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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

  

In an active shooter / mass casualty incident, command doesn’t start at the top—it starts inside with the first officers and then transitions outward in phases. This is very different from Fire/EMS, where command is established from the exterior on arrival.
 

Phases of Command Transfer

Active Shooter / Mass Casualty Incident


1. Initial Interior Command (Crisis Site)

Who: First arriving officer(s)

Where: Inside the hot zone / point of contact

Key Actions:

  • “I am Command” 
  • Direct movement to stop the      threat (Stop the Killing) 
  • Assign immediate roles if      possible: 
    • Contact team 
    • Rear security 
  • Begin situational      awareness (SA)     of: 
    • Suspect(s) 
    • Victims 
    • Environment 

Reality Point:

➡️ This is often a solo officer acting as IC

➡️ Rank is irrelevant—initiative drives command


2. Expanding Interior Command (Tac-1 Concept)

Who: First wave officers inside

Where: Still inside the crisis site

Key Actions:

  • Transition from pure contact      → control      of the interior 
  • Informally establish: 
    • Room boss / Hall boss /       Floor boss 
  • Communicate: 
    • Suspect status (down /       contained / fled) 
    • Victim locations 
  • Begin thinking beyond      shooting: 
    • “Where are my victims?” 
    • “Where will evacuation go?” 

Critical Shift:

➡️ From Stop the Killing → Preparing to Stop the Dying


3. Exterior Command Establishment

Who: First supervisor or designated officer outside

Where: Exterior, just outside the crisis site

Key Actions:

  • Establish formal Incident      Command (IC) 
  • Identify and communicate with      interior (Tac-1) 
  • Begin: 
    • Perimeter control 
    • Resource tracking 
    • Staging location 

Critical Concept:

➡️ Command is NOT taken blindly

➡️ It is received from interior awareness (Tac-1)


4. Command Transfer to Exterior (Staging Manager Role)

Who: Exterior IC / Staging Manager

Where: Just outside crisis site

Key Actions:

  • Assume operational      coordination from interior IC 
  • Maintain linkage with Tac-1 
  • Develop: 
    • Secure corridors 
    • Casualty evacuation pathways       
    • Awareness of secondary       threats 
  • Track: 
    • Incoming officers 
    • RTF readiness 

This is the MOST missed phase operationally

➡️ Prevents the “Blue Tsunami”

➡️ Converts chaos → organized response


5. Unified Command (Law + Fire/EMS)

Who: Law Enforcement IC + Fire/EMS Command

Where: Established command post (Cold Zone)

Key Actions:

  • Formal Unified      Command 
  • Align priorities: 
    • Security (LE) 
    • Medical (Fire/EMS) 
  • Deploy: 
    • Rescue Task Forces (RTFs) 
  • Establish: 
    • Ambulance Transfer Point       (ATP) 
    • Triage and transport 

Framework:

👉 S – Security

👉 I – Incident Command (Unified)

👉 M – Medical + Movement


6. Operational Control & Medical Evacuation

Who: Unified Command with Ops / Med branches

Key Actions:

  • Coordinate: 
    • RTF entry into warm zone 
    • Evacuation flow 
  • Maintain: 
    • Secure corridors 
    • Force protection 
  • Prioritize: 
    • Rapid movement to definitive       care 

End State Goal:

➡️ Victims to higher level of care ≤ 30 minutes


🔁 Key Teaching Point (Your Doctrine)

Command flows:

Interior → Transitional (Tac-1) → Exterior → Unified Command

NOT:

❌ “Big bosses show up and take over immediately”

⚠️ Common Failure Points (Great for Slide Add-On)

  • Exterior command established without      interior SA 
  • No clear Tac-1 → IC      communication 
  • Delayed staging manager → Blue Tsunami      
  • RTF delayed waiting for      “perfect scene” 
  • No defined evacuation      corridors 

🔥 One-Line TacMed Takeaway

👉 “Command starts inside the gunfight and must be deliberately transferred outward to save lives.”


Request Training From TacMedUSA

pstrauss@TacMedUSA.com/ 310 613-6331


#TacMed #RescueTaskForce #RTF #ActiveShooterResponse #MinutesMatter #LawEnforcement #PoliceTraining #FireEMS #ParamedicLife #FirstResponders #ICS #UnifiedCommand #ALERRT #NTOA #TECC

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