I-B-18 Active Shooter Hostile Event Response 01/23/2020

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Questions and Answers

What is the primary responsibility of the first arriving RTF at the CCP?

Provide Tactical Emergency Casualty Care to all victims.

Transport patients directly to the Treatment Area.

Evacuate patients without triage.

Triage all patients and report the information to Command. (correct)

In which zone are RTFs permitted to operate?

Danger Zone.

Hot Zone.

Warm Zone. (correct)

Cold Zone.

What action must RTF Team Leaders take regarding the MDFR IC?

Advise them of potential equipment needs.

Inform them before changing locations. (correct)

Report all patient conditions to them.

Request additional personnel for support.

What should rescue units do to ensure safety while in the Warm Zone?

Limit their time by positioning for unobstructed movement. Signup and view all the answers

Which equipment may be necessary when responding to a situation involving potential chemical agents?

Self-Contained Breathing Apparatus (SCBA). Signup and view all the answers

What should personnel be vigilant about during operations?

Suspicious individuals or vehicles. Signup and view all the answers

What is a critical consideration for the movement of patients during an emergency?

Avoid transporting personal belongings that may contain weapons. Signup and view all the answers

If law enforcement denies access to an area with equipment, what should the OIC do?

Notify Command and coordinate the replacement of equipment. Signup and view all the answers

What is the primary tactic employed by individuals planning Mass Casualty Attacks (MCAs)?

To kill and injure large numbers of people quickly Signup and view all the answers

Which procedure is directly associated with the management of multiple casualty incidents?

Medical Operations Manual Procedure 35 S.T.A.R.T Triage Signup and view all the answers

What is an Ambulance Exchange Point (AEP) primarily used for?

To pick up evacuated casualties Signup and view all the answers

Which definition accurately describes an Active Shooter Hostile Event (ASHE)?

A situation where individuals engage in killing with firearms Signup and view all the answers

What type of protective equipment is referred to as Ballistic Protective Equipment (BPE)?

Gear providing protection against ballistic and trauma threats Signup and view all the answers

What is a crucial aspect of Miami-Dade Fire Rescue's response to MCAs?

Establishing a unified command for effective coordination Signup and view all the answers

Which organization is NOT mentioned as a source for definitions related to MCAs?

Department of Labor (DoL) Signup and view all the answers

In responding to MCAs, what does the term 'tactics' refer to?

Immediate actions taken to manage and mitigate casualties Signup and view all the answers

What is the primary purpose of a Casualty Collection Point (CCP)?

To hold and provide further triage for casualties. Signup and view all the answers

Which area is characterized by a known hazard or immediate life threat?

Hot Zone Signup and view all the answers

What does the Incident Commander (IC) primarily oversee?

Management of incident operations at the site. Signup and view all the answers

What is the primary focus of Threat-Based Care guidelines?

Medical treatment during various zones of threat. Signup and view all the answers

What characterizes a Mass Casualty Incident (MCI)?

An incident overwhelming available medical resources due to casualties. Signup and view all the answers

Which statement is true regarding the Rescue Task Force (RTF)?

An RTF should ideally have a mix of police and fire rescue personnel. Signup and view all the answers

What is the primary characteristic of a Cold Zone?

An area secured by law enforcement with minimal threats. Signup and view all the answers

When is the Incident Command System (ICS) established?

Immediately upon assessment of the incident conditions. Signup and view all the answers

What is the role of an Evacuation Corridor?

To provide a secure route for removing victims. Signup and view all the answers

Which item falls under the category of CBRNE?

Explosive materials or devices. Signup and view all the answers

What defines a Vehicle-Borne Improvised Explosive Device (VBIED)?

A vehicle used to deliver or conceal an IED. Signup and view all the answers

Which of the following best describes Force Protection?

Preventative measures against hostile actions. Signup and view all the answers

What is the role of the Law Enforcement Rescue Team during an incident?

To provide emergency wound care and evacuate casualties. Signup and view all the answers

Which is NOT a zone defined in the incident response framework?

Red Zone Signup and view all the answers

What is the primary responsibility of the first arriving unit Officer in Charge (OIC) upon arrival at an ASHE/MCA incident?

Assume command and identify a staging area considering safety. Signup and view all the answers

Which of the following factors is NOT considered when selecting a staging area for an ASHE/MCA incident?

Proximity to the incident location for quick access. Signup and view all the answers

What equipment is essential for personnel operating within the Warm Zone?

