Active Shooter and Hostile Events (ASHE) West Florida

Active Shooter and Hostile Events (ASHE) West Florida Hospital Training www.ActiveShooter360.com 1

Active Shooter and Hostile Events (ASHE) West Florida Hospital Training KENNETH WORLEY CEO / OWNER ACTIVE SHOOTER 360 [email protected] www.ActiveShooter360.com SWAT Medic Since 2000 Active Shooter Instructor Workplace Violence Instructor Paramedic Certified 20 Years Flight Medic 2

AS360 COMPANY OVERVIEW: AS360 is a team of individuals with a unique skill set to help you and your staff prepare for and respond to worst case events. Preparedness Assessments Vulnerability Assessments Response Plan Development Operating Procedure Review On-Site Staff Training Custom Program Development Incident Response Analysis After Action Review Training Exercise Development Simulator Based Exercise Training On-Line Programs Readiness Equipment www.ActiveShooter360.com 3

PROGRAM OVERVIEW: PROGRAM INTRODUCTION Module One: Battalion Chief Ryan Christen ASHE Evolution and Brief History ASHE Response Changes ASHE Preparedness Needs Module Two: Sergeant DJ Foley Situational Awareness AS360 3Gs Response Model The Terrorist Module Three: Dr. Hank Christen Patriot’s Day Bombing Health Care Facilities: Lessons Learned Crisis Management and Decision Making www.ActiveShooter360.com 4

Active Shooter and Hostile Events (ASHE) West Florida Hospital Module One www.ActiveShooter360.com 5

Active Shooter and Hostile Events (ASHE) MODULE ONE: ASHE History and Evolution BATTALION CHIEF RYAN CHRISTEN ACTIVE SHOOTER 360 [email protected] www.ActiveShooter360.com Masters in Public Administration Department of Homeland Security HSEEP Interactive Active Shooter Simulator Developer Exercise Director/Chief of Planning Multiple Active Shooter Exercises Contributing Author: ICS for EMS 6 Active Shooter Response

ACTIVE SHOOTER HISTORY: Columbine: A wake up call to America April 20th, 1999 Two assailants 13 Killed and 20 Injured Multiple explosive devices deployed by attackers Responders also targeted Shooters took their own lives SWAT teams entered the school 47 minutes after the shootings started. Five hours passed before law enforcement declared the school under control. www.ActiveShooter360.com 7

ACTIVE SHOOTER HISTORY: Columbine: Critical lessons learned Motivations were not the motives of “traditional” criminals. ALL communities are vulnerable. “Contain and negotiate” was not appropriate as a tactic. A much faster response was needed. Those under attack may need to abandon “compliance” and “engage” assailants. Comprehensive preparedness must be practiced. www.ActiveShooter360.com 8

ACTIVE SHOOTER HISTORY: Other High-Profile Active Shooter Incidents (Since Columbine) Active Shooter events are becoming increasingly more common! Sandy Hook Aurora, CO San Bernardino, CA Charleston, S.C. Orlando, FL DISCUSSION: Other high-profile active shooter events? www.ActiveShooter360.com 9

ACTIVE SHOOTER HISTORY: What makes an Active Shooter event different from “common” criminal violence? Escape from the police is usually not a priority. Attacker Motivation varies tremendously. Attackers are bent on mass indiscriminate violence. Active shooters often have made detailed plans for the attack. Intent on killing as fast as possible. www.ActiveShooter360.com 10

ACTIVE SHOOTER HISTORY: How has the response changed? Early efforts must be driven at engaging and stopping the attacker. LE – Officers are trained to make solo entries. LE – Victims may be ignored in pursuit of attacker. FD / EMS – Responders may enter into “warm zones” to extract injured. FD / EMS – Equipped with ballistic protection and trained in tactical maneuvers. www.ActiveShooter360.com 11

ASHE HISTORY AND EVOLUTION: Active Shooter is no longer the only threat: The ASHE term is a more comprehensive identifier of the modern threat. Attackers are using diverse methods to implement harm and conduct attacks. www.ActiveShooter360.com ACTIVE SHOOT ER HOSTIL E EVENT 12

WHAT IS ASHE: Active Shooter Hostile Event (ASHE): Active Shooter Mass Stabbings Vehicle Born Attacks Ambushes / Snipers Bombings Mass Disruption Chemical ASHE does NOT mean “Mass Fatality.” ASHE can be simple, yet highly damaging. www.ActiveShooter360.com 13

WHAT IS ASHE: Notable (non-firearm) ASHE incidents: August 5th, 2015 Nashville Theater Attack 3 Injured by attacker carrying a hatchet, pepper spray, and pellet gun. January 9th, 2016 Vancouver - Pepper Spray Attack 15 people injured after crowd of 100 attacked with pepper spray. Attack followed by chaos and panic. November 28th, 2016 Columbus, OH. – Vehicle and Stabbing Attack 11 people injured in vehicle and knife attack at OSU, the country’s third-largest campus by population. Attack triggered massive response and a shelter-in-place order. www.ActiveShooter360.com 14

