A medical emergency is an acute injury or illness that poses an immediate risk to a person's life or long-term health, sometimes referred to as a situation risking "life or limb". These emergencies may require assistance from another, qualified person, as some of these emergencies, such as cardiovascular (heart), respiratory, and gastrointestinal cannot be dealt with by the victim themselves. Dependent on the severity of the emergency, and the quality of any treatment given, it may require the involvement of multiple levels of care, from first aiders through emergency medical technicians, paramedics, emergency physicians and anesthesiologists.
Emergency services and rescue services are organizations that ensure public safety, security, and health by addressing and resolving different emergencies. Some of these agencies exist solely for addressing certain types of emergencies, while others deal with ad hoc emergencies as part of their normal responsibilities. Many of these agencies engage in community awareness and prevention programs to help the public avoid, detect, and report emergencies effectively. Emergency services are often considered first responders, and typically have dedicated emergency vehicles.
In the United States, a SWAT team is a generic term for a police tactical unit that uses specialized or military equipment and tactics.
A first responder is a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency. First responders typically include law enforcement officers, paramedics, emergency medical technicians, and firefighters. In some jurisdictions, emergency department personnel, such as doctors and nurses, are also required to respond to disasters and critical situations, designating them first responders; in other jurisdictions, military and security forces may also be authorized to act as first responders.
Human decontamination is the process of removing hazardous materials from the human body, including chemicals, radioactive substances, and infectious material.
Disaster response refers to the actions taken directly before, during or in the immediate aftermath of a disaster. The objective is to save lives, ensure health and safety and to meet the subsistence needs of the people affected. This includes warning/evacuation, search and rescue, providing immediate assistance, assessing damage, continuing assistance and the immediate restoration or construction of infrastructure. The aim of emergency response is to provide immediate assistance to maintain life, improve health and support the morale of the affected population. Such assistance may range from providing specific but limited aid, such as assisting refugees with transport, temporary shelter, and food to establishing semi-permanent settlements in camps and other locations. It also may involve initial repairs to damage or diversion to infrastructure.
A disaster medical assistance team (DMAT) is a group of professional medical personnel organized to provide rapid-response medical care or casualty decontamination during a terrorist attack, natural disaster, or other incident in the United States.
The Port Authority of New York and New Jersey Police Department, or Port Authority Police Department (PAPD), is a law enforcement agency in New York and New Jersey, the duties of which are to protect and to enforce state and city laws at all the facilities, owned or operated by the Port Authority of New York and New Jersey (PANYNJ), the bi-state agency running airports, seaports, and many bridges and tunnels within the Port of New York and New Jersey. Additionally, the PAPD is responsible for other PANYNJ properties including three bus terminals, the World Trade Center in Lower Manhattan, and the PATH train system. The PAPD is the largest transit-related police force in the United States.
In American law enforcement, the Emergency Service Unit, or ESU, is a multi-faceted element within a law enforcement agency’s Special Operations Command.
Active shooter is a term used to describe the perpetrator of an ongoing mass shooting. The term is primarily used to characterize shooters who are targeting victims indiscriminately and at a large scale, who oftentimes, will either commit suicide or intend to be killed by police. More generally, an active perpetrator of a mass murder may be referred to as an active killer.
Hospital emergency codes are coded messages often announced over a public address system of a hospital to alert staff to various classes of on-site emergencies. The use of codes is intended to convey essential information quickly and with minimal misunderstanding to staff while preventing stress and panic among visitors to the hospital. Such codes are sometimes posted on placards throughout the hospital or are printed on employee identification badges for ready reference.
An incident response team (IRT) or emergency response team (ERT) is a group of people who prepare for and respond to an emergency, such as a natural disaster or an interruption of business operations. Incident response teams are common in public service organizations as well as in other organizations, either military or specialty. This team is generally composed of specific members designated before an incident occurs, although under certain circumstances the team may be an ad hoc group of willing volunteers.
An emergency procedure is a plan of actions to be conducted in a certain order or manner, in response to a specific class of reasonably foreseeable emergency, a situation that poses an immediate risk to health, life, property, or the environment. Where a range of emergencies are reasonably foreseeable, an emergency plan may be drawn up to manage each threat. Most emergencies require urgent intervention to prevent a worsening of the situation, although in some situations, mitigation may not be possible and agencies may only be able to offer palliative care for the aftermath. The emergency plan should allow for these possibilities.
The Emergency Service Unit(ESU) is part of the Special Operations Bureau of the New York City Police Department. The unit provides specialized support and advanced equipment to other NYPD units. Members of ESU are cross-trained in multiple disciplines for police, first aid, and rescue work.
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.
The Columbia Police Department (CPD) is the principal law enforcement agency serving the city of Columbia, Missouri in the United States. It protects a metropolitan population of nearly 127,000 with 187 sworn police officers.
Tactical Emergency medical services (TEMS) is out-of-hospital care given in hostile situations by specially trained practitioners. Tactical support provided through TEMS can be applied in either the civilian world, generally with special law enforcement teams such as SWAT and SERT, as well as with military special operations teams. Tactical EMS providers are paramedics, nurses, and physicians who are trained to provide life-saving care and, sometimes, transport in situations such as tactical police operations, active shooters, bombings, and natural disasters. Tactical medical providers (TMPs) provide care in high risk situations where there is an increased likelihood for law enforcement, civilian, or suspect casualties. TEMS units are also deployed in situations where traditional EMS or firefighters cannot respond. TMPs are specially trained and authorized to perform live-saving medical procedures in austere and often times unconventional environments. TMPs are also expected to be competent in weapons safety and marksmanship, small unit tactics, waterborne operations, urban search and rescue, and HAZMAT. TMPs also serve to train their respective teams in complex medical procedures that may be performed in their absence. TEMS providers are sometimes sworn police officers cross trained as paramedics, paramedics that are operators trained and integrated into the SWAT Team, or medical providers trained in tactical EMS who are then integrated into law enforcement or military units.
A crisis actor is a trained actor, role player, volunteer, or other person engaged to portray a disaster victim during emergency drills to train first responders such as police, firefighters or EMS personnel. Crisis actors are used to create high-fidelity simulations of disasters in order to allow first responders to practice their skills and help emergency services to prepare and train in realistic scenarios as part of full-scale disaster exercises.
Active shooter training addresses the threat of an active shooter by providing awareness, preparation, prevention, and response methods.
