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Hartford consensus aims to improve survival after mass shootings
Date:6/19/2013

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Focus on the victims

Mass shooter incidents are unique in that they resemble combat situations, the authors note. But while military rescue operations are typically carried out according to established protocol, in civilian shootings, multiple responders with variable operating procedures are often thrown together. The Hartford Consensus aims to establish the groundwork for an integrated first-responder plan.

The authors note that optimal care of victims requires a shared, common terminology used by first responders across specialty. As a first step, the authors propose an acronym-based mnemonictermed "THREAT"to describe critical actions: threat suppression, hemorrhage control, rapid extraction, assessment, and transport.

Taking its cue from lessons learned in military settings, the statement emphasizes that bleeding control for victims at the scene is a vital element of response, and one that should not be overlooked during law enforcement attempts to neutralize a shooter. The consensus recommends extending hemorrhage-control techniques as a core requirement of law enforcement training.

Finally, local coordination of resources is key to efficiently moving patients from the scene of a shooting to a hospital. "Using existing tactics and evolving trauma concepts, the means of improving survival already exist, but have been underutilized," the statement reads, "Now is the time to apply these lessons to active shooter events."

"The Hartford Consensus" is available online at the Journal of Trauma and Acute Care Surgery.


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Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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