EMS World

MAR 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | MARCH 2018 29 these events with the resources they have," says Maniscalco. "Classes like this help us deal with decision-making, respect for roles and responsibility, and how we assim- ilate all of that into a coherent response strategy." It's impor tant first responders are mindful of each other's different roles to maintain a unified effort. It's not a chain of command, says Maniscalco, but rather an incident command. Because the most damage is inflicted in the first 30 minutes of an incident, instructors stress that com- mand must be established within that time frame to limit the number of casualties. Covington notes that this collaboration between agencies is one of the most diffi- cult parts of handling large-scale incidents. With this in mind, the instructors recognize the significance of participants from both management and street levels interacting with each other during the tabletop exer- cises—they require both a tactical and a resource-management response. "When representatives from these agen- cies are talking in class face to face, you see [them gain] a new appreciation for the support other agencies can give," Coving- ton says. "We've been really excited to see so many people understanding the need to work together between agencies." Work Smarter, Not Harder The NCBRT's three-day-long "A Prepared Jurisdiction: Integrated Response to a CBRNE Incident" course largely focuses on improving this interagency response. Multiple agencies from one jurisdiction par- ticipated in a large-scale MCI response drill, requiring EMS, firefighters, law enforce- ment, hazmat, and SWAT crews on scene. Three incidents occurred, beginning with a van fleeing a mock gas station where it had spilled an unknown chemical sub- stance. The van then drove through a crowd of pedestrians before being stopped by law enforcement. The third incident involved an active shooter in a nearby building. EMS crews triaged and tended to the vic- tims (played by Community Emergency Response Team members) while a hazmat team analyzed the substance left by the two passengers in the van. Once the suspects from the van were confronted by the police, they engaged in a shootout. One of the suspects then took his partner hostage, threatening to shoot him in the head (participants used blank rounds in the guns). "I'm not looking at their ability to shoot, I'm looking at their decision-making," says Detective Raymond McPartland of the New York City Police Department, one of For More Information Circle 24 on Reader Service Card

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