Rescue Task Force Integration/MCI Training

• Initial and ongoing training with Spokane County Sheriff/other Law enforcement Agencies.

• Decreases time victims can be moved from Warm Zone to Cold Zone

• Law Enforcement and/or RTF will bring Victims from warm Zone to edge of Warm/Cold Zone called the Casualty Collection Point (CCP)

Spokane Valley Fire Rescue Task Force (RTF)and/or Law Enforcement operations at an active

shooter event

Unified Command

Law/IC

Entry Team Supervisor

Contact Team

Fire/IC

Rescue Group Supervisor

StagingRescue

Task Force (RTF)

Causality Collection Point

(CCP)

Evacuation Team

Medical Group Supervisor

Triage Team

Treatment Team

Red Unit Yellow Unit Green Unit

Transport Team

Medical Communication

Coordinator

ACTIVE SHOOTER ORG. CHART INCLUDING RTF “Terminology is a Safety Issue”

Definitions specific to Active Shooter/Criminal Incidents:• Rescue Task Force- Med. Personnel (in armor) trained

to enter warm zone• Causality Collection Point- secure location at edge of

warm/cold zone where RTF brings patients to.• Evacuation Team – Med. Personnel who take patients

from CCP to Triage area (do not enter warm zone)

THANK YOU to Spokane Valley RTF for providing this information

Rescue Group Supervisor• Coordinate RTF resources in the warm zone

• Tactical Channel

• Law Enforcement

• Works with Law or RTF to establish and staff a Casualty Collection Point (CCP)

• Orders resources from Staging to facilitate coordinated movement of patients from CCP to Triage area

Casualty Collection Point (CCP)

• Secure, hardened indoor location

• Collection of victims during a criminal mass casualty event

• Between Warm and Cold Zone

• Established by Rescue Group Supervisor

• Staffed with ALS Company

• One entrance and one exit

Casualty Collection Point (CCP)

ALS Company• Reassess patient

• Prioritize victims

• Consider ALS interventions

• Prevent Hypothermia

• Consider c-spine precautions

• Expedite victim care

Evacuation Team

• Reports to Rescue Group Supervisor

• Rapid and Secure Evacuation from CCP to Triage/Transport Zone

• DO NOT move into the warm zone

Medical Group Supervisor• Directs activities in the Medical Group

• Ensure best possible medical care

• Designate Triage Team Leader

• Designate Treatment Team Leader

• Designate Transport Team Leader

Triage Unit Leader• Reports to Medical Group Supervisor

• Triage Control Point

• Directs Secondary Triage• RPM START triage

• RED• YELLOW• GREEN• BLACK

• Triage Tag

• Directs Victims to Correct Treatment Area

Triage Unit Leader• RPM START Triage

• Contamination• First priority

• Green• If they can walk

• Red

• Respirations >30

• Pulse Cap Refil >2 seconds

• Mental Status Unable to follow simple commands

• Yellow• Everyone else

Treatment Unit Leader• Reports to Medical Group Supervisor

• Establish Treatment Zones

• Entry and Exit Corridor

• Resource Manager

• Collect Acuity Tags

• Coordinate w/Transportation Officer

Transportation Officer• Coordinates transportation of victims

• Contacts DMC vis HEAR system to determine victim destinations

• Established victim loading zones and corridors

• Destination Receipt

• Inform DMC when ambulances leave for their destinations

• Documents all patient destinations

Medical Communications Coordinator

• Reports to Transportation Officer

• Direct communication via HEAR w/DMC

• Coordinate victim numbers, severity and destination

• RAMSES system activation and hospital availability

• Verbal patch• Peds or adult

• Gender

• Triage Category

• General Injuries