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BCMS NEWS





        ACTIVE                                                 in place until the all
                                                               clear is given by the
                                                               authorities.  Helpful
        SHOOTER                                                information includes
                                                                             the
                                                               location
                                                                        of
                                                               shooter,  number  of
        EXERCISE                                               shooters, physical de-
                                                               scription, number and
                                                               type of weapons, and
                                                               number of potential
                                                               victims. Fight as a last
        By Tim Tong, MD
                                                               resort and fight as if
                                                               your life depended on it, because it does. Recruit others who are
          Society on a local, national, and international level is experiencing  willing and swarm the shooter using makeshift weapons such as
        an increasing number of mass shootings. The etiology and root  chairs or scissors.
        causes of this phenomenon are too numerous to be addressed in  The “after” is knowing how to respond after law enforcement ar-
        this article. While the likelihood of any one individual being caught  rives. The scene is chaotic and law enforcement is not necessarily
        up in such a tragic and terrifying experience is still low, all of us still  clear on who the perpetrator, or perpetrators are. Keep your hands
        need to practice awareness and preparedness. After all, we have all  visible and empty and follow all commands and instructions. do
        been warned since childhood not to stand in an open field during a  not be afraid of seeking professional help to cope with the after-
        thunderstorm. likewise, we are always hearing public service an-  math of the events.
        nouncements advising one to look around the parking lot for po-  The video was followed by the full-scale inter-agency exercise.
        tential danger when going to and from our vehicles.    This was a live and realistic scenario of an active shooter event. The
          What can I do to protect myself and those around me from be-  civilian participants had the opportunity to practice the mental and
        coming a victim of a mass shooting? The answer is that all of us  physical skills they just learned about preparing, running, hiding,
        can be an important part in limiting the damage inflicted by a mass  fighting and coping with the aftermath. Understanding the chal-
        shooter. To help address this, a full-scale active shooter exercise was  lenges faced by our first responders and some of the tactics de-
        held on the grounds of the bexar County Medical Society head-  ployed in such a scenario gave us all a better appreciation of what
        quarters on March 9th. This exercise was organized by the bexar  they do and how to keep ourselves and others safer. The involved
        County Medical Society, Alamo Area Medical Reserve Corps/Metro  agencies had an opportunity to practice and hone their responses
        Health and bexar County Constable Precinct 2.          to such an event. There is an incredible amount of critical and real-
          This was a half-day event that started with a breakfast generously  time communication and coordination that has to happen in the mi-
        provided by our medical society followed by introductions and ori-  lieu of a highly charged environment.
        entation. A video that covered the key elements of the “before, dur-  While there is no “typical” active shooter scenario, being aware
        ing and after” was viewed.                             and prepared, whether one is a civilian or in law enforcement can
          The “before” is having a plan. This includes having situational  help mitigate the damage caused by a mass shooter. Part of that
        awareness and actively practicing it. When going into a building,  preparation includes familiarizing yourself with your workplace
        know where the exits are. Wherever you are, does something seem  standard operating or safety plan.
        amiss? If you see something, say something to an authority imme-  If you are interested in holding an active shooter exercise at your
        diately and be aware of one’s environment and any possible danger.  practice, church or school, feel free to contact Office of the Con-
          The “during” includes the three parts of RUN and escape, if pos-  stable  bexar  County  Precinct  2  or  your  local  law  enforcement
        sible; HIdE, if escape is not possible; and FIGHT as a last resort.  agency. The more people that are trained on how to react the better
        Getting away is the top priority. do not go back to your desk or  off our community will be.
        locker to retrieve your phone or other belongings! Hide out of the
        shooter’s view and preferably somewhere where there is a barrier  Dr. Tim Tong is a pediatric intensivist at The Children's Hospital
        to bullets. lock and block doors, draw shades, be quiet, and silence  of  San Antonio and vice-chair of  the BCMS Disaster Preparedness
        devices. Attempt to silently communicate with authorities and stay  Committee.

         26  San Antonio Medicine   •  April  2019
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