Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced to improve survivability of victims and the safety of first responders caring for them. This multi-disciplinary edition translates evidence-based response strategies based on military experience in responding to and managing casualties from IED and/or active shooter incidents and from its significant investment in combat casualty care research into the civilian first responder environment.

Table of Contents:

Executive Summary

Purpose

General Information:

Improvised Explosive Device

Active Shooter

Take an Active Role in Your Own Safety:

Explosions

Active Shooter Incident

First Responder for Improving Survivability in Improvised Explosive Device and/or Active Shooter Incidents

Background:

Defining First Responders

Defining the Threat

Military Lessons Learned and Civilian Adaptation

Improvised Explosive Device Incidents

Active Shooter Incidents

Hemorrhage Control

Protective Equipment

Response and Incident Management

Responder Guidelines:

Hemorrhage Control

Protective Equipment

Response and Incident Management

Summary

Threat-based Scenarios:

Large-scale Terrorist/insurgency Attack

Medium-scale Terrorist/insurgency Attack

Medium-scale Terrorist/insurgency Attack

Small Scale Terrorist/insurgency Attack

Involuntary Suicide Bomber

Discovery/recovery of Homemade Explosives (Not an Attack)

Active Shooter With Access Denial to First Responders

Active Shooter in a Public Commercial Facility

Active Shooter in an Open, Outdoor, Unbounded Location

Active Shooter in a Public Sports Complex

Provide First Aid After Improvised Explosive Device and/or Active Shooter Incidents

Stop the Bleeding and Protect the Wound

First Aid for Specific Injuries

List of Major Bombing Incidents in the United States 2007-2017

List of Major Mass Shootings in the United States 2007-2017