TFRD Procedures & Guides

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=====C-116 Rescue Task Force / Active Shooter======
===Emergency Manual=== 
==Date Revised: 02/01/2018==
<sub>Last Modified: ~~LASTMOD~~ </sub>

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**Policy/Procedure** 

**Purpose**

To identify a Standard Operating Procedure for TFRD members functioning as members of the Rescue Task Force (RTF) response to violent incidents which may involve an active shooter (s). This RTF is a unified response with TFRD and TPD, which allows both to operate jointly in the active shooter/violent incident environment.

**Policy/Procedure**
**1. INITIAL NOTIFICATION**
  - Dispatch begins the process of sizing up\\ \\ 
  - Dispatch shall determine the appropriate Type Code to use\\ \\ 
    - Anything from a double company to an MCI Level II (See MCI Plan on Intranet)\\ \\ 
    - For all confirmed incidents requiring an RTF response an MCI Level II will be dispatched\\ \\ 
    - Two units from the (7) RTF Trained stations will be added to the MCI Level II response
      - RTF Stations include: 3s, 4s, 5s, 6s, 21s, 23s, 25s\\ \\ 
    - Fire Chief, Deputy Chiefs, and Special Operations Bureau members will be notified.\\ \\ 
  - Dispatch will assign the Communications channels for all units ZONE 13 - Channel 2\\ \\ 
  - Begin notification to the hospitals

**2. UNITS DISPATCHED**
  - Enroute considerations\\ \\ 
    - Gain more info from dispatch\\ \\ 
    - Consider locations for the Staging Area and Incident Command Post (ICP) at least 1 block away or concealed\\ \\ 
    - Communicate these locations to Fire Dispatch and all other enroute units\\ \\ 
    - **DO NOT DRIVE BY THE INCIDENT SITE**

**3. ON SCENE**
  - Set up Incident Command\\ \\ 
    - Notify dispatch of location of the ICP in order to coordinate Unified Command with TPD\\ \\ 
    - Communicate the location of the identified staging area\\ \\ 
  - Size – Up\\ \\ 
    - Communicate to Dispatch information regarding the incident\\ \\ 
      - People fleeing the scene\\ \\ 
        - Collection points of people\\ \\ 
      - Victims on the outside of the incident site\\ \\ 
      - Law Enforcement presence on scene yet\\ \\ 
      - Imminent threats\\ \\ 
  - Consider site – security\\ \\ 
  - Beginning filling officer positions\\ \\ 
    - Staging Officer\\ \\ 
    - EMS Officer\\ \\ 
    - Safety Officer\\ \\ 
    - Operations Section Chief\\ \\ 
    - RTF Leader\\ \\ 
    - Command Aide

**4. OPERATIONS**
  - Operational Preparedness – because we will initially be in stand – by mode\\ \\ 
    - Personnel will begin to set-up, stage, request more resources, and prepare to operate\\ \\ 
  - Establish Unified Command\\ \\ 
    - TPD shall respond to our ICP and establish Unified Command\\ \\ 
    - Zones of operations will be established\\ \\ 
      - **HOT ZONE** - Any area in which there is a direct and immediate threat to persons\\ \\ 
      - **WARM ZONE** - An area where the potential for hostile threat exists, but the threat is not direct or immediate\\ \\ 
      - **COLD ZONE** - An area in which there is no significant danger or threat anticipated\\ \\ 
    - Once the Warm Zone has been established and agreed to by both LE and TFRD, RTF operations will commence

