2019 REVIEW

The following sessions marked **CME Qualified are available for CME credit. More information can be found here.

Active Shooter Response for Telecommunications Officers

**CME Qualified

Presented by Wayne Freeman

Tuesday and Wednesday | 3:00pm to 4:30pm | Cottonwood 8/9

This course will provide dispatchers with the tools and training to support active shooter and hostile incident response. The topics covered include screening callers, methods for providing the best real-time data to responding officers, statistics associated with hostile incident response for dispatchers, and other information specifically related to the telecommunications role in hostile incident response and recovery.

Active Violence with Fire 101

Presented by Greg Pass, John Delaney, and Nate Hiner

Tuesday and Wednesday | 3:00pm to 4:30pm | Cottonwood 6/7

Terrorists and criminals across the world have recognized the value in using fire during complex coordinated attacks. Incidents such as the attacks in Mumbai and Benghazi show the need for Police and Fire departments to train and coordinate how to respond to such incidents.

This course will include a review of incidents involving Active Violence with Fire (also known as Fire as a Weapon), the differences between Arson and Active Violence with Fire, Unified Command considerations, and response tactics. The course will be taught by members of the FEMA Complex Coordinated Terrorist Attack working group in the Washington, D.C. National Capital Region.

Aftermath of Mass Shootings: Impacts on Officers Who Have Responded to Mass Shooting Events

**CME Qualified

Presented by Eric DiLorenzo

Tuesday and Wednesday | 8:00am to 9:30am | Adams C

Due to the high potential threat to an officer’s safety and life as well as seeing deaths among the protected population, an officer’s psychological integrity is greatly threatened. The psychological impact on officers who have responded to Mass Shootings is greater than similar impact on officers who responded any other mass casualty type incidents. A Mass Shooting in a community has far reaching implications to include disruption of services and a reduction in workforce within a Law Enforcement Agency. This session will explore the impacts and provide solutions to get officers and agencies back to their “new normal”.

ALERRT Research

Presented by Hunter Martaindale

Tuesday and Wednesday | 10:00am to 11:30am | Cottonwood 8/9

Recent data and trends.

The Austin Serial Bomber

Presented by Jesse Carrillo and Robert Nunez

Tuesday and Wednesday | 8:00am to 9:30am | Adams B

Overview of events that took place in Austin, TX from 1 March to 21 March 2018, where a serial bomber placed and sent bombs in packages and locked a city down. Overview of tactical operation to take him down.

Baghdad to Boston (or Austin?): Translating Military Combat Casualty Care Lessons from 17 Years of War to the Civilian Sector

**CME Qualified

Presented by James Geracci

Tuesday and Wednesday | 1:00pm to 2:30pm | Cottonwood 2/3

A review of the evolution of prehospital combat casualty care in the US Military over the past 17 years of war and how the lessons can and should be translated to the civilian sector to save lives on the streets of towns across America.

Bringing Hospitals into Whole of Community Preparedness

**CME Qualified

Presented by E. Reed Smith, Taylor Blunt, and Maggie Hickey

Tuesday and Wednesday | 10:00am to 11:30am | Cottonwood 6/7

Receiving hospitals play an integral role into the successful mitigation and response to high threat events; yet, hospitals are often overlooked from an integrated whole of community response. Without successful integration of hospitals into your TECC and response chain of survival, both from the hospital looking out and from public safety on the outside looking in, successful system response to high threats will break down.

Building a Regional Response to Active Attacker/CCTA Events

**CME Qualified

Presented by Christopher McAllister and Jason Wilson

Tuesday and Wednesday | 3:00pm to 4:30pm | Adams B

Having experienced multiple active shooter events in Southeast Texas, agencies across the Houston/Harris County region have worked towards a response plan that prepares first responders for the reality that no agency is too big to need help and no agency is too small to play an important role in active attacker situations. As such, a multi-agency initiative has been developed with the goal of training every first responder in the region (19,000 Fire, EMS, LE, and Dispatch personnel) in how to integrate our response to ensure interoperability at both the interagency and the interdisciplinary levels.

