The City of Waco Fire Department responded to the Twin Peaks incident on May 17, 2015 one of the largest loss of life incidents in the city since the 1957 Tornado. In order to decrease the loss of life from Active Shooter/Mass Casualty Incidents in the future, the fire department should institute a Mass Casualty Alarm assignment and implement the use of tourniquets as part of our medical protocols for exsanguination wounds. Mass Casualty Alarm would send an appropriate amount of first responder personnel to the scene to begin the process of triage, treatment, preparing the patients for transport. This alarm assignment would allow the personnel to responding from the first call for assistance rather than have a piece meal response as we
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All members of the Unified Command will be present and as many personnel that were at the scene should be present. The PIA should be facilitated by training staff of all agencies involved. This did not happen after the Twin Peaks incident and briefly occurred after the last AS multi agency drill. These incidents will involve a majority of our regional partner agencies involving them in the PIA will assist in future operations. The Hartford Consensus was convened by the American College of Surgeons and the Federal Bureau of Investigations to develop a concept document for increasing the survivability during mass casualty shootings. As a core requirement for response to AS/MCI the group identified the importance for hemorrhage control as one of our initial actions. Utilizing tourniquets to control hemorrhage in the extremities from gunshot wounds is now proving to be a vital tool in saving …show more content…
This would be an initial purchase, due to the size of the tourniquet additional could be purchased later. ETMC EMS provides our training for EMS continuing education. Our contract with the providers, stipulates they will provide 2 face to face continuing education classes a year. Introducing tourniquets could be one of the face to face sessions. USHS document published in June 2015 noted “A shift from the traditional mantra of ‘tourniquet as a last resort’ to ‘tourniquets are proven to save lives from treatable exsanguination injuries’ is supported by evidence and will necessitate interoperable training across all domains of EMS, fire, and law
All members of the Unified Command will be present and as many personnel that were at the scene should be present. The PIA should be facilitated by training staff of all agencies involved. This did not happen after the Twin Peaks incident and briefly occurred after the last AS multi agency drill. These incidents will involve a majority of our regional partner agencies involving them in the PIA will assist in future operations. The Hartford Consensus was convened by the American College of Surgeons and the Federal Bureau of Investigations to develop a concept document for increasing the survivability during mass casualty shootings. As a core requirement for response to AS/MCI the group identified the importance for hemorrhage control as one of our initial actions. Utilizing tourniquets to control hemorrhage in the extremities from gunshot wounds is now proving to be a vital tool in saving …show more content…
This would be an initial purchase, due to the size of the tourniquet additional could be purchased later. ETMC EMS provides our training for EMS continuing education. Our contract with the providers, stipulates they will provide 2 face to face continuing education classes a year. Introducing tourniquets could be one of the face to face sessions. USHS document published in June 2015 noted “A shift from the traditional mantra of ‘tourniquet as a last resort’ to ‘tourniquets are proven to save lives from treatable exsanguination injuries’ is supported by evidence and will necessitate interoperable training across all domains of EMS, fire, and law