{{ :header.png?nolink&600 |}} =====C-116 Rescue Task Force / Active Shooter====== ===Emergency Manual=== ==Date Revised: 02/01/2018== Last Modified: ~~LASTMOD~~ [[https://www.tfrdweb.com/dokuwiki/doku.php?id=c_manual:C116&do=export_pdf|Export C116 to PDF]] \\ [[https://www.tfrdweb.com/dokuwiki/doku.php?id=c_manual&do=export_pdfns&book_ns=c_manual&book_title=C Manual|Export -Entire C Manual- to PDF]] ---- **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 \\ ---- See Also:\\ ---- <- c_manual:C115 ^ c_manual:start|Index ^ c_manual:C117 ->