Law enforcement and healthcare organizations – including emergency medical services (EMS), trauma centers, and other hospitals – have a common mission in active shooter attacks: saving lives. Law enforcement stops the shooter, healthcare stops the bleeding, but both must work together to ensure early access to victims and their rapid evacuation.

This article describes the importance of: (a) engaging the public in lifesaving bleeding control; and (b) promoting cross-discipline collaboration and coordination among law enforcement, EMS, trauma centers, and other hospitals. Law enforcement has made significant strides in learning how to prevent and respond to active shooter incidents, which include: adapting tactics based on prior active shooter responses, collaborating with EMS, training on hemorrhage control, and equipping officers with individual first aid kits that include tourniquets. Similarly, healthcare organizations have made substantial progress in planning and training for active shooter response, and in using evidence-based lessons learned from the military’s experience in hemorrhage control that have saved lives.

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