Page 107 - JSOM Summer 2020
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TABLE 1  National Incident Management System, Incident   scope of this particular event, in terms of land mass covered,
              Command System, and National Response Framework Glossary 29,30  number of participants involved, and the anticipated volatility
              Term                       Description             and threat of violence, was unprecedented in Gainesville. Al-
                              A set of principles that provides a systematic,   though a Unified Command in response to such a large event
                              proactive approach guiding government   had never been established in Gainesville before this event, ex-
                              agencies at all levels, nongovernmental   periences and relationships served as a basic platform for the
              National Incident   organizations, and the private sector to
              Management System  work seamlessly to prevent, protect against,   upcoming preparations and response.
              (NIMS)          respond to, recover from, and mitigate the
                              effects of incidents, regardless of cause, size,   The head of the Mobile Field Force/Special Weapons and
                              location, or complexity, to reduce the loss of   Tactics (SWAT) contingency of the GPD contacted the po-
                              life or property and harm to the environment  lice department at the University of California, Berkeley (UC
                              A standardized approach to the command,   Berkeley), for its assistance, because UC Berkeley had over-
                              control, and coordination of on-scene   seen numerous protests, including incidents attended by the
                              incident management that provides a
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                              common hierarchy within which personnel   antifascist movement.  The UC Berkeley police department’s
              Incident Command   from multiple organizations can be effective.   assistance proved to be invaluable for advance preparations.
              System (ICS)    ICS specifies an organizational structure for   To gain more experience, the Gainesville mobile field team
                              incident management that integrates and   commander embedded with the UC Berkeley team during a
                              coordinates a combination of procedures,
                              personnel, equipment, facilities, and   protest in California before the Gainesville event. In turn, a
                              communications.                    representative from UC Berkeley came to Gainesville to assist
                              A guide, based on the principles of NIMS,   with preparations, including teaching tactics and countermea-
                              that details the specific authorities and   sures his team had successfully used in earlier protests.
              National Response
              Framework (NRF)  best practices the nation should use in
                              the response to all types of disasters and   With Unified Command in place, implementation of our
                              emergencies                        all-hazards plan allowed for rapid preparation and resource
                              The individual responsible for on-scene   management, given the anticipated geographic and population
                              incident activities, including developing
                              incident objectives and ordering and   size. Joint preparatory meetings were held for all local, state,
              Incident commander
                              releasing resources. The incident commander   and federal law enforcement agencies; EMS agencies (GFR
                              has overall authority and responsibility for   and ACFR); hazardous materials support; EMS physicians;
                              conducting incident operations.    and key leaders from receiving hospitals. This required sharing
                              A strategy that enables multiple   sensitive intelligence between law enforcement and medical
                              organizations to perform the functions   response organizations—an uncommon practice for law en-
                              of the incident commander jointly. Each
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                              participating partner maintains authority,   forcement  but a measure felt to be necessary and valuable by
                              responsibility, and accountability for its   the Unified Command and relevant healthcare providers. The
              Unified Command
                              personnel and other resources while jointly   planning stages initially involved discussions and table-top ex-
                              managing and directing incident activities   ercises by senior members of stakeholder agencies and even-
                              through the establishment of a common set
                              of incident objectives, strategies, and a single   tually evolved into exercise rehearsals. For the confidentiality
                              incident action plan.              of future responses, specifics will not be discussed but general
                              The concept that each individual only   considerations will be mentioned.
              Unity of command
                              reports to one person
                              A document that contains the incident   Medical preparations began with meetings between local
              Incident action plan  objectives the incident commander or   emergency management, and GFR and ACFR leadership to
              (IAP)           Unified Command establishes and addresses   discuss geographic layout and strategic positioning of ambu-
                              tactics for the planned operational period  lance staging areas, decontamination zones, and rescue task
                              A set number of resources of the same type   force (RTF) staging areas (Figure 1). (Note: All local law en-
                              that have an established minimum number   forcement agencies include individual first aid kits and tour-
                              of personnel, common communications, and
              Strike team                                        niquets as standard issue and regularly train their officers to
                              a leader. In the law enforcement community,
                              strike teams are referred to as resource   maintain a minimum level of proficiency.) GFR formed an
                              teams.                             RTF and hazardous materials decontamination strike team.
                              Any combination of resources of different   Task forces with RTF capabilities were established on the basis
              Task force      kinds and/or types assembled to support a   of the NIMS framework. An RTF is a medical-care team ca-
                              specific mission or operational need
                                                                 pable of entering areas of potential but not immediate threats
                                                                 (i.e., warm zones) under dedicated law enforcement protec-
              fire-based, nontransport emergency medical services (EMS)   tion.  These  teams locate victims, provide limited  but life-
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              agency that has hazardous materials and tactical medicine   sustaining treatments under Tactical Emergency Casualty Care
              support. ACFR is an urban, advanced life support, fire-based,   (TECC) guidelines, and extricate victims to the cold zone for
              transport EMS agency with 12 full-time ambulances. ACFR   more standard medical care.  For this event, a fleet of ACFR
                                                                                       10
              possesses the Certificate of Public Convenience and Necessity   ambulances was staged offsite, prepared to rapidly transport
              in Alachua County, making it the sole preferred, prehospital   patients from the cold zone to definitive care (Figure 2). Each
              transport provider in Alachua County.              RTF team was independent from the medical contingent em-
                                                                 bedded in the SWAT team, a measure that follows Tactical
              The concept of Unified Command is not novel to Gainesville;   Combat Casualty Care (TCCC) guidelines.  Although RTF
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              there are numerous large sporting events, speakers, and con-  teams exist in our community for potential active shooter
              cert performances that require joint leadership among UFPD,   scenarios, the actual implementation and deployment of RTF
              ACSO, GPD, and ACFR. However, the anticipated size and   teams was a new practice for our community (Figure 3).

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