Global & Disaster Medicine

Archive for the ‘Mass shooting’ Category

Tehama, CA: This incident, as tragic and as bad as it is, could have been so much worse.


“…..a much bigger death toll was averted when the killer was unable to break into an elementary school.  The staff at tiny Rancho Tehama Elementary School west of Corning moved quickly when they heard gunfire nearby just before classes were set to begin…”



11/5/2009: Major Nidal Malik Hasan, an Army psychiatrist, kills 13 and wounds more than 30 others, nearly all of them unarmed soldiers, during a shooting rampage at Fort Hood, TX (the worst mass murder at a U.S. military installation).

History Channel


A gunman walked into a small Baptist church in rural Texas on Sunday and opened fire, killing at least 25 people and wounding perhaps another 2 dozen.

NY Times


10 Minutes & 12 Gunfire Bursts: The Las Vegas Massacre Video from the NY Times

10 Minutes. 12 Gunfire Bursts. 30 Videos. Mapping the Las Vegas Massacre.


The shots began at 10:05. Twelve bursts of gunfire later, police broke down Stephen Paddock’s door at the Mandalay Bay. The Times mapped 30 videos to draw perhaps the most complete picture to date of what happened

Paramedics, Stress & the Las Vegas Mass Shooting


“…..Weber said the green-tagged patients had minor injuries, the yellow-tagged patients had non-life-threatening injuries, and those with red tags needed to be transported to the hospital immediately. The black-tagged individuals were expected to die.
“We had to take the red-tagged patients first,” Weber said. “But it’s not always that easy. People were begging me to take them because they were in so much pain. One woman grabbed at my ankle and we locked eyes. All she could say was ‘please.’ She had tears all over her face. But she was tagged in yellow, and there were people in red. So I had to say, ‘I’m so sorry. Someone will be back for you soon.’”
Weber said patients were growing more desperate on their second round of pickups.
“They’d been waiting for maybe 20-30 minutes at that point, and they’re hurt and they’re bleeding,” Weber said. “So as you walked past them, they’d be like, ‘Help me, please. Help me.’ There was a man tagged yellow who said, ‘I have a new baby. Please save me.’”
“There were officers helping us triage, but there was still some discretion,” Weber added. “Do I pick up this red tag or that red tag? Which patient do we take? What if we choose the wrong one? It can be agonizing.”
Weber said that patients with green tags suffered injuries such as broken limbs and waited for hours to be transported to the hospital. He added that some of the green patients were with people who had already been transported to the hospital and had no idea if their loved ones were alive or dead…..”

Kileen, TX, 10/16/1991: George Jo Hennard drives his truck through a window in Luby’s Cafeteria and then opens fire on a lunch crowd of over 100 people, killing 23 and injuring 20 more.

History Channel



Las Vegas’ trie first responders: Volunteers combed the grounds for survivors and carried out the injured. Strangers used belts as makeshift tourniquets to stanch bleeding, and then others sped the wounded to hospitals in the back seats of cars and the beds of pickup trucks.

NY Times

Lessons from Las Vegas: “…..The first step is to expose the skin so you can see where the bleeding is coming from. Use one or both hands to maintain firm, steady pressure directly on the bleeding site. You can also use your knee, if necessary, to maintain the pressure. A second option is to use a bandage or commercial dressing designed to stop bleeding, called a hemostatic dressing, if available, or clothing, to apply firm, steady pressure to the site. If the bleeding persists, place a tourniquet on a limb two to three inches closer to the torso from the bleeding and tighten until the bleeding stops…”

NY Times



Casualty Care in the Classroom™

Casualty Care in the Classroom

Active Shooter Training

“…..This program places pressure dressings and tourniquets in the hands of teachers. It is based on the principles of trauma combat casualty care. CCC was intentionally designed in a train-the-trainer format. This allows the model to be taught by local law enforcement and EMS with local health professionals to local schools. By using local resources, there is a greater personal interest in the training, as these are the schools our own children attend.

Training teachers in trauma and airway management

The training was met with resounding success. Teachers no longer have to wait for public safety personnel to reach them in order to receive aid. They are empowered to render the aid themselves and stop severe bleeding until police, fire and EMS personnel could reach them.

It was shocking just how aware and concerned our teachers were when it came to the daily headlines and reports of large-scale acts of violence. Of 160 active-shooter incidents since 2000, 24.4 percent were at educational facilities, with 117 killed and 1,230 wounded [1].

Providing the teachers with training on how to open an airway, pack a wound, apply a pressure dressing and apply a tourniquet empowered them to take action and participate in the response instead of waiting helplessly for rescue. They were hungry for the education, and since have become an essential element in our response…..”

Triage in Las Vegas


“…..The injured had been tagged with color-coded stickers on their bodies by a first responder team doing triage. Patients tagged in green had minor injuries. Those with yellow tags had non-life threatening injuries. A red tag meant that the patient had life-threatening injuries and needed to be transported immediately to a hospital. Those tagged in black were dying or expecting to die.

“We had to take the red-tagged patients first,” he says. “But it’s not always that easy. People were begging me to take them because they were in so much pain. One woman grabbed at my ankle and we locked eyes. All she could say was ‘please.’ She had tears all over her face. But she was tagged in yellow, and there were people in red. So I had to say, ‘I’m so sorry. Someone will be back for you soon.’

There was another man who was tagged green sitting next to a yellow,” he continues. “He said, ‘please help my girlfriend,’ but I couldn’t.”

The first patient they took was a woman with a gunshot wound to the chest. “She wasn’t able to breathe,” he says. “She was in really bad condition. We took her to the [ambulance] and to the hospital. Dispatch told us to go right back for more patients.”

He does not know if the woman survived or not…..”


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