The Joint Committee to Create a National Policy to Enhance
Survivability From Mass Casualty Shooting Events. Left to right: Drs.
Eastman, Butler, McSwain, Wade, Burns, Jacobs, and Fabbri.
Members of the joint committee working group, left to right: Drs. Butler, McSwain, Eastman, Fabbri, Jacobs, Wade, and Burns.
ation. THREAT incorporates the proven concepts of
self-care and buddy-care.
Care of the victims is a shared responsibility between
law enforcement, fire/rescue, and EMS. Optimal outcomes depend on communication between public safety responders. The response to an active shooter event
is a continuum that requires coordination between law
enforcement and the medical/evacuation providers.
Such coordination includes:
• Shared definitions of terms used in mass shooting events
•Jointly developed local protocols for responding to active shooter events
•Inclusion of active shooter events in tabletop and field
exercises to improve familiarity with jointly developed
The Hartford Consensus seeks to improve survival
from active shooter events. The use of THREAT and
a more integrated response by law enforcement, fire/
rescue, and EMS offers communities a mechanism to
minimize loss of life in these incidents.