of Homeland Security of the State of Connecticut have
sent senior representation to the Connecticut Trauma
Committee. These representatives are responsible for
the training of law enforcement officers and fire and
emergency medical personnel. The importance of
cross-agency involvement and collaboration cannot
The Department of Public Health regulates and
designates trauma centers and has a statewide trauma
plan that directs the ACS to inspect and verify trauma
centers on a three-year basis. This structure allows the
Commissioner of Public Health to be aware of the state
of readiness, education, and trauma health care in the
state. It also facilitates making recommendations to
the legislature for modifications in the trauma regulations. This flexibility is critical in a response to episodic
activities such as terrorist events, which can generate
widespread casualties, fear, confusion, and disruption
within the state.
An intentional shooting in a school involving the
death of 26 victims, 20 of whom were children, became
a sentinel event for the trauma committee. This situation provided the impetus to educate all government
and private sectors that would be involved in the management of a major traumatic event of the magnitude of
the Sandy Hook Elementary School shooting. The mass
casualty explosive event at the Boston Marathon further galvanized the Trauma Committee to develop and
implement action plans for a fully functional response
that would increase survival in the event of a similar
activity occurring in the State of Connecticut.
The Call to Action outlined in the Hartford Consensus
I, II, and III documents was endorsed by the Trauma
Committee. The implementation plan was embraced
by the Department of Public Health and was included
in the guidance given to the state through the Office
of Emergency Medical Services. The program director
of the office took an active position in integrating the
training of emergency medical technicians, paramed-
ics, flight nurses, law enforcement officers, ambulance
personnel, and trauma centers within the state. Simi-
larly, the Department of Homeland Security involved
the state police and fire services in training law enforce-
ment personnel and making sure they have appropriate
equipment and devices to immediately control hemor-
rhage at the scene.
The Connecticut State Police has issued individual
first-aid kits to all sworn members of the force. It also
has initiated teaching the Tactical Combat Casualty
Care course to all members, and this course is now part
of the new recruit educational curriculum. The Connecticut State Police Training Academy reports that
it has satisfied the following requirements outlined in
The Hartford Consensus:
• External hemorrhage control is a core law enforcement skill.
• All law enforcement officers are trained in external
•Appropriate equipment, such as tourniquets and
hemostatic dressings, is available to every officer.
• All officers appreciate the need for rapid assessment and triage of victims with possible internal
hemorrhage for immediate evacuation to a dedicated trauma hospital.
•All officers are trained to assist emergency medical
services/fire/rescue in evacuation of the injured.
The Police Academy Administrator has included
a four-hour block of instruction in the First Responders Course. The academy is using this time in the
To develop a response system that can be effective 24 hours
a day, seven days a week in any locale—whether it be a city,
a suburban setting, or a rural environment—it is critical to
identify the organizations and governance structures responsible
for ensuring that a plan can be implemented immediately.