**5. RTF OPERATIONS**
  - Prior to RTF operations beginning\\ \\ 
    - An RTF Leader is identified from the onscene trained RTF crews or Special Operations\\ \\ 
    - The RTF Leader shall begin to have the RTF crews:\\ \\ 
      - Gather equipment\\ \\ 
      - Size and Don PPE\\ \\ 
      - Assign RTF Teams\\ \\ 
      - Conduct an operational pre-briefing with LE and TFRD RTF members\\ \\ 
        - RTF Teams will be made up of two different types of teams\\ \\ 
          - Stabilizing Teams
            - Personnel: 2 LE / 3 Fire (1 of the 3 will be an oriented member)
              - The Oriented Member is responsible for:
                - Communicating all pertinent information to the RTF Leader including:
                  - When making entry into the Incident Site
                  - Which initial direction they are travelling
                  - When they are changing direction of travel
                  - When changing divisions
                  - When leaving the Incident Site
                  - The # of patients found, triage status, and location they were found
                  - Any and all other needs as the situation warrants
                - Marking the doors or entry ways into rooms with proper markings (See Appendix A: Door Markings)
                - Assisting team members as needed in patient care\\ \\ 
              - Extraction Teams
                - Personnel: (Where practical) 1 LE for every 2 Fire
                - Team will be made up of as many personnel as needed\\ \\ 
      - Identify methods of getting to the incident site point of entry\\ \\ 
      - Secure vehicles for approach to the incident site\\ \\ 
      - Coordinate the pickup and delivery of patients from the incident site to the Treatment Area\\ \\
  - Operations Commence\\ \\ 
    - RTF Stabilizing Teams approach incident site point of entry
      - The Oriented Member shall make necessary communications to the RTF Leader 
        - RTF Teams will communicate on Ops Channel 13-8\\ \\ 
    - Once in the zone of operation, begin stabilizing procedures\\ \\ 
      - RTF Stabilizing Teams will:
        - Evaluate, stabilize, and triage each patient in the order they find them
        - The teams first priority shall focus on life threatening issues
        - Evaluation and triage will follow START Triage procedures
          - START Triage conducts 30-2-Can Do procedures
          - Place appropriate triage ribbon on patient
        - The team shall communicate to LE team members when ready to move on\\ \\ 
      - The Oriented member shall:
        - Communicate to the RTF Leader
          - Total patient count
          - The triage priorities of the patients
          - Location and room number
        - Mark the entry way into a room with patient info and team number (See Appendix A: Door Markings)\\ \\ 
      - RTF Stabilizing Teams will continue working until:
        - All victims are found and assessed
        - They run out of equipment
        - They become exhausted
        - The threat is elevated and they are forced to abandon the mission and retreat\\ \\ 
      - Upon egress from the Warm Zone, RTF teams shall extract as many patients as possible\\ \\ 
    - Other RTF Stabilizing Teams will make entry as the situation warrants\\ \\ 
    - RTF Extraction Teams will be assigned to begin extracting patients\\ \\ 
      - Casualty Collection Points - (CCPs) will be assigned at strategic points
        - These CCPs will be communicated to the RTF Leader
        - Patients will be extracted to these CCPs\\ \\ 
      - Further RTF Extraction Teams will continue extraction operations from these CCPs\\ \\ 
      - All Patients will be removed from the Incident Site and taken to the Treatment Areas\\ \\ 
  - Treatment Operations\\ \\
    - As patients are extracted to the Treatment Area they will be prioritized for transport\\ \\ 
    - Those patients who are not immediately transported will be placed into treatment areas
      - Treatment areas will be determined and set up based on needs, weather, and proximity\\ \\ 
    - Patients in the treatment areas shall be
      - Further stabilized and reassessed
      - Given a secondary START triage assessment, and reprioritized as necessary
      - Given a START triage tag, removing the triage ribbon
      - The patient will be tracked using OH-Trac\\ \\ 
    - The Treatment Officer shall
      - Coordinate all operations in the Treatment Area
      - Request further resources as needed including:
        - Manpower, buses, EMS equipment, etc\\ \\ 
  - Transport Operations\\ \\ 
    - As patients are extracted to the Treatment Area they will be prioritized for transport
      - Red triaged patients will be given first priority\\ \\ 
    - Transport Officer shall:
      - Prioritize patients and place them on transport units
      - Communicate to LCEMS numbers of patients and triage categories on each transport
        - LCEMS will assign hospitals and med channels for each transport
      - Maintain patient count and transport destinations
      - Conduct OH-Trac accountability
      - Maintain accountability of each transport unit at their disposal
      - Communicate closely with the Treatment Officer regarding patients in the Treatment Area
      - Request additional transport assets as deemed necessary
      - Request assistance by an Aide to assist in the accountability
      - Transport all patients from the scene

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See Also:\\ 

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