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September 26, 2011
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January 1, 2011
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Active Shooter

Overview

Planning for Active Shooter Incidents

November 2, 2010

An active shooter is defined as an individual who is actively engaged in killing or attempting to kill people in the hospital or on the hospital campus. In most cases active shooters use a firearm(s) and display no pattern or method for selection of their victims. In some cases active shooters use other weapons and/or improvised explosive devices to cause additional victims and act as an impediment to police and emergency responders.

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Uvalde Texas: School Shooting Medical Response Teams
Perspectives from Uvalde Memorial Hospital

November 28, 2022

On May 24, 2022, 19 students and two teachers were fatally shot, and 17 others were wounded, at Robb Elementary School in Uvalde, Texas. In a community of just over 16,000 people, responders faced one known factor — they likely knew victims involved in the shooting. In spite of this, emergency responders had to keep their focus on their jobs: saving lives. The dialogue will take a profound dive into the on-scene perspective, regional mutual aid response, resources deployed, and the role of the Incident Commander at the Uvalde Memorial Hospital on that tragic day.

Presenter:

  • Eric Epley, Executive Director & CEO, Uvalde Memorial Hospital
  • Jordan Ghawi, Director of Strategic Initiatives, and TX-EMTF Task Force Leader, Southwest Texas Regional Advisory Council (STRAC);
  • Julia Rodriguez, Emergency Director, Uvalde Memorial Hospital

Downloadable Materials:

  • Uvalde Texas School Shooting Medical Response Teams Presentation
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Active Shooter Preparation and Training for Hospitals
Protocols, strategies, assessment, and planning

November 28, 2022

An active shooter event is likely one of the worst events that can happen within a medical facility due to trauma, loss of potential life, and the continued need for patient care. The active shooter training within hospital settings will assist leadership and educators in establishing protocols, training strategies, community assessment of coverage, and developing a recovery response plan.

Presenters:

  • Angela Warneke, Hospital Administrator, County of San Diego
  • Michael Pacheco, Detective, San Diego County Sheriff Department

Downloadable Materials:

  • Active Shooter Preparation and Training for Hospitals Presentation
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Active Shooter Awareness, Response and Survival Training for All Hospital Staff Members
2021 Disaster Planning for California Hospitals Virtual Conference

October 29, 2021

Active shooter events are on the rise, and emergency management and security officials are increasingly tasked with ways to effectively and safely train hospital workers on how to respond. Ms. Walsh will discuss new methodology of how to tackle the crucial task of training each hospital staff member and department, based on their unique functions within the hospital, as well as with their specific locations on any hospital campus.

  • Download Presentation

Presented by:

Michelle Walsh

Security Manager
Pomona Valley Hospital Medical Center

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Hospitals and Healthcare Facilities: Security Awareness for Soft Targets and Crowded areas
US Department of Homeland Security - CISA Division

May 20, 2019

The Department of Homeland Security has released an action guide for active shooter incidents specifically for hospitals and healthcare facilities.

ACTION GUIDE

Direct Regional Support

Additional resources and information on active shooter incidents

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HSCC Released Updated Active Shooter Guidance
Active Shooter Planning and Response in a Healthcare Setting

May 15, 2015

Active shooter events in a healthcare setting present unique challenges: a potentially large vulnerable patient population, hazardous materials (including infectious disease), locked units, special challenges (such as weapons and Magnetic Resonance Imaging (MRI) machines (these machines contain large magnets which can cause issues with firearms, or remove it from the hands of law enforcement), as well as caregivers who can respond to treat victims. There is no single method to respond to an incident, but prior planning will allow you and your staff to choose the best option during an active shooter situation, with the goal of maximizing lives saved. For hospitals and healthcare care systems, the HSCC has provided the updated guidance document “2017 Active Shooter Planning and Response in a Healthcare Setting.”

Active Shooter Planning and Response in a Health Care Setting Guidance 2017

Incorporating Active Shooter Incident Planning into Health Care Facility Emergency Operations Plans 2014 

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Active Shooter Resources

February 23, 2017

Resource Collection: Active Shooter Incidents

Cal OES Active Shooter Awareness Guidance

DHS Translated Active Shooter Resources in the following languages: Arabic, Chinese, English, Korean, Punjabi, Russian, Somali, Spanish, and Urdu

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Active Shooter Resources for Hospitals
Department of Homeland Security

February 16, 2011

DHS Active Shooter Preparedness Program

Active Shooter: How to Respond

Active Shooter Pocket Card

Hometown Security Fact Sheet 4-6-16

Security Assistance Fact Sheet 4-7-16

Connect/Plan/Train/Report

DHS Active Shooter Pamphlet Quick Reference Guide

Active Shooter Response Poster

Planning and Response to Active Shooter 11-2015

National Terrorism Advisory System Bulletin 9-14-18

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Active Shooter Resources
Hospital Association of Southern California (HASC)

70432491
October 31, 2008

HASC developed the Security and Safety Active Shooter Drill Tool Kit to create greater awareness of workplace violence among hospitals and other health care facilities, and to provide the tools necessary for each facility to develop a plan that leads to a safer, more prepared environment.

Based on an active shooter drill held at LAC + USC Medical Center in March 2013, the materials feature templates, checklists, industry guidelines, scenarios, safety rules, participant releases and staffing suggestions for planning a similar event. This video also provides a firsthand account of the HASC drill with scenes from the simulated attack in clinical and office settings.