ASHE PREPAREDNESS An evolving threat requires an evolving preparedness model: ASHE annual training ASHE annual policy analysis and review ASHE training exercises ASHE vulnerability assessments How does this compare to other threat training: Fire, Hurricanes, Etc.? www.ActiveShooter360.com 15

ASHE PREPAREDNESS Surviving an ASHE incident requires a change in mindset: Even with comprehensive planning regular training is essential. ASHE assailants are not “common” criminals. To be prepared we must train and understand the need to shift our mindset: Stopping an ASHE incident may require aggressive action from the victims! www.ActiveShooter360.com 16

AS360 – OKALOOSA COUNTY TRAINING www.ActiveShooter360.com 17

AS360 – OKALOOSA COUNTY TRAINING WJHG PANAMA CITY NEWS STORY: HTTP://WWW.WJHG.COM/CONTENT/NEWS/FIRST-ON-SCENE-MAK E-ALL-THE-DIFFERENCE-OKALOOSA-COUNTY-ACTIVE-SHOOTERDRILL-401784516.HTML www.ActiveShooter360.com 18

ASHE PREPAREDNESS Surviving an ASHE incident requires a change in mindset: www.ActiveShooter360.com 19

ASHE PREPAREDNESS What do we do if an event occurs here? Active Shooter 360: The 3Gs Get out Get down Get ready! www.ActiveShooter360.com 20

ASHE PREPAREDNESS What are specific medical facility benefits of Comprehensive ASHE preparedness? Compliance Continuity of Operations Resiliency Faster Recovery Managed long-term impacts www.ActiveShooter360.com 21

Active Shooter and Hostile Events (ASHE) Module One Questions and Discussion BATTALION CHIEF RYAN CHRISTEN ACTIVE SHOOTER 360 [email protected] www.ActiveShooter360.com 22

Active Shooter and Hostile Events (ASHE) West Florida Hospital Module Two www.ActiveShooter360.com 23

Active Shooter and Hostile Events (ASHE) Module Two: ASHE Response SERGEANT DJ FOLLEY ACTIVE SHOOTER 360 [email protected] www.ActiveShooter360.com Advanced Technical Services/Video Surveillance Operations Homicide Investigation and Crime Scene Management Training Special Response Team (SWAT) Investigator Multi Agency Drug Task Force Bachelor of Science, Criminal Justice 24 with minor in Psychology

MODULE TWO OVERVIEW: Training Topics Situational Awareness 3G’s Get out Get down. Get ready The “OODA LOOP” The Terrorist Law Enforcement’s Response to Active Shooters www.ActiveShooter360.com 25

SITUATIONAL AWARENESS: What is Situational Awareness? www.ActiveShooter360.com 26

SITUATIONAL AWARENESS: Hospital Shooting Video Link: http://www.clickorlando.com/news/ne wly-released-surveillance-video-show s-the-lead-up-to-july-hospital-shootin g www.ActiveShooter360.com 27

SITUATIONAL AWARENESS: Know your environment Structure Blueprints Walkthroughs Entrances / Exits Fire Alarms Phone Systems What is normal and what is not normal www.ActiveShooter360.com 28

SITUATIONAL AWARENESS: Get to know your people Identify employee problems Learn Habits Home life History Goals Accurate and consistent documentation www.ActiveShooter360.com 29

SITUATIONAL AWARENESS: Practice a state of heightened awareness! www.ActiveShooter360.com 30

AS360 – THE 3 GS What do we do if an event occurs here? Active Shooter 360: The 3Gs Get out Get down Get ready! www.ActiveShooter360.com 31

SITUATIONAL AWARENESS: GET OUT Do not hesitate Easiest route Avoid dangers Take others with you Leave items that may slow you down www.ActiveShooter360.com 32

SITUATIONAL AWARENESS: GET DOWN Isolation from the threat Recruit others if possible – Strength in numbers Close and lock doors Barricade Turn off lights Mute phones www.ActiveShooter360.com 33

SITUATIONAL AWARENESS: GET READY Mentally prepare Arm yourself Make a plan Attack with swift decisiveness www.ActiveShooter360.com 34

SITUATIONAL AWARENESS: GET READY Utilize the tools available to you Surprise Darkness Silence Maneuvers www.ActiveShooter360.com 35

SITUATIONAL AWARENESS: GET READY Continue your attack until the threat is neutralized “Fight or Flight” www.ActiveShooter360.com 36

SITUATIONAL AWARENESS: GET READY The OODA Loop Observe, Orient, Decide and Act Decision cycle developed by military strategist and United States Air Force Colonel John Boyd in 1961 www.ActiveShooter360.com 37

