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EMSWORLD.com | MARCH 2015 21 pital will be the rule. There is one further consideration, related to incidents that have occurred around the globe. Some incidents have included bringing violence to the receiving hospital, to further the human losses. So hospitals and transport- ing EMS systems must keep weapons away from the hospital. For chaotic incidents with the potential for multiple perpetra- tors, EMS personnel must use processes that reduce the risk of transporting per- sons with weapons to the hospital. T: 516.321.9494 E: sales@quantum-ems.com 3000 Marcus Avenue, Suite 3E6, Lake Success, NY 11042-1012 The BABY ACR (Ambulance Child Restraint) is an innovative, fexible and fully adjustable harnessing system for the safe and effective ambulance transportation of infants weighing 4 to 11 pounds. Quick release clips connect with the ACR harness, holding the patient in place to prevent potentially dangerous movement during transportation. The BABY ACR can be used on any model cot and the patient can be lying down or sitting in the upright position. Approximately 620,000 children per year ride in ambulances while improperly restrained. W: www.quantum-ems.com Introducing the 'BABY ACR'- The only pediatric restraint in the world that allows for the safe restraint of children 4-11 pounds in the EMS environment. Ambulance Child Restraint XS Baby For More Information Circle 23 on Reader Service Card PRIORITY ELEMENTS IN AN ACTIVE SHOOTER PROGRAM FOR EMS • Planned approach integrated with local law enforcement • Fire-EMS personnel likely to be mem- bers of the "second wave" going into the scene • Fire-EMS personnel should be visible as rescue personnel, not law enforcement LIFESAVING SCENE CARE • Injuries are more likely to be serious or lethal penetrating wounds, with hemor- rhage the most important life threat • Control hemorrhage • Relatively less spine immobilization is needed, and patients are more apt to be moved quickly using blankets or similar • Triage is much easier, without need for fancy devices • BLS rapid care is perhaps more important than ALS care TRANSPORT CONSIDERATIONS • Early communication to potential receiv- ing hospitals • Trauma centers may not necessarily be the first receivers • Less use of medical helicopters for transport • Consider means to reduce risk of trans- porting weapons to the hospital • Some jurisdictions use police transport PROTECT THE HOSPITALS • Notify as early as possible to allow needed preparation • No weapons coming in accidentally or intentionally • Early communication a necessity for hospital to activate a receiving plan • Police transports may occur ONLY RESCUE EQUIPMENT THAT NEEDS TO BE CARRIED INTO THE SCENE • Gloves available in large quantities • Tourniquets on all ingoing personnel, trauma dressings, trauma scissors, and maybe oral airways and a chest decom- pression device • Blankets or sheets to warm and move quickly, and cover if the victims are unclothed