armed intruders and active shooters

8/11/2019 Armed Intruders and Active Shooters

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J. Randolph Mullins, MD, FACS

Deputy, GCSO/SWAT


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And other light hearted subjects


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An individual who is actively engaged in

killing or attempting to kill people in aconfined and populated area


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The armed intruder is much more common

and much simpler to deal with.


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Shootings in hospitals are statisticallyuncommon

and always targeted against a specificperson

The seemingly random active shooter ofshopping malls and schools is virtually neverseen in the hospital


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Annals of Emergency Medicine

Volume 60, Issue 6 , Pages 790-798.e1,

December 2012

Hospital-Based Shootings in the United States:

2000 to 2011


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Using LexisNexis, Google, Netscape, PubMed,and ScienceDirect, we searched reports for

acute care hospital shooting events in theUnited States for 2000 through 2011. Allhospital-based shootings with at least 1 injuredvictim were analyzed


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154 shootings were identified, 59% inside thehospital and 41% on hospital grounds with 235injured or dead victims.

Perpetrators were men (91%) but representedall adult age groups.

Shootings occurred in the ED (29%), parking lot(23%) and patient rooms (19%).


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Most events involved a determined shooter with astrong motive: grudge (27%), suicide (21%),

euthanizing an ill relative (14%), and prisonerescape (11%).

Ambient society violence (9%) and mentallyunstable patients (4%) were comparativelyinfrequent.


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Were unlikely to be injured by a weapon whileworking in healthcare!

But, that doesnt mean it CANT happen

Nor are we always at work!


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Cooperation, NOT confrontation

Attempt to escape the area!

Notify security immediately

Barricade any patients or others who cannot flee

DO NOT attempt to disarm the intruder!


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Presume anything they tell you is UNtrue

Do NOT intervene in an escape attempt or assault

involving weapons

Understand they are from a culture you probablydo not know, do not understand and should notwant to be involved with

Presume the LE guarding the prisoner might havea clue about what theyre doing


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Who would do such a thing?

Why?

What do I do if Im there when he gets started?


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On May 18th, he got out of bed

Ate breakfast

Killed his wife

Blew up his own house


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Then, he drove to town.

And triggered the explosives hed been wiring

for months.

Killing 45 people, 38 of them children


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1927


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In an interview this summer with the ChristianScience Monitor, Arnie Bernstein, author of2009s Bath Massacre: Americas First School

Bombing, noted that there wasn't a mediafrenzy like today. The media came in and left.Three days after it happened, Lindbergh tookoff and flew to Paris, and that part of it was

over.


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social isolates who harbored feelings of hateand anger.

very few had "previous arrests for violent

crimes many had a significant emotional event: loss

of significant relationships, changes in financialstatus, loss of a job, changes in livingarrangements, and/or feelings of humiliationor rejection on the part of the shooter.


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We know active shooters are social isolates,

With a grudge,

And a significant emotional event, usuallycentered on rejection and loss,

Significantly mentally ill or a religious zealot


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Perhaps the first ever useful government

video.

Run, Hide, Fight


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Get out!

Know where you are!

Know how to get out of where you are.

Have a plan on how to keep going..

Improvised/environmental weapons: observe,think, be creative.


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Im going to stop and help those poor people

Ill talk the poor, misguided youth out of it

Itll never happen to me

Im going to be armed and take care ofbusiness


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Ill talk the poor, misguided youth out of it


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Itll never happen to me


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Ill be armed and take care of business


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Do NOT pull your weapon, then run throughthe building, trying to get out while waving it

LISTEN for the sirens and commands

When the police arrive, both hands should bevisible, your gun should not

Know that most active shooters self destructwhen faced with armed resistance


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There is NO sign hovering over you that says

GOOD GUY

They cannot read your mind


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armed intruders and active shooters

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