First Responder Guide For Improving Survivability In Improvised Explosive Device And Or Active Shooter Incidents

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced-with an emphasis on early hemorrhage control and a more integrated response by first responders (i.e., emergency medical services [EMS], fire, law enforcement, and rescue personnel)-to improve survivability of victims and the safety of first responders caring for them. At the request of first responders and first receivers (e.g., medical technicians, nurses, and physicians) who have encountered mass casualties from IEDs and/or active shooter incidents, this document was developed to provide guidance on how to better approach these incidents. Responders should also consider the combination of both IEDs and active shooter incidents in an organized, complex attack (such as the Mumbai attacks in 2008) that requires both treatment and extraction of the injured from a still-hostile environment. The conditions during such tactical assaults in a civilian setting speak to the need for first responders and first receivers to adopt evidence-based hemorrhage control, risk evaluation, and casualty management measures in a potentially dangerous environment. As a result of these developments, the Department of Homeland Security, in coordination with the Department of Defense (DoD), Department of Health and Human Services, Department of Justice, Department of Transportation, White House Office of Science and Technology Policy, and the National Security Staff, has developed recommendations for individuals who provide emergent and immediate medical management of casualties resulting from IEDs and/or active shooter incidents. Based on best practices and lessons learned, this document focuses on the medical response to IEDs and/or active shooter incidents with recommendations for hemorrhage control, protective equipment (which includes ballistic vests, helmets, and eyewear), and response and incident management.

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced to improve survivability of victims and the safety of first responders caring for them. This Federal, multi-disciplinary first responder guidance translates evidence-based response strategies from the U.S. military's vast experience in responding to and managing casualties from IED and/or active shooter incidents and from its significant investment in combat casualty care research into the civilian first responder environment. Additionally, civilian best practices and lessons learned from similar incidents, both in the United States and abroad, are incorporated into this guidance. Recommendations developed in this paper fall into three general categories: hemorrhage control, protective equipment (which includes, but is not limited to, ballistic vests, helmets, and eyewear), and response and incident management.

In "How to Survive a Terrorist Attack Become Prepared for a Bomb Threat or Active Shooter Assault," the variety of approaches and styles converges into a singular, vital purpose: preparation and resilience in the face of terror. The anthology spans pragmatic guides, psychological strategies, and systemic analyses, creating a comprehensive resource for understanding and navigating the grim realities of terrorist threats. The significance of this collection lies in its capacity to blend technical advice with a nuanced understanding of the psychological and social aftermath of such incidents, highlighting pieces that offer groundbreaking strategies for survival and recovery. The contributors, stemming from the Homeland Security and the Federal Emergency Management Agency, bring with them a depth of field experience and scholarly research that is unparalleled. Collectively, they situate the anthology at the intersection of emergency preparedness, public safety, and psychological resilience, drawing upon historical precedents, recent case studies, and advances in security protocols. Their backgrounds ensure that the collection is grounded in practicality while informed by the latest in threat response and crisis management theories, making it an indispensable resource in the evolving discourse on public safety. "How to Survive a Terrorist Attack" is essential reading not only for those directly involved in emergency preparedness and public safety roles but also for citizens seeking to enhance their own awareness and resilience. The anthology offers a unique blend of expertise, presenting a wide range of strategies and insights that are critical in todays unpredictable global landscape. Readers will find value in the practical advice, the exploration of psychological preparedness, and the thoughtful analysis of how communities can recover and thrive after such devastating events. The collection serves as a vital dialogue between experts, offering a multifaceted approach to a complex and pressing issue facing society.

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced to improve survivability of victims and the safety of first responders caring for them. This multi-disciplinary edition translates evidence-based response strategies based on military experience in responding to and managing casualties from IED and/or active shooter incidents and from its significant investment in combat casualty care research into the civilian first responder environment. Table of Contents: * Executive Summary * Purpose * General Information: * Improvised Explosive Device * Active Shooter * Take an Active Role in Your Own Safety: * Explosions * Active Shooter Incident * First Responder for Improving Survivability in Improvised Explosive Device and/or Active Shooter Incidents * Background: * Defining First Responders * Defining the Threat * Military Lessons Learned and Civilian Adaptation * Improvised Explosive Device Incidents * Active Shooter Incidents * Hemorrhage Control * Protective Equipment * Response and Incident Management * Responder Guidelines: * Hemorrhage Control * Protective Equipment * Response and Incident Management * Summary * Threat-based Scenarios: * Large-scale Terrorist/insurgency Attack * Medium-scale Terrorist/insurgency Attack * Medium-scale Terrorist/insurgency Attack * Small Scale Terrorist/insurgency Attack * Involuntary Suicide Bomber * Discovery/recovery of Homemade Explosives (Not an Attack) * Active Shooter With Access Denial to First Responders * Active Shooter in a Public Commercial Facility * Active Shooter in an Open, Outdoor, Unbounded Location * Active Shooter in a Public Sports Complex * Provide First Aid After Improvised Explosive Device and/or Active Shooter Incidents * Stop the Bleeding and Protect the Wound * First Aid for Specific Injuries * List of Major Bombing Incidents in the United States 2007-2017 * List of Major Mass Shootings in the United States 2007-2017

