June 2, 2014 Baltimore, MD

 Fire Chief Bertral Washington Clark County Fire Department  Fire Chief Willie McDonald Las Vegas Fire & Rescue

 Southern Nevada Fire Chiefs Association  Five Bugles  Auto Aid  Common Policies & Procedures  Training  Las Vegas Metropolitan Police  Local County Chiefs

“Authorities said Rodger began by fatally stabbing three roommates at his apartment complex in the 6500 block of Seville Road in Isla Vista, then went to a sorority house a few blocks away and opened fire on three women outside, fatally wounding two of them.”

 67 Mass shootings since 1982  30 since 2006, 7 in 2012, 5 in 2013  More than half involve schools (12) or workplace (20)  30 in shopping malls, restaurants, religious, government buildings  All but 1 killers were males, average age is 35  Newtown  Colorado Movie Theater  Sikh Temple in Wisconsin  Santa Monica  Washington Navy Yard

1966 thru 2010  281 events: excluded gangs, robberies, solely domestic disputes, hostage-taking incidents  98% single suspects, 96% male suspects, Avg. age of 35  36% involved multiple weapons  Schools 29%, office 13%, open commercial 23%, factory/warehouse 13%, other 49%  Resolution: 46% applied force (PD killed), 14% no applied force (negotiated end), 40% suicide  Relationship to at least one victim: 41% work, 23% academic, 22% none, 9% other, 5% family

 90% of deaths occurred prior to definitive care  42% immediately  26% in less than 5 minutes  16% between 5 and 30 minutes  8 ‐ 10% between 30 minutes and 2 hours  Remainder survived between 2 and 6 hours during prolonged extrication to care  Only 10% of combat deaths occur after care initiated

 History has shown that viable victims have died because Fire Departments, Law Enforcement, and Emergency Medical Services failed to have a unified a plan.  Compressible Hemorrhage, Tension Pneumothorax and basic airway issues are the interventions we need to address in the first 30 minutes.

 Mumbai  A contingent traveled to India for lessons learned  LVMPD developed MACTAC  FD identified need to participate  Fire Captain was assigned to the SNCTC  Fire Chiefs and Sheriff agreed to partner  Capabilities and needs were shared and tested  A policy was written, followed by training

 Collaboration with law enforcement  ICS, Unified Command  Development of policy, testing, drilling, revision  Support of management and labor  Labor support, employee buy-in is ESSENTIAL  Joint FD, PD leadership commitment  Unified – Commitment, adoption, training, implementation, scene management

 Unified Command  Go – no go  Cops are cops, FF are FF  Force protection – warm zone (Fire Captains)  Hostile MCI bags  Ballistic Protection (yes or no)  Triage and remove  Fast in – get out

 Training for all personnel  MCI Bags on all units  Ballistic Protection  Clark County Fire Department paved the way  ICS - Unified Command (Absolute)