{"id":18048,"date":"2016-07-30T01:00:29","date_gmt":"2016-07-30T06:00:29","guid":{"rendered":"http:\/\/hcstx.org\/?p=18048"},"modified":"2016-07-30T01:00:29","modified_gmt":"2016-07-30T06:00:29","slug":"civilian-operator-101-trauma-care-in-active-shooter-scenarios","status":"publish","type":"post","link":"https:\/\/thetacticalhermit.com\/index.php\/2016\/07\/30\/civilian-operator-101-trauma-care-in-active-shooter-scenarios\/","title":{"rendered":"Civilian Operator 101: Trauma Care in Active Shooter Scenarios"},"content":{"rendered":"

\"trauma\"<\/p>\n

By Hammerhead<\/strong><\/em><\/p>\n

 <\/p>\n

I highly suggest you guys routinely visit sites like The Journal of Trauma and Acute Care Surgery<\/a>\u00a0<\/strong> for applicable medical\/trauma care articles like this one.<\/p>\n

I first found out about this site Through Greg Ellifritz’ Active Response Training\u00a0Weekend Knowledge Dump, <\/a><\/strong>which I highly suggest you guys peruse each Friday.<\/p>\n

The acronym T.H.R.E.A.T<\/strong><\/em> is used to describe the course of action LEO’s, First Responders and Armed Civilians need to follow when responding to Triage and Trauma Care in these situations. For those of you familiar with the Military TCCC (Tactical Combat Casualty Care) you will recognize these principles immediately.<\/p>\n

In reality, only the first two and MAYBE<\/strong> the Third step in this acronym are going to apply to the Armed Civilian, the rest will fall in the\u00a0LEO’s and First Responders Wheel House.<\/p>\n

 <\/p>\n

T = THREAT SUPPRESSION<\/strong><\/p>\n

If the bad guy (or guys) are still a viable threat, they need to be dealt with before any serious triage and medical attention can be given. Bottom line if you get hit, what is the point? Now you have two wounded people out of the fight.<\/p>\n

The term SUPPRESSION<\/strong> is used here, with the ideal there will be a TEAM<\/strong> present to deal with the threat..in other words a couple of people lay down\u00a0SUPPRESSING FIRE <\/strong>on\u00a0the bad guy while another person triages and treats the casualty or casualties. This type of thinking is endemic to Military and Law Enforcement Trauma training, but I think for our purposes here, where we are talking about a situation with the Individual ARMED<\/strong> Civilian, the world NEUTRALIZE<\/strong> is much more REALISTIC<\/strong> term since we can NEVER<\/strong> depend on a TEAM<\/strong> being present to help us. It is up to you, the INDIVIDUAL<\/strong> to survive this day, therefore you need to KILL<\/strong> the Threat before moving on to medical assistance.<\/p>\n

As CR Williams states in his new book\u00a0Gunfighting and Thoughts About Doing Violence, Volume 4<\/a>\u00a0<\/strong><\/em>The choices you will be presented with in situations like this will NEVER<\/strong> be good ones, but regardless of WHO<\/strong> is down, the PRINCIPLE<\/strong> remains the same: DEAL WITH THE THREAT!!<\/strong><\/p>\n