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Strategies to Enhance
Survival in Active Shooter
and Intentional Mass
Casualty Events, is dedicated
to Dr. Norman E. McSwain
Immediately following the active shooter disaster at the
Sandy Hook Elementary School in Newtown, C T, Dr. McSwain
agreed to be a founding member of the Joint Committee to
Develop a National Policy to Increase Survival from Active
Shooter and Intentional Mass Casualty Events. He brought the
dedication, passion, and intellect for which he was famous
to the Hartford Consensus deliberations. He fiercely advo-
cated for an organized coordinated prehospital response that
incorporated hemorrhage control by immediate bystander
responders, a change in focus of the mission of law enforce-
ment to include immediate stopping of life-threatening
hemorrhage of victims, and an urgent response by emergency
medical personnel to treat and transport trauma patients to
the appropriate trauma hospitals. He recognized that time
was a critical factor for patients who had massive bleeding.
Dr. McSwain has had a lifelong commitment to improving
the care of trauma patients. He has personally cared for thou-
sands of trauma patients irrespective of who they were and
what their station in life was. His dedication and commitment
to the education of prehospital personnel was exemplified by
the creation of the Prehospital Trauma Life Support course
which has been taught to more than a million students in more
than 60 countries. These principles have also been embraced
by the military in the Tactical Combat Casualty Care courses.
Through this work, his commitment to excellent prehospital
care has been given to millions of trauma patients worldwide.
Throughout his career Dr. McSwain has been honored
by the American College of Surgeons Committee on Trauma
and numerous other professional organizations. However,
it is his personal commitment to excellent individual care
of the patient, his personal example of the compassionate
trauma surgeon, and his kind, caring desire to help people
from all walks of life that will always be remembered.
He was a good friend, an excellent person, and
an example for all of us that will be forever cap-
tured by his greeting to everyone: “What have you
done for the good of mankind today?”
May he rest in peace.
Lenworth M. Jacobs, Jr., MD, MPH, FACS
Chairman, Hartford Consensus
DIRECTOR, DIVISION OF
EDITORIAL & PRODUC TION ASSISTANT
SENIOR GRAPHIC DESIGNER/
Lenworth M. Jacobs, Jr., MD,
Karyl J. Burns, RN, PhD
FRONT COVER/ARTICLE DESIGN
Mary Beth Cohen
The American College of Surgeons is dedicated
to improving the care of the surgical patient
and to safeguarding standards of care in an
optimal and ethical practice environment.
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