  • Watch the 2013 Active Shooter Drill video
  • Access HASC’s Active Shooter Drill Resources
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Active Shooter Training Video
US Department of Homeland Security

January 29, 2013

This instructive video demonstrates possible actions to take if confronted with an active shooter scenario. The video reviews the choices of evacuating, hiding, or, as an option of last resort, challenging the shooter. The video also shows how to assist authorities once law enforcement enters the scene.

  • View the Active Shooter Training Video
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Florida Hospital CEO Shares Thoughts Following Fort Lauderdale Airport Shooting
Hospitals and Health Networks Magazine Article

January 17, 2017

One Florida Hospital’s Lessons Learned From Last Week’s Airport Shooting

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Health and Medical Response to Active Shooter and Bombing Events
National Academy of Medicine Discussion Paper June 17, 2016

June 22, 2016

Terrorist attacks have a profound emotional and physical effect on a community. While preventing these attacks would be preferred, agencies must work swiftly and cohesively to improve patient outcome when an attack does occur. Read full discussion paper.

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Hospitals Increasingly Anticipate Mass Shootings
U.S. News June 13, 2016

June 17, 2016

Emergency doctors and nurses now expect to treat victims of terrorism – and they are getting prepared. Read the full article.

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CDC Releases Blast Injury Mobile Application

April 6, 2016

The Centers for Disease Control and Prevention (CDC) recently announced the release of a new Blast Injury mobile application to assist in the response and clinical management of injuries resulting from terrorist bombings and other mass casualty explosive events. The application provides clear, concise, up-to-date medical and healthcare systems information to assist healthcare providers and public health professionals in the preparation, response, and management of injuries resulting from terrorist bombing events.

CDC Blast Injury App for iPhone and iPad

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CHA Workplace Violence Prevention Webpage

March 23, 2016

For information and resources on preventing workplace violence click here.

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CHA Commends Hospitals, Emphasizes Emergency Preparedness

December 10, 2015

CHA commends the hospitals that received and treated patients from the active shooter tragedy that occurred in San Bernardino County this week, and is proud of the hospitals and health systems that have planned and trained with law enforcement agencies, local emergency medical services and fire agencies in preparing for and responding to such incidents. Additionally, CHA encourages all hospitals to utilize the multitude of resources that are available on the CHA emergency preparedness website. In addition to the existing CHA planning and training for active shooter resources and links, UCSF Medical Center has recently shared its training video and template table top exercise to assist other hospitals.

San Bernardino police praised – Los Angeles Times article on lessons learned

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Active Shooter Drill Preparedness
UCSF Medical Center December 4, 2015

December 4, 2015

The following resources have been provided by UCSF Medical Center to assist hospitals in their planning and training for active shooter incidents.

Click here to watch video. 

Click here to download the Active Shooter TTX Template.

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Hospital Code Silver Activation – Active Shooter Planning Checklist

December 18, 2012

In the wake of the Newtown, Connecticut shooting, the CHA Hospital Preparedness Program (CHA-HPP) released its most recently developed tool “Hospital Code Silver Activation – Active Shooter Planning Checklist”. The checklist is provided to support hospital efforts in reviewing and developing active shooter response plans.

This resource was initially developed to support the CHA-HPP course “Planning and Training for Active Shooter Events”.

The tool was developed with key advisements from agencies such as FEMA, Department of Homeland Security and the International Association for Healthcare Security and Safety.

Hospitals should direct any questions to Mary Massey at 714-315-0572, or by email at mmassey@calhospital.org. 

  • Download the Hospital Code Silver Activation – Active Shooter Planning Checklist
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Planning & Training for an Active Shooter Event
Executive Summary

December 21, 2012

The California Hospital Association’s Hospital Preparedness Program has developed a course for the active shooter incident. A course by and for hospitals which helps participants review organizational aspects of planning and training to increase survivability of patients, visitors and staff in an active shooter event.

  • Download the Executive Summary for this Course
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Run-Hide-Fight: Surviving an Active Shooter Event
Produced by the City of Houston Mayor's Office

August 10, 2012

The City of Houston, Texas, has produced a six-minute, graphic video on what to do when encountering an active shooter. The video is entitled “Run-Hide-Fight: Surviving an Active Shooter Event” and was produced with a $200,000 grant from the U.S. Department of Homeland Security.

  • Watch the video: ”Run-Hide-Fight: Surviving an Active Shooter Event”
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Active Shooter Webinar
US Department of Homeland Security

January 29, 2013

This 90-minute webinar can help private and public sector personnel understand the importance of developing an emergency response plan and the need to train employees on how to respond if confronted with an active shooter.

The presentation describes the three types of active shooters–workplace/school, criminal, and ideological–and how their planning cycles and behaviors differ.

  • Participate in the webinar
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Planning Topics

  • Access and Functional Needs
  • Active Shooter
  • CBRNE
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  • Decontamination
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  • Loss of Utilities / Services
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  • Mass Fatality Planning
  • Mental / Behavioral Health
  • Pediatrics / NICU
  • Personal Preparedness
  • Prescription Dispensing
  • Radiological Emergencies
  • Release of Patient Information
  • Security
  • Recovery
  • Terrorism
  • Vulnerable Populations
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September 26, 2011
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