2014 Metropolitan Fire Chiefs’ Conference

1. 2014 Metropolitan Fire Chiefs’ Conference June 2, 2014 Baltimore, MD

2. Clark County, Southern Nevada • Fire Chief Bertral Washington Clark County Fire Department • Fire Chief Willie McDonald Las Vegas Fire & Rescue

3. Professional Relationship • Southern Nevada Fire Chiefs Association • Five Bugles • Auto Aid • Common Policies & Procedures • Training • Las Vegas Metropolitan Police • Local County Chiefs

4. Las Vegas – Clark County

5. Las Vegas – Clark County

6. Las Vegas First Lady, Mayor Goodman

7. LA Times ReportIsla Vista shootings: UC Santa Barbara community awash in grief “Authorities said Rodger began by fatally stabbing three roommates at his apartment complex in the 6500 block of Seville Road in Isla Vista, then went to a sorority house a few blocks away and opened fire on three women outside, fatally wounding two of them.”

8. Recent History of Hostile MCIs • 67 Mass shootings since 1982 • 30 since 2006, 7 in 2012, 5 in 2013 • More than half involve schools (12) or workplace (20) • 30 in shopping malls, restaurants, religious, government buildings • All but 1 killers were males, average age is 35 • Newtown • Colorado Movie Theater • Sikh Temple in Wisconsin • Santa Monica • Washington Navy Yard

9. Hostile MCIs Across the Country

10. Active Shooter Facts Provided by NYPD/DHS 1966 thru 2010 • 281 events: excluded gangs, robberies, solely domestic disputes, hostage-taking incidents • 98% single suspects, 96% male suspects, Avg. age of 35 • 36% involved multiple weapons • Schools 29%, office 13%, open commercial 23%, factory/warehouse 13%, other 49% • Resolution: 46% applied force (PD killed), 14% no applied force (negotiated end), 40% suicide • Relationship to at least one victim: 41% work, 23% academic, 22% none, 9% other, 5% family

11. Victim Survivability Courtesy of the Firefighters Support Foundation • 90% of deaths occurred prior to definitive care • 42% immediately • 26% in less than 5 minutes • 16% between 5 and 30 minutes • 8‐10% between 30 minutes and 2 hours • Remainder survived between 2 and 6 hours during prolonged extrication to care • Only 10% of combat deaths occur after care initiated

12. Hostile MCI • History has shown that viable victims have died because Fire Departments, Law Enforcement, and Emergency Medical Services failed to have a unified a plan. • Compressible Hemorrhage, Tension Pneumothorax and basic airway issues are the interventions we need to address in the first 30 minutes.

13. Hostile MCI History in Clark County • Mumbai • A contingent traveled to India for lessons learned • LVMPD developed MACTAC • FD identified need to participate • Fire Captain was assigned to the SNCTC • Fire Chiefs and Sheriff agreed to partner • Capabilities and needs were shared and tested • A policy was written, followed by training

14. Development of Hostile MCI Response • Collaboration with law enforcement • ICS, Unified Command • Development of policy, testing, drilling, revision • Support of management and labor • Labor support, employee buy-in is ESSENTIAL • Joint FD, PD leadership commitment • Unified – Commitment, adoption, training, implementation, scene management

15. Foundation of Hostile MCI Response • Unified Command • Go – no go • Cops are cops, FF are FF • Force protection – warm zone (Fire Captains) • Hostile MCI bags • Ballistic Protection (yes or no) • Triage and remove • Fast in – get out

16. Implementation of Hostile MCI Response • Training for all personnel • MCI Bags on all units • Ballistic Protection • Clark County Fire Department paved the way • ICS - Unified Command (Absolute)