Carpe Audience

**CME Qualified

Presented by John-Michael Keyes

Tuesday and Wednesday | 3:00pm to 4:30pm | Cottonwood 2/3

The true enemy of a great presentation is the brain of everyone in your audience. How it’s wired. How it works. How it explodes. (Figuratively, of course. None of us want actual exploding brains.) Carpe Audience exposes the science behind multimedia learning and reveals how many of today’s common practices actually induce cognitive overload. 
In 90 minutes you’ll learn how to defeat PowerPoint defaults. How to leverage emotions to enhance learning. How to use human conditioning to understand sequencing and cadence. And we’ll use science to do it. Not some fuzzy anecdotes or squishy feelings. Cold, hard, clinical science. There’s more... You’ll receive the “Last template you will ever need”, the secrets of guerrilla typography, and the fastest image acquisition technique known to mankind. 
Warning: Attending this workshop will forever alter how you view PowerPoint.

Creating Truly Resilient Bleed Safe Communities

**CME Qualified

Presented by Joshua Bobko and Mike Weissman

Tuesday and Wednesday | 1:00pm to 2:30pm | Cottonwood 6/7

Recognizing the gap in traditional EMS response, Westminster PD started an innovative program in 2014 to develop a community partnership by integrating First Care Providers into the disaster planning framework. Implementation of these trained citizens has improved community resilience, public relations and delivered a statistically significant improvement in the ability to provide care in the "hot zone." By pre-identifying a network of locations and individuals within the city as a quantifiable resource to first responders, organizations and communities nationwide are striving to become the truly "Bleed Safe" communities.

The Day You Train For...Debrief of the Arapahoe High School Shooting 12/13/13 

**CME Qualified

Presented by James Englert

Tuesday and Wednesday | 10:00am to 11:30am | Adams B

The day you train for…and things you don't expect. Hear the details of the shooting at Arapahoe High School in Centennial Colorado from the SRO on scene. What events occurred prior to 12/13/13. Hear dispatch tapes from during the event and tactics used. Learn what worked and didn’t work during the lockdown and reunification. Hear directly from the Deputy that was on scene.

The Human Element in the Prevention + Response of Complex Coordinated Terrorist Attacks (CCTAs)

**CME Qualified

Presented by Tau Braun

Tuesday and Wednesday | 1:00pm to 2:30pm | Adams D

CCTAs are an evolving and dynamic terrorist threat. They are acts of terrorism that involve synchronized and independent team(s) at multiple locations, sequentially or in close succession, initiated with little or no warning, and employing one or more weapon systems: firearms, explosives, fire as a weapon, and other nontraditional attack methodologies that are intended to result in large numbers of casualties. Although some characteristics of a CCTA are similar to an active attacker situation, the complexities of CCTAs may represent additional challenges to stakeholders. CCTAs require the delivery of community capabilities and resources across a wide range of Core Capabilities. This session focuses on the Human Element in the effective Prevention, Preparedness, and Response to Complex Coordinated Terrorist Attacks.

Full Spectrum Active Shooter Preparedness - Thinking Beyond the Obvious

**CME Qualified

Presented by Mark Anderson

Tuesday and Wednesday | 10:00am to 11:30am | Adams C

At an Active Shooter event, the highest strategic priority for public safety response is inarguably life safety. This has often been expressed in two imperatives – Stop the Killing and Stop the Dying. First responders have been appropriately focusing most of their preparedness bandwidth on these two primary objectives since the Columbine incident coalesced focus on this subject. Clearly, however, there is much more to the successful overall management of an active shooter incident than law enforcement contact team operations, joint rescue operations and EMS casualty management. Public safety responders who develop doctrine and training for these incidents tend to focus on the Response portion of the preparedness spectrum (to the detriment of Prevention, Protection, Mitigation and Recovery). This interactive presentation will discuss best practices and propose a methodology for approaching active shooter preparedness planning, which seeks to ensure that all necessary aspects of community preparedness are appropriately considered, prioritized and addressed.

