Active Shooter Mechanism Of Injury NAVIGATOR 2013 Assailant kills two at MOI key to determining Welcome to the busy shopping mall likely internal injuries kingdom of dispatch The International Academies of Emergency Dispatch March | April 2013 THEJOURNAL JOURNALOF EMERGENCY DISPATCH SANDY taKES EAST BY STORM Calls swamp lines iaedjournal.org INSIDE the g columns 5 | Dear Reader JOURNAL 6 | President’s Message | march·APRIL 2013 | VOL. 15 NO. 2 7 Ask Doc 8 | Academy Research 9 | Police Beat 10 | Leadership Lingo 44 | Retro Space 56 | Contributors g industry insider 11 | National news 16 | International news g departments BestPractices 17 | NAVIGATOR Rewind 18 | 9-1-1 Education 21 | ACE Achievers 23 | FAQ features 24 | NAVIGATOR 26 | Hell And High Water OnTrack Calls from the stranded, sinking, or suddenly 33 | Medical CDE sunk flooded the lines as Hurricane Sandy Understanding mechanism of blew its way along the Eastern Coast. injury is vital to pre-hospital care. 36 | Police CDE 30 | Shooting Spree Caller in Danger Protocol puts safety first. Dispatchers at the Clackamas County Comm. Center jumped into action at reports of an YourSpace active shooter at the county’s largest mall. 40 | Dispatch In Action 42 | Off Hours Correction The Medical CDE quiz in the November/December 2012 Journal (She’s Having A Baby) included a question that will not be counted as either correct or incorrect. The question (#2) suggested that the MPDS® was designed to handle any possible situation or scenario related to childbirth and pregnancy. While the MPDS was developed to guide EMDs through many probable situations, no protocol is designed to handle all situations. The editors apologize for any confusion this error may have caused. The following U.S. patents may apply to portions of the MPDS or software depicted in this periodical: 5,857,966; 5,989,187; 6,004,266; 6,010,451; 6,053,864; 6,076,065; 6,078,894; 6,106,459; 6,607,481; 7,106,835; 7,428,301; 7,645,234. The PPDS is protected by U.S. patent 7,436,937. FPDS patents are pending. Other U.S. and foreign patents pending. Protocol-related terminology in this text is additionally copyrighted within each of the NAED’s discipline-specific protocols. Original MPDS, FPDS, and PPDS copyrights established in September 1979, August 2000, and August 2001, respectively. Subsequent editions and supporting material copyrighted as issued. Portions of this periodical come from material previously copyrighted beginning in 1979 through the present. THE g DEARREADER JOURNALOF EMERGENCY DISPATCH INTERNATIONAL INTERNATIONAL OFFICES Sun Will Shine ACADEMIES OF AUSTRALASIAN OFFICE EMERGENCY DISPATCH 011-61-3-9806-1772 110 South Regent Street, Suite 800 CANADIAN OFFICE Come to Salt Lake City, UT 84111 USA 1-514-910-1301 USA/Canada toll-free: 800-960-6236 EUROPEAN OFFICE Int’l/Local: 801-359-6916 011-43-5337-66248 NAVIGATOR; Fax: 801-359-0996 ITALIAN OFFICE www.emergencydispatch.org 011-39-011-1988-7151 [email protected] MALAYSIAN OFFICE 011-603-2168-4798 stay to visit sights U.K. OFFICE 011-44-0-117-934-9732 IAED JOURNAL STAFF Audrey Fraizer, Managing Editor COMMUNICATIONS | CREATIVE DIRECTOR GRAPHIC DESIGNER Kris Christensen Berg Reeding Roberts MANAGING EDITOR PRODUCTION MANAGER he views of the Academy’s skies should be blue, rather than Audrey Fraizer Jess Cook TECHNICAL EDITOR WEB | MULTIMEDIA MANAGER new building from the air slate gray, and the Academy’s Brett A. Patterson Erwin Bernales might be something many building should be a lovely sight SENIOR EDITOR WEB DESIGNER T James Thalman Jason Faga do not have the opportunity to see. from any perspective. The best COPY EDITOR INTERNATIONAL TRANSLATORS Heather Darata Ammar Almshab Ana Corona And with so much to see from views are from the east-facing ASSISTANT EDITOR Giuditta Easthope Cynthia Murray Yardane Niessink below or inside, the view from the windows, and maybe I’m biased SENIOR DESIGNERS Nadine Schick Chris Carr Sara Scott top may be irrelevant. because it’s the view I see from Carolyn Turcotte Lee Workman Recently, though, it was a sky where I sit. But, let’s be honest, BOARDS & COUNCILS view two people were trying to a background of mountains is ACCREDITATION BOARD CHAIR Jaci Fox (Police/EPD Board) Brian Dale Susi Marsan (ETC) capture on a windless, cold, and— something everybody appreci- ALLIANCE BOARD CHAIR RESEARCH COUNCIL CHAIR Keith Griffiths Brett A. Patterson due to Salt Lake City’s nasty ates no matter how long a per - CERTIFICATION BOARD CHAIR STANDARDS COUNCIL CHAIRS Pamela Stewart Marie Leroux (Medical/EMD) inversion—hazy afternoon in Jan- son lives here. Gary Galasso (Fire/EFD) ™ CURRICULUM COUNCIL CHAIRS Tamra Wiggins (Police/EPD) Victoria Maguire (Medical/EMD Board) uary. PDC Regional Account The new headquarters of Mike Thompson (Fire/EFD Board) Manager Dixon Brown snapped the International Academies of ACADEMY STAFF stills from a camera while PDC Emergency Dispatch® (IAED™) PRESIDENT COMMUNICATIONS DIRECTOR Scott Freitag Kris Christensen Berg Senior