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Casualty Care: Are You Prepared for a Mass Casualty Incident?

Casualty care training is essential for law enforcement officers. As officers, you have an ethical obligation to render medical assistance to all persons (including suspects) to the extent of your casualty care training, as soon as it is safe to do so.

Today's shift can change from calm to critical in a matter of moments. Being properly trained and equipped may save your life, the lives of fellow officers, or members of your community involved in a critical incident. Will you be ready? When seconds can mean the difference between life and death, will you have lifesaving equipment, such as a tourniquet? And will you know how to use it?

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It Happened Here! It Happened To Me!

On December 2, 2015, Lieutenant Mike Madden started his shift with the usual routines and meetings. Things changed in an instant at 10:58 a.m. Read his personal experience as the first officer on scene at the Inland Regional Center active shooter attack in San Bernardino, California. How did decisions he made before starting his shift affect his safety? It happened to him, it can happen to you. Are you prepared?

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Below you will find printable info cards and posters featuring some of the most valuable casualty care principles. Download these resources to print, save to your smartphone, or share with your fellow LEOs. These reminders will serve as valuable reminders in the field to help you save lives!

Tourniquet—Lifesaver New!

Tourniquets can save lives. Get trained and get equipped.

Things Can Change New!

Things can change in an instant. Be prepared to offer lifesaving skills.

Death Can Occur New!

Death can occur within 2 minutes from major blood loss.

TCCC Trauma Bag Recommendations

Tactical Combat Casualty Care (TCCC) is created by the U.S. Department of Defense Committee on TCCC (Co-TCCC) to teach evidence-based, lifesaving techniques and strategies for providing the best trauma care on the battlefield. These best practices have been transitioned to save lives in the law enforcement arena. See the Resources section below for more information on TCCC.

Tourniquet Visor Card

In the midst of a critical incident, where is your tourniquet? It’s too late to go back to your patrol car or agency. Download, print, and share this poster to remind yourself and your fellow officers to have their tourniquets on them at ALL times!

Go-Bag Visor Card

Are you prepared to stop an active shooter threat and save lives?

VALOR for blue eLearning

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Prepared? New!



Casualty Care—Get Off the "X"

This online scenario is designed to increase the ability of law enforcement personnel to implement techniques to deal with major hemorrhage, secondary gunshot, and/or knife wounds. This mock law enforcement/suspect encounter involves a fairly common law enforcement incident, a felony traffic stop.

Casualty Care—Recommended Equipment

This roll call training is designed to reduce officer injuries and deaths through discussion and demonstration of the types and placement of medical equipment that should be carried by law enforcement officers.

Casualty Care—Tourniquets

This online training is designed to review the Tactical Combat Casualty Care-recommended tourniquets and demonstrate to officers how to apply each of these tourniquets on themselves and others to prevent major blood loss.

Street Survival: Casualty Care

This webinar is an introduction to the self-aid/buddy-aid program. Recorded , at .


First Responder Guide for Improving Survivability in Improvised Explosive Device (IED) and/or Active Shooter Incidents

The recommendations presented in this document—early, aggressive hemorrhage control; use of body armor and a more integrated response; and greater first responder interoperability—will help to save lives by mitigating first-responder risk and by improving the emergent and immediate medical management of casualties encountered during IED and/or active shooter incidents.


CoTCCC is the prehospital arm of the Joint Trauma System for the U.S. Department of Defense. The mission of the CoTCCC is to develop, on an ongoing basis, the best possible set of trauma care guidelines customized for the tactical environment and to facilitate the transition of these recommendations into battlefield trauma care practice.

Aurora, Colorado, Century 16 Theater Shooting: After-Action Report for the City of Aurora

This redacted after-action report details the events of the Aurora Century 16 Theater shooting and provides an analysis of emergency response successes and areas of improvement. This report further outlines lessons learned from the event and provides advice for future deterrence.

A Study of Active Shooter Incidents in the United States Between 2000 and 2013

In 2014, the Federal Bureau of Investigation initiated a study of active shooter incidents to provide local, state, and federal law enforcement personnel with data to better understand how to prevent, prepare for, respond to, and recover from these incidents.

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