Improving Survival from Active Assailant Events: Are We Learning, Leading or Following? CANCELLED 

**CME Qualified

Presented by Alexander Eastman

Tuesday and Wednesday | 8:00 am to 10:00 am | Cottonwood 2/3

Alex Eastman is a seasoned responder that has been involved in active assailant events. By virtue of his experiences as a trauma surgeon, law enforcement officer and leader in the field, Alex will challenge the audience with discussions about some unique challenges responding to unconventional threats.

CHANGED TO: NFPA 3000 - John Montes
 

Joint Active Shooter Protection and Response (JASPR)

Presented by Lisa Wright, Andrew Dondero, and Charles Ergenbright

Tuesday and Wednesday | 1:00pm to 2:30pm | Adams B

Army's JASPR team will provide the community of interest an information presentation on the JASPR capability being developed and seek off-line peer review. JASPR is an integrated capability that provides automated and rapid indoor gunshot detection, alert potential victims and authorized personnel, facility control (effective methods to inhibit the shooter), and enable first responders to inhibit the shooter and SAVE LIVES.

Law Enforcement’s Role in a K-12 Threat Assessment Process

Presented by Heilit Biehl

Tuesday and Wednesday | 1:00pm to 2:30pm | Cottonwood 8/9

When supporting a K-12 school/district in the threat assessment process, law enforcement are often asked to take on many roles and responsibilities because of your "expertise". We will explore from the school/district, threat assessment, and law enforcement lens what this role should look like, barriers that may be encountered when partnering in this process, and ideas for overcoming those barriers. In addition, there will be time set aside for attendees to put to practice some of these elements in working through a case study/tabletop exercise in smaller groups.

Lessons Learned - INOVA Fairfax Barricade and the Medical Task Force Model

**CME Qualified
Presented by Brian Ruck and Craig DeAtley

Tuesday and Wednesday | 8:00a - to 9:30am | Cottonwood 6/7

On January 22, 2019, officers from the Fairfax County Police Department responded to INOVA Fairfax Hospital for the report of a man brandishing a firearm. The call rapidly evolved when it was reported the suspect fired a round in the hospital. Units rapidly deployed to the scene and found the gunman alone in his room refusing to put down the weapon. The situation turned into a barricade in the Acute Pulmonary Care Unit. In addition to dealing with the gunman, officers had to rapidly develop a plan of action to allow medical staff to continue caring for critically ill patients who could not be moved from the wing. Incident commanders developed a plan to use Rescue Tack Force tactics with hospital medical staff to deliver care to patients in the warm zone. This Medical Task Force (MTF) concept is now being adopted by INOVA Fairfax and the Fairfax County Police Department as a model for care during critical incidents at heath care facilities.

Lessons Learned from Sandy Hook – Anticipating the Unthinkable

**CME Qualified

Presented by Carly Posey

Tuesday and Wednesday | 3:00pm to 4:30pm | Adams D

Carly tells her story of no one being prepared for what happened inside Sandy Hook Elementary School on December 14, 2012. She shares what went wrong and right on that day and the days and years to follow. She shares her perspective on the events and how a community can be proactive and be prepared for the unthinkable. Carly gives real solutions on school safety, reunification, and recovery in the aftermath. Carly shares her journey through the unthinkable, focusing on relationships and the positive outcomes. She has spoken to thousands of community members and is honored to have a part in improving school safety.

Mass Casualty Incident Response and Coordination: How Can Emergency Management Help?

**CME Qualified

Presented by Laura Norman and Niki Bender

Tuesday and Wednesday | 3:00pm to 4:30pm | Adams C

As the initial incident unfolds, how can agencies quickly build capacity to address the avalanche of urgent issues that arise in the wake of mass casualty incidents? Where does Emergency Management fit in and how can you dovetail your plans to coordinate an effective response and recovery on your worst day?

OK, It Hit the Fan. Now What?

**CME Qualified

Presented by John-Michael Keyes

Tuesday and Wednesday | 8:00a - to 9:30am | Cottonwood 8/9

Introduced in 2012, the Standard Reunification Method fills a critical void in school safety planning: How to reunite students with their parents after a crisis. SRM Basic introduces the concepts and history of the SRM and how to implement the program a district perspective.

