Federal Emergency Management Agency

Homeland Security

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced to improve survivability of victims and the safety of first responders caring for them. This multi-disciplinary edition translates evidence-based response strategies based on military experience in responding to and managing casualties from IED and/or active shooter incidents and from its significant investment in combat casualty care research into the civilian first responder environment.
Table of Contents:
Executive Summary
Purpose
General Information:
Improvised Explosive Device
Active Shooter
Take an Active Role in Your Own Safety:
Explosions
Active Shooter Incident
First Responder for Improving Survivability in Improvised Explosive Device and/or Active Shooter Incidents
Background:
Defining First Responders
Defining the Threat
Military Lessons Learned and Civilian Adaptation
Improvised Explosive Device Incidents
Active Shooter Incidents
Hemorrhage Control
Protective Equipment
Response and Incident Management
Responder Guidelines:
Hemorrhage Control
Protective Equipment
Response and Incident Management
Summary
Threat-based Scenarios:
Large-scale Terrorist/insurgency Attack
Medium-scale Terrorist/insurgency Attack
Medium-scale Terrorist/insurgency Attack
Small Scale Terrorist/insurgency Attack
Involuntary Suicide Bomber
Discovery/recovery of Homemade Explosives (Not an Attack)
Active Shooter With Access Denial to First Responders
Active Shooter in a Public Commercial Facility
Active Shooter in an Open, Outdoor, Unbounded Location
Active Shooter in a Public Sports Complex
Provide First Aid After Improvised Explosive Device and/or Active Shooter Incidents
Stop the Bleeding and Protect the Wound
First Aid for Specific Injuries
List of Major Bombing Incidents in the United States 2007-2017
List of Major Mass Shootings in the United States 2007-2017

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