Graphic Designer Chris is a focal point in a downtown ASSOCIATE DIRECTOR | USA DIRECTOR OF EUROPEAN RELATIONS Carlynn Page Tudy Benson Carr kept another camera roll- attracting an international rep- ASSOCIATE DIRECTOR | U.K. INTERNATIONAL LIAISON ing for a live feed. utation and flair. We are steps Beverley Logan Amelia Clawson ASSOCIATE DIRECTOR | AUSTRALASIA MEMBERSHIP SERVICES MANAGER The helicopter buzzing away from an outdoor shopping Peter Hamilton Arabella VanBeuge ACADEMICS & STANDARDS ASSOCIATE around the nine-story building in mall designed to complement Brett A. Patterson downtown Salt Lake City raised a the landscape and within walk- COLLEGE OF FELLOWS few eyebrows. It did mine. I was ing distance of numerous muse- CHAIR Thera Bradshaw (CA) (Emeritus) Marc Gay (Emeritus) Geoff Cady (CA) walking toward the office when I ums, theaters for symphony and Steven M. Carlo (NY) AUSTRALASIA | SOUTH AMERICA Jeff Clawson, MD (UT) Frank Archer, MD (Australia) Phil Coco (CT) noticed the helicopter approach- dance, city parks, and a night Andrew K. Bacon, MD (Australia) Brian Dale (UT) Peter Lockie (New Zealand) Chip Darius, MA (CT) ing downtown from the Wasatch life you might be surprised to Peter Pilon (Australia) Kate Dernocoeur (MI) CANADA Norm Dinerman, MD (ME) Mountains to the east. My first find here. Drew Burgwin (Br. Columbia) Patricia J. Dukes, MICT (HI) Claude Desrosiers (Québec) James V. Dunford, MD (CA) Douglas Eyolfson, MD (Manitoba) Marc Eckstein, MD (CA) guess was a helicopter ferrying The scenery is our crown Martin Friedberg, MD (Ontario) John Flores (CA) Marie Leroux, RN (Québec) (Emeritus) Scott Freitag (UT) people from a ski resort or tour- jewel! Downtown is less than an Mark Gay, (Québec) (Emeritus) Gary Galasso (CA) Paul Morck (Alberta) Keith Griffiths (CA) ists getting a birds-eye view of our hour’s drive from an afternoon Wayne Smith, MD (Québec) Jeffrey R. Grunow, MSN (UT) Darren Judd (UT) EUROPE Alexander Kuehl, MD, MPH (NY) (Emeritus) city and the Wasatch Mountains. of mountain adventure. A cam- Andre Baumann (Germany) James Lake (SC) Gianluca Ghiselli, MD (Italy) James Lanier (FL) Whatever the reason, I envied era is essential equipment. Aside Jean-marc Labourey, MD (France) Bill Leonard (AZ) Jan de Nooij, MD (Netherlands) Stephen L’Heureux (NH) Gwyn Pritchard (Cyprus) (Emeritus) Victoria A. Maguire (MI) the people flying above our drab from the scenic beauty, you never Bernhard Segall, MD (Austria) Sheila Malone (IN) Gernot Vergeiner (Austria) Susi Marsan (GA) winter inversion. know when you might stumble Christine Wägli (Switzerland) Robert L. Martin (DC) Dave Massengale (CA) UNITED KINGDOM | IRELAND Jim Meeks, PA-C (UT) The inversion literally puts a across a moose or mountain goat. Trevor Baldwin (England) Shawna Mistretta (CO) Michael Delaney (Ireland) Gene Moffitt (UT) lid on the cold air pooling in our I hope that you take the Conrad Fivaz, MD (England) Jerry L. Overton (UT) Louise Ganley (England) Eric Parry, ENP (UT) James Gummett (England) Rick W. Patrick (PA) urban bowl. Fog and low clouds opportunity to see more of Salt Chris Hartley-Sharpe (England) Brett A. Patterson (FL) Andy Heward (England) Paul E. Pepe, MD, MPH (TX) add to the jumble; visibility suf- Lake City and its breath-taking Stuart Ide (England) Ross Rutschman (OR) (Emeritus) Peter Keating (Ireland) Joe Ryan, MD (NV) Ray Lunt (England) Doug Smith-Lee (WA) fers and emissions from cars and outdoor venues during your stay Andy Newton (England) (Emeritus) Tom Somers (CA) John D. Scott, MD (England) Paul Stiegler, MD (WI) buses, fireplaces, and industry for the annual NAVIGATOR Janette K. Turner (England) Michael Thompson (UT) Carl C. Van Cott (NC) makes your eyes water (to say conference. We are a state of UNITED STATES Sheila Q. Wheeler, MSN (CA) Bill Auchterlonie (KS) Craig Whittington (NC) Robert Bass, MD (MD) Arthur H. Yancey, II, MD, MPH (GA) the least). The colder the tem - diversity, with a future that pre- Christopher W. Bradford (FL) Tina Young (CO) peratures, the more gunk accu- serves our natural beauty in the mulates, and when conditions climb to accommodate an inter- The Journal of Emergency Dispatch is the official bimonthly publication of the International Academies of Emergency Dispatch® (IAED™), a non-profit, standard-setting organization promoting safe and effective emergency dispatch services are inversion ideal, the beauty of national audience. worldwide. Comprised of three allied academies for medical, fire, and police dispatching, the IAED supports first-respond- er-related research, unified protocol application, legislation for emergency call-center regulation, and strengthening the Salt Lake City gets lost in the fog. Hopefully, there will come a emergency dispatch community through education, certification, and accreditation. General IAED membership, which includes a Journal subscription, is available for $19 annually, $35 for two years, Fortunately, by the time day when it’s no longer bad air or $49 for three years.