Potentially Preventable Death After Injury in the Civilian Prehospital Environment

**CME Qualified

Presented by Brian Eastridge

Tuesday and Wednesday | 10:00am to 11:30am | Cottonwood 2/3

Presentation about causes of potentially preventable prehospital death and mitigation strategies.

Prehospital Innovation

**CME Qualified

Presented by Ethan Miles

Tuesday and Wednesday | 1:00pm to 2:30pm | Cottonwood 4/5

This session will detail several prehospital trauma initiatives and how they were successfully put into place in the 75th Ranger Regiment (US Army Special Operations Command) resulting in over 17 years of a zero percent prehospital preventable death rate in some of the most intense ground combat seen in the current conflict.

Rescue Task Forces and Conventional Transportation are Answers ... Not THE Answers!

**CME Qualified

Presented by James Etzin, Mike Dailey, and Jad Lanigan

Tuesday and Wednesday | 10:00am to 11:30am | Adams D

Ever since the 1999 tragedy at Columbine High School, law enforcement agencies throughout the United States and Canada have been training on the "contact team and extraction team" approach to threat and casualty management during active assailant incidents. This is mainly attributed to the historical reluctance of conventional fire service and/or emergency medical services personnel to enter the warm zones of such environments and Tactical Emergency Medical Support (TEMS) providers not always being readily available. However, given the growing acceptance and utilization of rescue task forces, law enforcement agencies are now falling into a dangerous trap by deemphasizing the critical role extraction teams will continue to play treating and/or extracting casualties. During that same time, fire departments and emergency medical services have typically assumed everyone requiring medical treatment would be transported by ambulance. As has been demonstrated during numerous recent tragedies, this is not always the case and many victims may find alternative means of transportation to hospitals. Given the 35 years the presenter has spent studying such events and interviewing countless emergency responders and survivors who were involved, many past and recent examples of extraction teams and unconventional transportation contributing to casualty survival will be referenced and information provided that will assist command officers, perimeter personnel, contact teams, extraction teams, rescue task forces, conventional fire service/emergency medical services personnel, SWAT officers, and hospital providers in working together to save lives.

Striving to Develop a Bleed Safe Community, Success in Partnerships

**CME Qualified

Presented by Ryan Pourhassanian

Tuesday and Wednesday | 1:00pm to 2:30pm | Adams C

As the ever-increasing threat of Active shooter events, terrorist attacks, and intentional mass casualty events become more commonplace, the Chino Valley (CA) has embraced the concept of developing a “bleed safe” community. Developed in 2017, a bleed safe community seeks to integrate the layperson, first responders, and first receivers in hopes of developing a community based, integrated approach to dynamic acts of violence. The program is designed to tangibly increase readiness and resiliency from hostile events through a point system awarded when the community achieves specific goals and criteria based on the programs 4-foundational pillars: prevention, preparedness, response, and recovery. Striving for this has led to widespread joint first responder/receiver training, community classes/training, public access trauma kit program, and the creation of a survivor network. A natural byproduct of a community striving towards the same goals is improved relationships between community members, law enforcement, fire/EMS, and first receivers. This presentation is designed to educate, motivate, inspire, and challenge the audience to objectively evaluate their communities’ current approach to hostile events, and determine if there is room for improvement.

TECC 2019 Update

**CME Qualified

Presented by E. Reed Smith and Geoff Shapiro

Tuesday and Wednesday | 3:00pm to 4:30pm | Cottonwood 4/5

Will provide the most current updates from the Committee for Tactical Emergency Casualty Care as well as discuss the gaps and future direction of the Committee.

When You Can't Run - Tactics and Strategies for Dealing with Active Shooters or Hostile Intruders in Hospital Critical Care Areas

**CME Qualified

Presented by Charles Cowles and Jason Mitchell

Tuesday and Wednesday | 8:00 am to 10:00 am | Cottonwood 4/5

This session will illustrate how the objectives of active shooter / hostile intruder response standards can be applied to critical care health settings such as the OR or the ICU.

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ALERRT

San Marcos, Texas 78666

512-245-1668

help@alerrt.org