THE ASHE TERRORIST: What is a Terrorist? www.ActiveShooter360.com 38

THE ASHE TERRORIST: The Modus Operandi of a terrorist Extremists Shock Violent Personal or political Goal is to cause maximum havoc www.ActiveShooter360.com 39

THE ASHE TERRORIST: Attacks typically ended upon confrontation with law enforcement. Most end in suicide or suicide by cop. Most active shooter situations end with 10-15 minutes www.ActiveShooter360.com 40

ASHE – LAW ENFORCEMENT RESPONSE Law Enforcement Objectives: Arrive Rapidly gather intel if possible What Where Who Access points Keys Etc. Immediately locate and neutralize the threat(s) Secure the location Render aid www.ActiveShooter360.com 41

ASHE – LAW ENFORCEMENT RESPONSE Considerations Responders have 10-15 minutes to end the carnage. May be the 1st person on scene that seeks out and engages the threat. Will pass the dead or injured www.ActiveShooter360.com 42

ASHE – RESPONSE SCENARIOS What would you do? www.ActiveShooter360.com 43

Active Shooter and Hostile Events (ASHE) Module Two Questions and Discussion SERGEANT DJ FOLLEY ACTIVE SHOOTER 360 [email protected] www.ActiveShooter360.com 44

Active Shooter and Hostile Events (ASHE) West Florida Hospital Module Three www.ActiveShooter360.com 45

Active Shooter and Hostile Events (ASHE) Hospital hard-earned lessons DR. HANK CHRISTEN ACTIVE SHOOTER 360 [email protected] Doctor of Education - UWF Doctoral Specialty in Human Performance Technology Analysis Team Member - Boston Marathon Attack Former Unit Commander FL-1 DMAT Federal Disaster Team Response46 to WTC

MASS GENERAL FIRST RESPONDERS ON BOSTON MARATHON BOMBING www.ActiveShooter360.com 47

AS360 – OKALOOSA COUNTY TRAINING MASS GENERAL FIRST RESPONDERS ON BOSTON MARATHON BOMBING VIDEO LINK: HTTPS://WWW.YOUTUBE.COM/WATCH?V CSSNP3OAMZU www.ActiveShooter360.com 48

14:50 - A POWERFUL EXPLOSION OCCURS CLOSE TO THE FINISH LINE AT COPLEY SQUARE, 673 BOYLSTON ST. 49

14:55 - REPORTED EXPLOSION AT THE JOHN F. KENNEDY LIBRARY, 5 MILES AWAY IN DORCHESTER 50

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The last minutes of Mark’s life 52

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What does a law enforcement Officer see here? 54

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Patient Identification Nightmare Martin Richard 8 Y/O Krystle Campbell 29 Y/O Lingzi Lu 23 Y/O 56

Donohue got lucky at Mt. Auburn Sean Collier 26 Y/O Richard Donohue Jr. 33 Y/O 57

“We hit the HIPAA wall.” 58

HICS Hospital Incident Command System 59

Tourniquets are back 60

Unsung Heroes – Hospital Social Services Family Reunification Link survivors to community services Emotional support to staff and families Opened their hearts and their homes 61

Exercise – Exercise – Exercise Homeland Security Exercise and Evaluation Program (HSEEP) In story after story, hospitals tout the benefits of realistic exercises. Seminars Workshops Drills Functional exercises Tabletops Full scale exercises 62

Decision-Making Tabletop 63

Hospitals admit witnesses and collect evidence 64

Long-term recovery for patients and staff Recovery/rehab may take yrs. You may lose some staff Don’t forget the cleaners 65

Red Within Red Triage 66

Lockdown or “Restricted Entry” 67

Bomb scares come out of the woodwork! 68

BLACK SWAN CRISIS LEADERSHIP Big Things Bad Outcomes Little Information No Time Traditional decision-making fails! 69

DYNAMIC RESILIENCE MODEL SEE ONE, DO ONE, BE ONE 70

Active Shooter and Hostile Events (ASHE) Module Three Questions and Discussion DR. HANK CHRISTEN ACTIVE SHOOTER 360 [email protected] www.ActiveShooter360.com 71

Active Shooter and Hostile Events (ASHE) West Florida Hospital Training KENNETH WORLEY CEO / OWNER ACTIVE SHOOTER 360 [email protected] M BATTALION CHIEF RYAN CHRISTEN CHIEF OPERATIONS OFFICER ACTIVE SHOOTER 360 [email protected] OM www.ActiveShooter360.com SERGEANT DJ FOLLEY CURRICULUM DEVELOPMENT / SPECIAL TECHNICAL ADVISOR ACTIVE SHOOTER 360 [email protected] DR. HANK CHRISTEN HUMAN PERFORMANCE TECHNOLOGY ACTIVE SHOOTER 360 [email protected] OM 72