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Preparedness takes action! Learn more about hazards which can affect your community and ways you can take action to prepare and participate: Earthquakes can occur suddenly and be deadly. Most earthquake-related casualties result from collapsing walls, flying glass, and falling objects. Flooding is the most common natural disaster in the United States and can happen anywhere. Hurricanes have the power to cause widespread devastation, and can affect both coastal and inland areas. Tornadoes are one of nature's most violent storms, and can cause death, injury, and destruction within seconds. Wildfires can occur anywhere and can destroy homes, businesses, infrastructure, natural resources, and agriculture. Winter storms can occur anywhere and bring freezing rain, ice, snow, high winds or a combination of all these conditions. They can cause power outages that last for days or weeks; making it hard to keep warm and making travel very dangerous. Recent national tragedies remind us that the risk is real: an active shooter incident can happen in any place at any time. The best way to make sure you and your loved ones stay safe is to prepare ahead of time. Content: How to Prepare for an Earthquake How to Prepare for a Flood How to Prepare for a Hurricane How to Prepare for a Tornado How to Prepare for a Wildfire How to Prepare for a Winter Storm How to Provide Emergency Medical Help: First Aid Case and Kits Emergency Rescue and Transportation Procedures First Aid Handbook in Case of Injury: Specific Injuries Fractures Climatic Injuries

This newly revised edition is designed to integrate information in a clear and concise for¬mat to allow law enforcement to respond to bomb threats, bomb incidents, or chemical-biological-radiologi¬cal events. The reader will find the information in this book useful as a general guide to develop local protocols to meet these occurrences. With the current threat, increased vigilance and knowledge is mandatory among all law enforcement and security officers to have a working knowledge of bombs, explosives and other threats for their own protection. Among the topics discussed include the basic techniques for risk assessment and target and hazard identification. These are essential components in relating to the probability of a bombing attack and the potential outcome of such an attack. The common methods of bomb delivery, bomb construction and methods of triggering are also demonstrated. Letter bombs, vehicle bombs and high-risk facilities such as aircraft, airports, medical facilities and schools are examined as well as the utilization of chemical, biological and radiological devices and the unique hazards associated with these devices. This book also includes a section for emergency medical service personnel in treating those injured from blast, overpressure, shrapnel and chemical agents. This text is not a replacement for trained and well-equipped bomb technicians but is designed to allow the first responder to make identification of suspect items and take appropriate action until well-equipped bomb technicians arrive on the scene.

Understanding and Supporting Law Enforcement Families, through a synthesis of the research literature, presents and explores some of the challenges faced by police families as well as developments that have taken place to support them in balancing family and work life. There are demands and requirements from the job over which family members have little control. Shift work, negative public perceptions of law enforcement, changes in the officer’s personality as well as living with the potential that their loved one may be injured or killed are among the unique challenges law enforcement families face. These extraordinary life events are discussed as well as the potential physical and psychological reactions to these stressors. In addition to an overview of support programs and services, specific resources from national organizations are provided on support for family members of an officer killed in the line of duty, and organizational policies for the funeral of an officer who commits suicide, and officer domestic violence. This book examines the existing research as a means to clarify issues faced by law enforcement families and discusses the availability of resources to provide the support these families need and deserve. A great deal of realizing that potential will be dependent upon actively including the law enforcement family in all aspects of the support process. It is not a conventional self-help book but intended for researchers, practitioners, students, and others with interest in the study and support of law enforcement families.

The frequency of lawsuits in the private and public sectors is proliferating, and the fire service is not immune. The protections afforded by Sovereign Immunity have eroded, and fire departments are rightfully being held to quality standards. They face an increasing number of responsibilities that expose them to litigation. Given his legal background and ongoing active role in the fire service, the author is in a unique position to provide expertise on how to avoid legal problems by learning from the experiences of others. The second edition of Fire Service Law continues to provide much-needed coverage of the key areas in which a firefighter or fire department is likely to encounter litigation. The fundamental legal principles presented will serve as an excellent foundation for proper decision making and protocol in a fire service organization. The real-life case studies and relevant examples taken from today’s headlines are valuable tools in the study of fire and EMS law. End-of-chapter review questions correspond to the case studies, and Expand Your Learning exercises are included for student and group assignments. Readers of this authoritative guide can stay abreast of the latest court decisions affecting fire department operations by accessing the author’s Fire, EMS, & Safety Law Newsletter website.

Respuesta a todos los riesgos de desastres (AHDR), es un programa innovador de la National Association of Emergency Medical Technicians (NAEMT) que se basa en escenarios realistas para capacitar a los primeros respondientes para actuar de manera rápida y efectiva cuando ocurre un desastre. Es el primer programa educativo del SEM que aborda completamente cómo atender mejor a los pacientes durante los desastres. AHDR entrena a los profesionales de SEM para dar respuesta ante desastres con enfoque basado en un abordaje de equipo y sistemas de preparación. El entrenamiento con AHDR conduce a la adquisición de conocimiento crítico y permite a los profesionales de SEM explorar situaciones potencialmente peligrosas en un ambiente de aprendizaje interactivo y seguro. CARACTERÍSTICAS CLAVE El Manual del curso Respuesta a todos los riesgos de desastres (AHDR) está diseñado para usarse antes, durante y después del curso. Antes del curso, los participantes pueden prepararse con los casos basados en evidencias así como con las interesantes características de cada lección. Las preguntas de la sección Verifique sus conocimientos y los resúmenes de los capítulos refuerzan los conceptos claves, integrando la información para ayudar a los estudiantes a retener lo aprendido. Durante el curso, los participantes usarán el Manual del curso como un recurso vital en las Estaciones de destreza de pensamiento crítico. Posterior al curso, el Manual AHDR puede usarse como una referencia de consulta confiable.