*TB 135- Active Shooter/MCI

Question 1

Active shooter/MCI:
In order to Focus on early hemorrhage control to improve survivability,
The Hartford Consensus’ recommendations the acronym _____.

Answer 1

THREAT.

Question 2

Active shooter:

What does the acronym THREAT stand for?

Answer 2

T-    Threat suppression
H-   Hemorrhage
RE- Rapid Extrication to safety
A-   Assessment by medical providers
T-    Transport to definitive care

Question 3

When MFC receives a call for a shooting, and determines that shooting is ongoing, how many of the following resources will be dispatched?

BC, EMS, CP, E, LF, ALS,800

Answer 3

2 Battalion Chiefs 
2 EMS Captains 
1 Command Post Company1 Light Force 
2 Engines 
4 ALS RAs 
2 BLS RAs

Question 4

Active shooter:

The second arriving Battalion Chief should normally be assigned as the _______.

Answer 4

Rescue Group Supervisor

Question 5

Active shooter:

_______ is configured to extract viable patients from the Warm Zone or Casualty Collection Point to the treatment areas.

Answer 5

Rescue group

Question 6

Active shooter:

What does CCP stand for?

Answer 6

Casualty Collection Point

Question 7

Active shooter:
If no Warm Zone or CCP exists, the _______ will have the responsibility of coordinating the movement of patients to treatment areas.

Answer 7

Triage unit leader

Question 8

Active shooter:
The elements of the IAP may vary based on the situation, but what are the key components that the fire department will be responsible for establishing?

Answer 8

(MFC-R)
Medical group
Fire group
Communication plan
Rescue group

Question 9

Active shooter:

The _____ Group is configured to manage the triage, treatment, and transportation of casualties

Answer 9

Medical group

Question 10

Active shooter:
The _____ Group is configured to suppress fires and coordinate the non-EMS operational fire discipline needs of the incident.

Answer 10

Fire group

Question 11

Active shooter:

Is the Casualty Collection Point in the hot, warm or cold zone?

Answer 11

Warm zone

Question 12

Active shooter:

Is the Treatment Area in the hot, warm or cold zone?

Answer 12

Cold

Question 13

Active shooter:

Is the Staging area in the hot, warm or cold zone?

Answer 13

Cold

Question 14

Active shooter:

Is the Perimeter established by law enforcement in the hot, warm, or cold zone?

Answer 14

Warm

Question 15

Active shooter:

The ________ is the location from which SWAT Command coordinates SWAT operations

Answer 15

Tactical Operations Center (TOC)

Question 16

Active shooter:

If a fire occurs and the suspect’s location cannot be determined, what is the firefighters course of action?

Answer 16

Protect exposures, attempt to extinguish fire from protected location.

Question 17

Active shooter:
When no other options of fighting a fire are available, what can be used to control the spread of fire when approach by firefighters is unsafe?

Answer 17

Helicopter water drop

Question 18

Active shooter:

Can firefighters enter or move through a Hot Zone to deploy ladders, hose lines, or other equipment?

Answer 18

No, Never

Question 19

Active shooter:

What does RTF stand for?

Answer 19

Rescue Task Force

Question 20

Active shooter:
______is a team deployed to provide point of wound care to victims where there is an ongoing ballistic or explosive threat (i.e., active shooter or terrorist event).

Answer 20

Rescue task force (RTF)

Question 21

Active shooter:
Rescue Task Forces are teams treat, stabilize, and remove the injured from the ______ Zone to an area where they can receive definitive care and/or transport to the hospital while wearing ballistic protective equipment with force protection.

Answer 21

Warm zone

Question 22

Active shooter:

What is the minimum personnel configuration that can make up a Rescue Task Force?

Answer 22

2 fire dept medical personnel

2 force protection officers

Question 23

Active shooter:

What would be the largest reasonable combination of personnel for an RTF?

Answer 23

4 fire dept personnel

4 force protection officers

Question 24

Active shooter:

When the RTFs are operating in the Warm Zone, can triage be performed?

Answer 24

No

Question 25

Active shooter:
What does the “S” stand for in LCES when implemented at an active shooter?
(Lookouts, Communication, Escape Routes, _______)

Answer 25

Safe refuge

Question 26

Active shooter:

How many tiers are in the LAFD TEMS program and what are they?

Answer 26

3 Tiers
Tier 3- FRO
Tier 2- technician
Tier 1- specialist

Question 27

Active shooter:
Which TEMS tier is used to support SWAT operations(i.e., warrant service, sting operations, hostage rescue, etc.) and other tactical law
enforcement incidents?

Answer 27

Tier 1- specialist

Question 28

Active shooter:
Which TEMS Tier did not have a SWAT course but are paramedics used to provide support to TEMS Specialists and/or medical support at other tactical law enforcement incidents.

Answer 28

Tier 2- technician

Question 29

Active shooter:

Which TEMS Tier allows members to be assigned to a RTF?

Answer 29

Tier 3- FRO, first responder operations

Question 30

Active shooter:

Law enforcement officers use the acronym IARD when dealing with an active shooter. What does IARD stand for?

Answer 30

Immediate Action/Rapid Deployment

Question 31

Active shooter:

Any unsearched area where a threat may be present should be considered a hot, warm, or cold Zone?

Answer 31

Hot

Question 32

Active shooter:
An area already searched by law enforcement officers but could still be within the range of gunfire and/or a subject could be hiding in an unsearched area or return to an area that has been searched is classified as hot, warm or cold zone?

Answer 32

Warm zone

Question 33

Active shooter:
Law enforcement officers use the terms inner and outer perimeter. Are both of these areas considered an IDLH to fire department personnel?

Answer 33

Only the inner perimeter

Question 34

Active shooter:
______ is a Team of up to 4 police officers who deploy behind Contact Teams into the Hot Zone with the goal of extracting viable patients to a Casualty Collection Point or treatment area

Answer 34

Rescue Team

Question 35

Active shooter:
_______ is an Initial team of up to 4 police officers who deploy to the shooter’s location with the goal of initiating contact to contain or eliminate the active shooter

Answer 35

Contact Team

Question 36

Active shooter:

Experience has shown that the number one cause of preventable death in victims of penetrating trauma is ______.

Answer 36

Hemorrhage