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Contact us for training at pstrauss@TacMedUSA.com/310 613-6331

TacMed USA

TacMed USATacMed USATacMed USA
  • Home
  • Gallery
  • Instructors and Staff
  • In The News
  • Tactical Medicine
    • Curriculum 8 Hr/ 1 Day
    • Curriculum 16 Hr/ 2 Day
  • Workplace Violence
    • Active Shooter Training
    • CA SB 553 WV Training
  • Knowledge Base
    • TacMed For Patrol
    • AS/MCI Commnand & Control
    • Minutes Matter
    • Warms Zones - All Differ
    • Choose a Training Program
    • Chests Seals in an MCI
    • Small Hole and Big Bleed
    • Don't Chase Ghosts
    • MCI Response Evolution
    • phases of command
    • The 21 foot rule
    • Why AS/MC Response Fails
    • LCAN
    • Casualty Collection Point
    • Doers vs Thinkers
    • Vision Drives OODA Loop
    • Don't have it on you?
    • Lives Still Must Be Saved
  • Gallery of Knowledge

When officers enter a crisis site during an active shooter /

They are immediately forced into two competing roles:

  • Doers → Action-oriented, aggressive, moving toward the threat 
  • Thinkers → Processing, organizing, prioritizing, coordinating  👉 The problem: If everyone is a doer → chaos If everyone is a thinker → paralysis  

  

👉 The problem:

  • If everyone is a doer → chaos
  • If everyone is a thinker → paralysis


  🔴 The “Doer”

  • Moves to contact 
  • Engages / clears / pushes      forward 
  • Acts with urgency 
  • Focused on Stop the      Killing 


Strengths

  • Speed 
  • Aggression 
  • Initiative 
  • Necessary to end the threat 


Risks

  • Tunnel vision 
  • Missed victims 
  • Over-penetration past threat      area 
  • “Blue Tsunami” effect      (everyone stacks, nobody treats or evacuates) 


🔵 The “Thinker”

  • Slows the moment down (just      enough) 
  • Builds awareness of: 
    • Victims 
    • Threat status 
    • Resources 
  • Begins organizing: 
    • Roles 
    • Movement 
    • Early command 


Strengths

  • Situational awareness 
  • Prevents duplication and chaos 
  • Enables transition to Stop the Dying 


Risks

  • Hesitation 
  • Over-analysis 
  • Delayed action when threat still active


👉 Inside the crisis site, you don’t get separate people—

you must become BOTH. But not at the same time.


Phase-Based Application (Critical)


Phase 1: Stop the Killing

  • Primary mindset: DOER 
  • Move to threat 
  • Neutralize / contain / bypass to contact 


BUT…

👉 Even here, a micro-thinker must exist:

  • Who’s behind me? 
  • Where are victims? 
  • Where did shots come from? 


Phase 2: Threat Controlled / Contained / Fled

  • Immediate shift required → THINKER activates 

This is where most failures occur. Officers stay in “doer mode” too long

Result:

  • Victims bleed out 
  • No structure 
  • No evacuation 
  • No corridor 
  • No RTF integration 


The Critical Transition Question

Ask officers: 👉 “At what exact moment do you stop being just a doer?”

Correct answer: The moment the threat is no longer actively killing people.

Not:

  • When command tells you 
  • When Fire arrives 
  • When the scene feels safe 


What the “Thinker” Does Inside

This is your Tac-1 / interior command mindset

  • Establish initial command presence 
  • Assign roles (even informally): 
    • “You hold this hallway” 
    • “You start moving victims” 
  • Identify: 
    • Casualty clusters 
    • Safe directions of movement 
  • Begin: 
    • Secure corridor concept 
    • Movement toward ATP 


Tie to Your Doctrine (SIM)

Once threat is controlled:

  • S – Security      
    • Maintain coverage 
    • Don’t collapse protection 
  • I – Incident Command / Immediate Action Plan
    • Someone is now thinking and organizing 
  • M – Medical 
    • This DOES NOT wait 


👉 This is where doers must become thinkers

Common Failure Patterns


Use these to drive conversation:

  • 1. Everyone Stays a Doer
  • Officers keep clearing instead of treating 
  • Victims ignored 
  • 👉 Ask: Who owns the dying?

  • 2. Nobody Becomes the Thinker
  • No one takes Tac-1 role 
  • No structure inside 
  • 👉 Ask: If not you, then who?

  • 3. Thinker Appears Too Late
  • Happens only after supervisors arrive 
  • 👉 Reality:
  • The first officer inside may be the most important “thinker” in the entire incident

  • 4. Doers Abandon Medical Phase
  • Shift focus to perimeter/search 
  • RTF unsupported 
  • 👉 Violates:
  • Force protection 
  • Corridor integrity 

  • Simple Mental Model for Officers
  • Give them something they can remember under stress:
  • “Hunt → Hold → Help”
  • Hunt (Doer) 
  • Hold (Security / structure begins) 
  • Help (Thinker-driven medical phase) 


Bottom Line

👉 Inside the crisis site:

  • You must start as a doer 
  • You must quickly become a thinker 
  • You may need to switch back and forth 


But if no one makes that transition:

We stop the killing… and fail to stop the dying



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