ACS Bulletin - March 2016

available is overwhelming. Specific examples include
the following:
Ȗ Near unanimous support for deployment of kits into
public spaces (93 percent)

Ȗ Strong support for training police to provide bleeding control as a part of their duties (91 percent)

Ȗ Substantial support for faster access to active shooter and intentional mass casualty events (65 percent)

Current state of readiness
and national resilience

The Hartford Consensus intends to create a vision for best-practice hemorrhage control for increasing survival after all-hazards injuries including active shooter and intentional mass casualty events. The goal is to inform and inspire decision makers around the country to effect this vision by establishing appropriate metrics, applying these metrics, and using this information to motivate decision makers.

Metrics for readiness

Metrics to assess readiness include course completion records for TCCC-based medical training. Examples of these training programs include the following:

• Tactical Emergency Casualty Care

•Bleeding Control for the Injured (B-Con)

Ȗ Available through the ACS and the National Association of Emergency Medical Technicians (NAEMT)

•Law Enforcement and First Response Tactical Casualty Care Ȗ Available through the ACS and NAEMT

•Specialized Tactics for Operational Rescue and Medicine (STORM)

Ȗ Available through Georgia Regents University, Augusta

• Advanced Law Enforcement Rapid Response Training (ALERRT)

Ȗ Available through Texas State University, San Marcos

Metrics for resilience

Metrics to assess resilience include the following:

•Registry data for all wounded law enforcement officers and all casualties from active shooter and intentional mass casualty events

•Case series reports describing injuries, treatments, and outcomes for all casualties, including reports on wounded law enforcement officers and all victims wounded in mass casualty events

• Preventable death analyses for law enforcement officers
killed in the line of duty and victims of active shooter
and intentional mass casualty events
Many trauma deaths result from injuries that are
intrinsically non-survivable, whereas others occur
from injuries that were potentially survivable had
optimal care been rendered. Obtaining a clear under-
standing of the proximate cause of all law enforcement
officer deaths that result from trauma as well as all
fatalities in active shooter or intentional mass casualty
events will identify opportunities to improve care for
officers wounded in the line of duty.

Enhancing citizen resilience

All potential responders to victims of a trauma event should be able to recognize the signs that indicate that bleeding is life-threatening, including the following:

• Pulsatile or steady bleeding is coming from the wound.

•Blood is pooling on the ground.

The Hartford Consensus intends to create a vision for best-practice hemorrhage control for increasing survival after all-hazards injuries including active shooter and intentional mass casualty events.