI the three response priorities are
- Hostages, patients, and those unable to move themselves
- Public Safety Personnel
- Suspects and/or perpetrators
The two priorities driving forces in response to a AVI which can and should occur concurrently are
- Preserve life
- Neutralizing the threat
The FBI defines an Active Shooter as
One or more individuals actively engaged in killing or attempting to kill people in a populated area
How many active shooting incidents occurred between 2000 - 2019
333
Of the total active shooting incidents how many incidents involved a single shooter
96%
What type of weapon was the most frequently firearm and by what percent
handguns, 67%
The shooter committed suicide before law enforcement could apprehend them in roughly how many of the incidents
1/3 of the 333 incidents
How many attacks occur in business locations
40%
On average how long do active shooter incidents last
12 minutes
When do benchmarks begin at an ASI
upon the arrival of first responders
What are the benchmarks of an ASI
- Address the active threat
- Establish Unified Command
- Initiate point of wounding care
- Movement of patients
- Site cleared of all patients
How quickly should benchmark 1 address the active threat be completed
Immediately or as soon as practical
How quickly should benchmark 2 establish unified command be completed
within five minutes of arrival on scene
How quickly should benchmark 3 initiate point of wound care be completed
within 10 minutes
How quickly should benchmark 4 movement of patients be completed
within 20 minutes
How quickly should benchmark 5 site cleared of all patients be completed
within 30 minutes
Before medical resources can be deployed unified command must be provided what information
Location of the warm zone
Location of injured patients
A team of law enforcement personnel who assemble for the purpose of locating a suspect and neutralizing the threat within a hot zone is called what
Contact team
Who will serve as the contact team leader
The most tactically experienced law enforcement officer
When are hostages considered non-traditional hostages/captives
When a perpetrator has already indiscriminately killed innocent people
What is the only mechanism to initiate coordinated medical care
The establishment of Unified Command
The span of control should be kept between ____ to ______ elements
5, 7
What do you call incident commands that must effectively pay attention to all responders on scene called
Span of attention
This refers to the proximity that should be established and maintained between the fire incident commander, law enforcement incident commander, and other commanders during an AVI
Handshake Command
What does RHCC stand for
Regional Healthcare Coordination Center
What describes a standard system for assembling resources and personnel before assignment at an incident
Staging
What is an assembly area where law enforcement and fire/EMS personnel are formed into Rescue Task Force (RTF) teams
Joint Assembly Area (JAA)
Is defined as any area where there is an active hazard or direct and immediate threat
Hot zone
Operations in the hot zone should be limited to who
Law enforcement
For safety reasons law enforcement officers who respond to an incident but have not been dispatched must do what
Don 360-degree identification before entering the hot or warm zones
How long will incident scenes remain hot
Until verbally declared by law enforcement as warm or cold
Is defined as any area with a potential but not immediate or direct threat to safety or health
Warm zone
What is sufficient to create a warm zone
The presence of appropriate number of law enforcement officers
If fire department personnel are in the warm zone they should have what
Ballistic protection
Is defined as any area where there is little to no threat present
Cold zone
What are the four primary warm zone response models
- Law enforcement rescue
- protected corridor
- protected island
- rescue task force (RTF)
What is a warm zone response modality in which law enforcement officers form teams for the purpose of threat-based care and extraction of patients
Law Enforcement Rescue
Is a warm zone response modality in which a pathway secured by law enforcement allows fire personnel to access patients in an unescorted manner
Protected Corridor
Is a warm zone response modality in which a CCP is established and secured by law enforcement
Protected Island
Is a team of fire/EMS and law enforcement personnel who assemble for the purpose of rapid patient treatment within a warm zone
Rescue Task Force (RTF)
Which model requires the highest level of coordination and integration
Rescue Task Force
A RTF is a minimum of ____ law enforcement officers, but _____ officers is the preferred composition
2, 4
What does TECC stand for
Tactical Emergency Casualty Care
Patient marking for deceased will be what colors
Black & White striped ribbon
Patient marking for critically injured/priority for extraction
Orange & White striped ribbon
Is a location where patients are exchanged from one evacuation platform to a transport platform
Ambulance Exchange Point
What is a CCP
Casualty Collection Point
What creates a trickle-down effect that ultimately can impact survivability
Overconvergence
When an AVI Call Type request is made it contains what 5 pieces of information
- Active Violence Incident
- Location of AVI
- Brief description of situation
- Reporting location (Staging area)
- Specific person to report to
A location where patients are removed from the scene and transported to definitive care
Ambulance Exchange point
A position which offers a hide from view but does not provide adequate protection from ballistic/explosive threats
Concealment
An object which offers protection from ballistic/explosive threats
Cover
A location protected by law enforcement, with no known threats, that fire/EMS personnel may operate within without protection or an escort
Hardened Area/Location
Any incident that injures enough people to overwhelm resources usually available in a particular system or area
Mass Casualty Incident (MCI)
The area secured by law enforcement between hot and warm zone
Inner perimeter
The area secured by law enforcement between the warm and cold zones
Outer perimeter
You can contact RHCC by Hospital Talkgroup on what channel(s)
Channel ‘A’ & ‘P’