The Hartford Consensus on Active Shooters: Implementing the Continuum of Prehospital Trauma Response.
The Journal of emergency medicine · 2015-10-09 · Guideline / consensus
Abstract
BACKGROUND: Active shooter incidents have led to the recognition that the traditional response paradigm of sequential response and scene entry by law enforcement, first responders, and emergency medical service (EMS) personnel produced delays in care and suboptimal victim outcomes. The Hartford Consensus Group developed recommendations to improve the response to and outcomes from active shooter events and urged that a continuum of care be implemented that incorporates not only EMS response, but also the initiation of care by law enforcement officers and potentially by lay bystanders. OBJECTIVE: To develop and implement tiered educational programs designed to teach police officers and lay bystanders the principles of initial trauma care and bleeding control using as a foundation the U.S. military's Tactical Combat Casualty Care course and the guidelines of the Committee on Tactical Emergency Casualty Care. DISCUSSION: The Tactical Casualty Care for Law Enforcement and First Responders course is a 1-day program combining didactic lecture, hands-on skills stations, and clinical scenarios designed primarily for police officers. The Bleeding Control for the Injured is a 2- to 3-h program for the potential citizen responder in the skills of hemorrhage control. In addition, we document the application of these skills by law enforcement officers and first responders in several real-life incidents involving major hemorrhage. CONCLUSIONS: Developing and implementing tiered educational programs for hemorrhage control will improve response by police officers and the lay public. Educating law enforcement officers in these skills has been demonstrated to improve trauma victim survival.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Bystanders · Haemostatic dressings & wound packing · Terror attacks & active shooter events · Implementation · Military & tactical · Fire service & police · Tourniquet
Related articles
- The Hartford Consensus to improve survivability in mass casualty events: Process to policy. (Am J Disaster Med, 2014)
- Improving survival from active shooter events: the Hartford Consensus. (J Trauma Acute Care Surg, 2013)
- The Ranger First Responder Program and Tactical Emergency Casualty Care Implementation: A Whole-Community Approach to Reducing Mortality From Active Violent Incidents. (J Spec Oper Med, 2015)
- Saving Lives on the Battlefield (Part II) ? One Year Later A Joint Theater Trauma System and Joint Trauma System Review of Prehospital Trauma Care in Combined Joint Operations Area?Afghanistan (CJOA-A) Final Report, 30 May 2014. (J Spec Oper Med, 2015)
- Integration of Tactical EMS in the National Park Service. (Wilderness Environ Med, 2017)
- Prehospital Interventions During Mass-Casualty Events in Afghanistan: A Case Analysis. (Prehosp Disaster Med, 2017)