TB 135 Flashcards
What are tactical law enforcement incidents?
Incidents where the actions of one or more subjects present a significant threat to the public and first responders.
List examples of tactical law enforcement incidents.
- Active shooter
- Hostage taker
- Perimeter search for an individual suspected in a violent crime
- Barricaded suspect
- Multiple-coordinated assault by suspected terrorists
- Threat to detonate explosives or set fire to an occupied building.
What is the Hartford Consensus?
A document developed to increase survivability in mass casualty shootings by focusing on hemorrhage control.
What does the acronym THREAT stand for in the Hartford Consensus?
- T – Threat suppression
- H – Hemorrhage control
- RE – Rapid Extraction to safety
- A – Assessment by medical providers
- T – Transport to definitive care.
What is the primary cause of preventable death in victims of penetrating trauma?
Hemorrhage.
When arriving at a tactical law enforcement incident, what should fire department personnel ascertain?
If the incident is still dynamic (i.e., subject(s) still on scene and not in police custody).
What should the first arriving fire department unit confirm at an active shooter incident?
The nature of the incident (i.e., shooting vs. active shooter).
What resources are dispatched for an active shooter incident?
- 2 Battalion Chiefs
- 2 EMS Captains
- 1 Command Post Company
- 1 Light Force
- 2 Engines
- 4 ALS RAs
- 2 BLS RAs.
What is the role of the first arriving Battalion Chief?
Establish command for fire department resources and collocate with law enforcement.
What is a Rescue Task Force (RTF)?
A team deployed to provide point of wound care to victims during an ongoing ballistic or explosive threat.
What is the minimum staffing for an RTF?
Two fire department medical personnel and two force protection officers.
What should RTFs avoid carrying for agility?
Defibrillators, large drug boxes, gurneys, or other equipment that can affect their agility.
What are some recommended equipment items for an RTF?
- Tourniquets
- Kerlex®
- 4x4s
- Abdominal Pads
- Ace Wraps
- Airways
- Chest seals
- Bag-Valve-Mask
- Saline
- IV Supplies and Fluid Replacement
- Gloves
- Litter (SKED®)
- Nitrile Gloves
- Space Blanket
- Suction equipment
- Littman Stethoscope.
True or False: Firefighters should enter a Hot Zone to deploy ladders, hose lines, or other equipment.
False.
What should be established early in a dynamic tactical law enforcement incident?
Unified Command and clear incident objectives.
What is the Fire Group’s responsibility in an incident command structure?
To suppress fires and coordinate the non-EMS operational fire discipline needs of the incident.
What is the purpose of the Incident Action Plan (IAP)?
To provide structure and organization to the response efforts during incidents.
What actions should be taken if a barricaded suspect threatens to set fire to a building?
Develop a Fire Plan and protect exposures to the extent possible.
What is the role of the Medical Group in an incident command structure?
To manage the triage, treatment, transportation, and tracking of casualties.
Fill in the blank: The first RTFs will enter the area and treat patients as they ______.
assess.
What does IDLH stand for in the context of RTF operations?
Immediately Dangerous to Life or Health.
What should be done to ensure operational security during size-ups?
Consider providing a more comprehensive size-up via cell phone.
What should be confirmed about the Command Post (CP) during tactical law enforcement incidents?
If it is in a safe location.
What is the function of the Triage Unit Leader if there is no Warm Zone or Casualty Collection Point?
To coordinate the movement of patients to treatment areas.
What is the role of RTFs in an IDLH area?
RTFs treat patients as they assess and direct walking patients to self-evacuate. Dead patients are left in place.
What is the purpose of creating a Rescue Group?
To coordinate and oversee the activities of the RTFs.
What does LCES stand for?
Lookout, Communications, Escape Routes, and a Safe Refuge.
What is the purpose of the Trauma Treatment and Evacuation Aid Bag?
To bring critical lifesaving equipment to the patient for trauma injuries.
What algorithm does the Trauma Treatment and Evacuation Aid Bag utilize?
M.A.R.C.H Algorithm.
What is the primary use of ballistic helmets?
To enhance personnel safety during violent incidents where gunfire may be encountered.
What should be worn along with ballistic helmets?
Body armor.
What are the three tiers of Tactical Emergency Medical Support (TEMS)?
- Tier 1: TEMS Specialist
- Tier 2: TEMS Technician
- Tier 3: TEMS First Responder Operations (FRO)
What is the primary focus of Tactical Emergency Casualty Care (TECC)?
Execution of the right interventions at the right time.
What does the term ‘Indirect Threat Care’ refer to?
Care rendered once the casualty is no longer under fire in a Warm Zone.
What is the role of an Intelligence Officer during a complex incident?
To manage internal information, intelligence, and operational security requirements.
What is Immediate Action/Rapid Deployment (IARD)?
The swift deployment of law enforcement resources to ongoing life-threatening situations.
Define ‘Hot Zone’.
Area where a known direct and immediate threat exists.
Define ‘Warm Zone’.
Area where a potential threat exists, but the threat is not direct or immediate.
Define ‘Cold Zone’.
Area where no significant danger or threat can be reasonably anticipated.
What is the purpose of a Casualty Collection Point (CCP)?
To initiate treatment for casualties outside the Hot Zone.
What is the definition of ‘Cover’ in tactical terms?
Location that provides protection from live fire.
What is the definition of ‘Concealment’?
Location that hides an individual from view but does not provide protection from fire.
What is the objective of the Rescue Team during an active shooter incident?
To extract viable patients to a Casualty Collection Point or treatment area.
What does the term ‘Multi-Assault Counter-Terrorism Action Capabilities (MACTAC)’ refer to?
Specialized law enforcement tactics for immediate deployment against violent assaults.
What are the considerations for designating a tactical area?
- Suspect’s location
- Size of the area
- Potential threat to the wider area
- Safety of responding fire resources
Describe the role of a Rescue Task Force.
To stabilize and extract critically injured individuals from the Warm Zone.
What is the significance of collocating the Intelligence Officer with the SWAT Commander?
Enhances situational awareness and information flow to fire department personnel.
True or False: The Cold Zone is the most dangerous area during a tactical incident.
False.
