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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

Why Active Shooter Response Fails (And How to Fix It

  

STOP THE KILLING → STOP THE DYING

Active Shooter / Mass Casualty Response Flow

Subtitle:

Interior Command → Unified Command → Victim Evacuation


🔴THE REALITY (SET THE FRAME)

Header:

Not Linear. Not Controlled. Not Pretty.

Left Panel:

Hollywood

  • Command arrives with chiefs 
  • Scene already controlled 
  • Resources organized 

Right Panel:

Reality

  • Chaos on arrival 
  • Officers make entry alone 
  • Command starts inside 

Bottom Bar:

👉 “Interior officers are the first Incident Commanders”


🚨PHASE 1: INITIAL ENTRY (STOP THE KILLING)

Header:

Immediate Action Saves Lives

Bullets:

  • First officer makes entry 
  • Moves toward threat (sound of      gunfire) 
  • Assumes Interior      Command 
  • No staging, no delay 

ICS Overlay (bottom):

IC = First Officer (Interior)

👥PHASE 2: CONTACT TEAM FORMATION

Header:

Speed Over Perfection

Bullets:

  • Additional officers link up en      route 
  • Form ad hoc contact team 
  • Movement continues toward      threat 
  • No waiting for full team 

Key Line:

👉 “You are building the plane while flying it”


🔫PHASE 3: CONTACT & NEUTRALIZATION

Header:

Stop the Killing

Bullets:

  • Suspect located 
  • Immediate engagement 
  • Threat neutralized or      contained 
  • Rapid assessment for      additional threats 

Key Line:

👉 “No threat control = no medical care”


⚠️PHASE 4: TRANSITION POINT

Header:

The Most Critical Moment

Split Panel:

Left:

If Threat Ongoing

  • Continue pursuit 
  • Limited aid only 

Right:

If Threat Stopped

  • Shift to Stop the      Dying 
  • Call for Fire/EMS 
  • Begin coordination 

Key Line:

👉 “This decision is made INSIDE”


🧭PHASE 5: EXTERIOR COMMAND / STAGING

Header:

Control the Chaos Outside

Bullets:

  • Supervisor establishes Exterior      Command 
  • Designates Tac-1      (Interior Lead) 
  • Creates Staging Area      
  • Stops freelancing 

ICS Overlay:

IC (Exterior)

Tac-1 (Interior)


🚫PHASE 6: PREVENT THE BLUE TSUNAMI

Header:

Uncontrolled Response = Delayed Care

Left Panel:

Without Control

  • Officers stack inside 
  • No coordination 
  • Victims bypassed 

Right Panel:

With Staging

  • Controlled deployment 
  • Assigned roles 
  • Organized flow 

Key Line:

👉 “More officers ≠ better outcome without control”


🚧PHASE 7: SECURE CORRIDOR

Header:

This Enables Rescue

Bullets:

  • Identified by Tac-1 
  • Secured by Law Enforcement 
  • Connects hot/warm → cold zone      
  • Enables movement of RTF +      victims 

Key Line:

👉 “No corridor = no evacuation”


🚑PHASE 8: RTF DEPLOYMENT

Header:

Bring in the Experts

Bullets:

  • Fire/EMS integrates with LE 
  • RTF = Care + Protection 
  • Enter via secure corridor 
  • Treat + move simultaneously 

Key Line:

👉 “LE protects. Fire/EMS treats.”


🤝PHASE 9: UNIFIED COMMAND

Header:

Now the System Stabilizes

Bullets:

  • LE + Fire establish Unified      Command 
  • Shared situational awareness 
  • Coordinated priorities 
  • Resource allocation 

ICS Overlay:

IC | Ops | Medical | Tac-1


🩸 PHASE 10: CCP → ATP FLOW

Header:

Throughput Saves Lives

Flow (horizontal):

Crisis Site → Secure Corridor → CCP → ATP → Hospital

Bullets:

  • Rapid removal over perfect      care 
  • Minimal on-scene delay 
  • Continuous movement 

Key Line:

👉 “Stabilize → Move → Save”


🚑PHASE 11: EVACUATION OPERATIONS

Header:

Speed is Survival

Bullets:

  • RTF moves patients to CCP 
  • Prioritization by Fire/EMS 
  • Transport initiated rapidly 
  • Maintain corridor security 

Key Line:

👉 “Minutes Matter”


🧠 PHASE 12: EXPANDING COMMAND

Header:

From Tactical to Operational

Bullets:

  • Assign Ops, Medical branches 
  • Track resources 
  • Monitor for secondary threats      
  • Maintain corridor + RTF flow 


👑PHASE 13: TRANSFER TO HIGHER COMMAND

Header:

Command Evolves

Bullets:

  • Chief arrives 
  • Receives briefing 
  • Assumes Incident Command 
  • Maintains operational      continuity 

Key Line:

👉 “Good handoffs save time—and lives”


🎯THE TAKEAWAY

Header:

The Reality of Response

Bullets:

  • Command starts inside 
  • Transition is critical 
  • Control enables rescue 
  • Integration saves lives 

Bottom Statement (bold):

👉 “Stop the Killing → Stop the Dying is a COMMAND problem first”  


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