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the scene, or still operating affects all decisions at unified   reflect the official policy or position of the Loudoun County
            command.                                         Fire and Rescue or the Loudoun County Sheriff’s Office.
          •  What areas are considered hot, warm, or cold? For exam-
            ple, the front of a big box store may be considered warm   References
            allowing an escorted approach to access some patients.   1.  Loudoun County Fire and Rescue. Act of violence Exercise at Pat-
            The rear of the store could still be considered hot if the   rick Henry College. 2020.
            shooter is believed in that location. Both the police and fire   2.  National Fire Protection Agency. Active shooter/hostile event pre-
            commanders must quickly determine the “temperature” of   paredness and response. (fact sheet). January 2018. https://www.
                                                                nyspffa.org/main/wp-content/uploads/2013/03/NFPA3000Fact
            parts of the incident scene.                        SheetActiveShooter.pdf. Accessed 12 May 2022.
          •  If a joint assembly area is already established, where is   3.  Complex Coordinated Terrorist Attack Active Violence Working
            it? This is the location where RTF Teams and Extraction   Group. Active Shooter/Active Violence Response Guide. August
            Teams are formed from law enforcement and fire and res-  2020. First Edition.
            cue personnel. Since fire personnel will access it without an   4.  System Planning Corporation. Mass shootings at Virginia Tech
            escort, joint assembly should be located on the edge of the   addendum to the report of the Review Panel. November 2009.
                                                                https://scholar.lib.vt.edu/prevail/docs/April16ReportRev2009
            warm and cold zone.                                 1204.pdf. Accessed 12 May 2022.
          •  What is the best strategy (or combination of strategies) to   5.  Federal Emergency Management Agency. 1 October After-Action
            rescue the injured (LE Rescue, RTF deployment, or pro-  Report. August 24, 2018.
            tected corridor)? Just like we announce an offensive or   6.  National Police Foundation. After-action review of the Orlando
            defensive strategy, the strategy to rescue patients from an   Fire Department response to the attack at pulse nightclub. Octo ber
            active shooter should be announced. There could also be   2018.  https://www.orlando.gov/files/sharedassets/public/initiatives
                                                                /pulse/ofd-after-action-review-final5b98855d.pdf. Accessed 12 May
            combinations of strategies. If the scene  is very unsafe, it   2022.
            may be best for LCSO officers to drag out patients (LE Res-  7.  Board of Supervisors, Loudon County. Finance/government op-
            cue). If the area is large and victims will have to be located,   erations and economic development committee report: FY2017
            deploying RTF teams may make sense. If the building is   capital improvement program amendment/fire and rescue/train-
            small or is flooded with enough LCSO officers to provide   ing command competency lab.  21 July 2016.  https://loudoun.
            staunch security, a protected corridor may be appropriate.   granicus.com/GeneratedAgendaViewer.php?view_id=86&clip_id
                                                                =4564. Accessed 12 May 2022.
            Protected corridor is also the fastest as Fire Rescue units   8.  Neal D. An analysis of paramedic clinical rotations: Do paramed-
            can move in and out of the area without coordinating indi-  ics perform the most critical tasks?”  University of Maryland –
            vidual patient movements with LCSO.                 Baltimore County: Master’s Thesis. January 2000.
                                                              9.  International Fire Service Training Association. Fire and Emer-
                                                                gency Services Instructor. 8th ed. Stillwater, OK: Pearson Educa-
          Conclusion                                            tion; 2012.
                                                             10.  Law Enforcement and Fire and Rescue Departments of Northern
          Over 52 unified command competency simulations were   Virginia. Joint Action Guide for High Threat Environments. First
          conducted.  Through simulations, law enforcement and fire   Edition. (October 2016).
          commanders established and effectively operated a unified   11.  Policing Institute. After-Action  Report Washington  Navy Yard,
          command post to manage active shooter incidents. “Next to   September 16, 201: Internal Review of the Metropolitan Po-
          real-life experiences, simulations are the best way to evaluate   lice  Department,  Washington, D.C.  2014  July.  https://www.
                            15
          students’ knowledge.”   The unified command competency   policinginstitute.org/wp-content/uploads/2015/05/Washington
                                                                -Navy-Yard-After-Action-Report.pdf. Accessed 12 May 2022.
          training already improved joint operations between law en-  12.  Sedensky SJ III. Report of the State’s Attorney for the Judicial
          forcement and fire on several incidents. Simulations are the   District of Danbury on the shootings at Sandy Hook Elementary
          closest means to prepare for conducting a critical response,   School and 36 Yogananda Street, Newtown, Connecticut on De-
          such as an active shooter incident. 8                 cember 14, 2012. University of Maryland Libraries. https://drum.
                                                                lib.umd.edu/handle/1903/24675. Accessed 12 May 2022.
          Author Contributions                               13.  Federal Bureau of Investigation.  Active Shooter Incidents in
          The authors of this article all meet the criteria for authorship.   the United States: 2000–2018. 2019.  https://www.fbi.gov/file-
          DJN collected data and drafted the manuscript. PL and TM   repository/active-shooter-incidents-2000-2018.pdf. Accessed  12
                                                                May 2022.
          developed the simulation. All authors contributed to the op-  14.  Fire and Rescue Departments of Northern  Virginia. Firefight-
          eration and ongoing evaluation of the command competency   ing and Emergency Operations Manual. Communications Field
          simulations.                                            User’s Guide. First Edition. (May 2018).
                                                             15.  Parvensky CA. Teaching EMS: An educator’s guide to improved
          Declaration of Interest                               EMS instruction. St. Louis, MO: Mosby Publishers; 1995.
          The authors are all employed with Loudoun County Fire and
          Rescue or the Loudoun County Sheriff’s Office.The views
          expressed in this article are those of the authors and do not















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