The Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass-Casualty and Active Shooter Events, founded by the American College of Surgeons (ACS), held its third Hartford Consensus meeting April 14, 2015, in Hartford, CT. Chaired by ACS Regent Lenworth M. Jacobs, Jr., MD, MPH, FACS, professor of surgery; director, Trauma Institute; and vice-president of academic affairs, Hartford Hospital, the meeting focused on implementation of strategies for effective hemorrhage control.
The full Hartford Consensus III report will be published in the July issue of the Bulletin. Briefly, however, the Hartford Consensus III centers on strategies for preparing individuals at the scene of a mass-casualty event to serve as immediate responders using the group’s THREAT system. THREAT involves the following:
- Threat suppression
- Hemorrhage control
- Rapid Extrication to safety
- Assessment by medical providers
- Transport to definitive care
The Hartford Consensus calls for a seamless, integrated response from the following groups:
- Immediate responders: Individuals present at the incident
- Professional first responders: Law enforcement, emergency medical service personnel, fire fighters, and rescue workers
- Trauma professionals: Hospitalists; emergency department physicians, nurses, and technicians; and trauma surgeons
Empowering immediate responders
An emphasis of the Hartford Consensus III is on empowering the public to provide lifesaving, first-line care. The Hartford Consensus III also calls for educating individuals and communities about the use of effective external hemorrhage control techniques and for ensuring access to bleeding control bags in public places in the same way that automatic external defibrillators are now accessible to the public. For example, the document calls for extending Good Samaritan protections to individuals who use tourniquets and lifesaving devices to control the bleeding of victims at mass-casualty events.
A number of ACS Fellows in addition to Dr. Jacobs participated in the Hartford Consensus III, a list of whom can be found in the sidebar.