Department-provided ballistic vest and helmet. Signup and view all the answers

What role does the Staging Area Manager play in an ASHE/MCA incident response?

Maintain accountability and oversee security of the staging area. Signup and view all the answers

What is the minimum composition of a Rescue Task Force (RTF) in the staging area?

Two police officers and two firefighters. Signup and view all the answers

What should happen if conditions in the Warm Zone change during an RTF deployment?

A leader should communicate updated actions during a briefing. Signup and view all the answers

Where should the first arriving Battalion Chief establish communication with law enforcement?

At the law enforcement command post in a Unified Command. Signup and view all the answers

Which of the following is a responsibility of the Staging Area Manager during an ASHE/MCA incident?

Ensure that all personnel are equipped with rescue gear before deployment. Signup and view all the answers

What should units do upon arriving at the staging area during an ASHE/MCA incident?

Report to the staging area and remain in their apparatus. Signup and view all the answers

Why is it important for the first arriving unit to monitor MDPD frequency?

To ensure they receive updates on situational awareness. Signup and view all the answers

What happens if a crew member does not have the proper ballistic protective equipment when assigned to the Warm Zone?

They must wait in the staging area until equipped. Signup and view all the answers

Under what circumstances should the MCI Plan be implemented during an incident?

To avoid lost reflex time and ensure swift organization. Signup and view all the answers

What is mandatory for the effectiveness of a Rescue Task Force before deployment?

A leader must be identified and a briefing conducted. Signup and view all the answers

Which of the following is true about responding units at an ASHE/MCA incident?

Units are given routing instructions to minimize risks. Signup and view all the answers

Study Notes

Overview of Mass Casualty Attacks (MCAs)

MCAs target densely populated areas, including schools, malls, and places of worship.
Tactics used by attackers aim to inflict maximum casualties in a short timeframe.

Miami-Dade Fire Rescue (MDFR) Response

MDFR's unified response plan aims to enhance emergency medical treatment and victim evacuation.
Personnel must be familiar with relevant policies, such as Incident Command System (ICS) procedures and triage protocols.

Definitions and Key Terms

Active Shooter Hostile Event (ASHE): Characterized by individuals actively using firearms to harm others.
Ambulance Exchange Point (AEP): Designated area for ambulances to pick up casualties, which must be secured and accessible.
Casualty Collection Point (CCP): A police-secured area in the Warm Zone for further triage and treatment of casualties.
Hot Zone: High-risk area where direct threats exist; MDFR personnel do not operate here.
Warm Zone: Secured area with potential indirect threats; allows for some level of operational activity.

Incident Command System (ICS)

ICS is a scalable management system used during emergency situations to coordinate multiple agencies.
Incident Commander (IC) oversees the incident's entire operation, strategy, and resource management.

Categorization of Mass Casualty Incidents

ASHE/MCA incidents may be recognized by law enforcement or MDFR responders based on initial assessments.
Upon classification, a Multiple Casualty Incident (MCI) Level I assignment is dispatched to support response efforts.

Initial Response Protocol

First responders must assess the situation continually while establishing an ICS without delay.
Emergency medical actions focus on life-saving measures categorized under the STOP THE DYING phase.

Cold Zone Operations

Arriving units must report to a designated Staging Area in the Cold Zone before further action.
Communication with law enforcement is vital for situational updates and the identification of staging locations.

Warm Zone Operations

Personnel entering the Warm Zone must wear ballistic protection and maintain radio contact.
Rescue Task Forces (RTFs) are composed of fire rescue and police personnel, configured for triage and victim extraction in secure areas.

Tactical Emergency Casualty Care (TECC)

TECC is a set of treatment guidelines for trauma care during ASHE/MCA incidents.
RTFs focus on threat-based medical care and effective patient transport from CCPs.

Equipment and Safety Considerations

Situational awareness is crucial; personnel should be vigilant for suspicious activity and potential IEDs.
Proper equipment for patient extraction and protection (e.g., SCBA for chemical agent exposure) is vital.

Coordination with Law Enforcement

MDFR must coordinate closely with law enforcement to ensure safety in high-threat zones.
If law enforcement security is inadequate, MDFR may request additional police support for patient evacuations.

Conclusion

Effective response to MCAs relies on strategic planning, interagency coordination, and adherence to safety protocols to protect both responders and victims during emergencies.

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Description

Explore the critical response strategies utilized during mass casualty attacks (MCAs) in various populated areas. This quiz examines recent incidents and the operational capabilities of emergency services like Miami-Dade Fire Rescue in handling such emergencies.