Quarterly Newsletter — June 2021
June 2021 Meeting
The C-TECC Meeting will be held at SOMSA 2021 on Monday, June 28 from 9:00 a.m. to 5:00 p.m. at the Charlotte Convention Center in Charlotte, NC. A virtual option will be made available to those unable to attend in-person. Be sure to RSVP below so the committee knows how many people to expect in-person and who needs the virtual meeting details.

The meeting agenda is currently in progress. The committee is soliciting speaker ideas and topics below. In addition, the committee will hold an academic discussion on recent literature of interest.


If you have suggestions on recent literature, discussion topics, speakers, or if you are interested in speaking, please submit below.
Will you be attending?
Charlotte, NC

06/28/21 9:00am - 06/28/21 5:00pm

Yes, attending in-person
Yes, participating virtually
No, unable to attend
C-TECC is collecting RSVPs to adhere to SOMSA COVID-19 recommendations on meeting space capacity and to ensure adequate space and resources for the anticipated number of attendees.
Committee Updates
Leadership Changes
Dr. David Calloway transitioned from the Co-Chair position into a Founder position on the Executive Committee. Current Vice-Chair Geoff Shapiro was elevated to Co-Chair with Dr. Rich Kamin and current Board Member Michael Marino was elected to assume the Vice-Chair position.
C-TECC Speaker Series


C-TECC is launching a virtual speaker series focused on current topics salient to tactical emergency casualty care understanding and best practices. Quarterly CME sessions will be delivered by thought leaders in their fields. The inaugural sessions are scheduled to kick off on:

  • Tuesday, September 14 @ 12:15pm (ET)
  • Tuesday, December 14 @ 12:15pm (ET)

Additional details regarding topics, speakers, registration, and CME to follow.
Whole Blood Research Survey

The use of whole blood for field transfusion as soon as possible prior to the arrival at a fixed medical institution has shown benefit in military medical and trauma literature. As such, several Fire/EMS agencies across the U.S. have implemented operational programs to allow for field deployment of whole blood on ground and air EMS units, and have developed EMS medical protocols to initiate whole blood transfusion prior to hospital arrival.

Dr. Reed Smith, Dr. Andrew Fisher, and Geoff Shapiro are conducting a survey to define the number of Fire/EMS agencies that are either currently active, planning, considering, or not interested in field whole blood. Your participation is voluntary. Take survey here.
Member Spotlight:
Assistant Chief Michael Marino
Prince George's County Fire & EMS
Assistant Chief Marino is recognized as the incoming C-TECC Vice-Chair.

In September 2020, Assistant Chief Marino's Naval Postgraduate School Thesis, Fast
Knowledge: Innovating in Homeland Security by Learning in Near Real-Time for High-Threat Events, was published.

This thesis examines effective organizational learning frameworks that can be applied to the homeland security enterprise to accelerate knowledge acquisition from major events in near real-time. The results demonstrate that speed is not inhibitory to the learning process. Recommendations highlight the need for adaptive change in how the homeland security environment evolves through the creation of an entity responsible for organizational learning. Such an approach would also leverage local learning officers to achieve bi-directionality in a novel knowledge acquisition process. A new framework for learning must also include a process for near real-time data collection and sensemaking, which would require both public-sector incubators as well as advocacy networks within a new systematic learning process. This approach to organizational learning is required so as not to repeat failures and to enable “fast-learning” as threats and threat actors evolve.
Related Research
Characteristics of survivors of civilian public mass shootings: An Eastern Association for the Surgery of Trauma multicenter study
The purpose of this study was to describe these characteristics to inform ideal preparation for Civilian Public Mass Shooting events. A multicenter, retrospective study of CPMS survivors who were treated at designated trauma centers from July 1, 1999 to December 31, 2017, was performed. Prehospital and hospital variables were collected. Thirty-one events involving 191 patients were studied. The median number of patients seen per event was 20 (5, 106), distance to each hospital was 6 (6, 10) miles, time to arrival was 56 (37, 90) minutes, number of wounds per patient was 1 (1, 2), and Injury Severity Score was 5 (1, 17). The most common injuries were extremity fracture (37%) and lung parenchyma (14%). Twenty-nine percent of patients did not receive paramedic-level prehospital treatment. Following arrival to the hospital, 27% were discharged from the emergency department, 32% were taken directly to the operating room/interventional radiology, 16% were admitted to the intensive care unit, and 25% were admitted to the ward. Forty percent did not require advanced treatment within 12 hours. The most common operations performed within 12 hours of arrival were orthopedic (15%) and laparotomy (15%). The most common specialties consulted were orthopedics (38%) and mental health (17%). Few CPMS survivors are critically injured. There is significant delay between shooting and transport. Revised triage criteria and a focus on rapid transport of the few severely injured patients are needed.
Sarani, B., Smith, E., Shapiro, G., Nahmias, J., Rivas, L., McIntyre, J., Robinson, B., Chestovich, P., Amdur, R., Campion, E., Urban, S., Shnaydman, I., Joseph, B., Gates, J., Berne, J., & Estroff, J. (2021). Characteristics of survivors of civilian public mass shootings: An Eastern Association for the Surgery of Trauma multicenter study. The Journal of Trauma and Acute Care Surgery90(4), 652–658. https://doi.org/10.1097/TA.0000000000003069
LA County study finds tourniquets improve survival, don't increase amputation risk
Researchers from the University of Southern California examined data from EMS provider and trauma registries at the Los Angeles County Department of Health Services EMS Agency collected between October 2015 and July 2019, according to the American College of Surgeons. The researchers found that those who had a prehospital tourniquet placed had about a 1% mortality rate compared with 8.9% for patients who did not have a tourniquet placed. The study also found the patients without tourniquets received an average of about 1 liter of blood after four hours and 2.5 liters of blood after 24 hours, compared with half a liter and 1 liter, respectively, for patients with a tourniquet.
Introducing Daneen Matheson
Daneen Matheson has come aboard to assist C-TECC with membership management, website development, and communications and outreach efforts. Daneen has more than 10 years of experience in project management and communications with the first responder and public safety community. She thanks C-TECC for this opportunity!
In The News...
Congressional baseball shooting survivors rip 'suicide by cop' designation

Survivors of the 2017 Republican baseball practice shooting are appealing to FBI Director Christopher Wray to publicly declare the attack a case of domestic terrorism and say they never accepted that it was "suicide by cop." Suicide by cop, Matt Mika, a Tyson Foods lobbyist, said, involves provoking the police — as he said happened at the Capitol last month when Noah Green, a fanatical supporter of Nation of Islam leader Louis Farrakhan, drove into a police barricade and attacked officers with a knife.
Future Newsletters
If you have any topics, articles, or research to highlight in the next C-TECC newsletter, please submit here:
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