Pediatric Trauma Society

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Run, Hide, Fight: One Institution's Attempt to Provide Real World Training for Active Shooter Response
Brent Kaziny, MD; Christi Reeves, MSN, RN; Katherine Gautreaux, BSN, RN; Jenna Blair, RN; James MItchell1; Aaron Freedkin
Texas Children's Hospital, Houston, TX

Background: As active shooter events increase in their frequency and impact, Texas Children's Hospital (TCH) recognized during our Hazard Vulnerability Assessment (HVA) process that more work was needed regarding planning and preparation for such events to attempt to mitigate concerns for increased risk. Providers throughout the institution were exposed to a piloted trial of "Run, Hide, Fight" training from security services for TCH.

Methods: Prior to the opening of TCH the Woodlands Campus, Emergency Management, partnering with security, and local law enforcement conducted two days of active shooter exercises at the hospital. The exercises were preceded by brief instruction from law enforcement of the principles of "run, hide, fight" This experience was replicated at TCH west campus and the training experience was further refined and culminated in a day long training at our soon to be opened critical care tower. The day long training consisted of 5 sessions two hours each that had two scenarios play out for each, allowed participants to respond two times during the training.

Findings: Feedback from participants exhibited an increased familiarity with the concepts outlined in "Run, Hide, Fight" and more comfort with understandings of the role both security and local law enforcement would play in the response to an active shooter event. As a result of these trainings, our levels of preparedness have increased thus decreasing the ranking of active shooter on our HVA.

Conclusions: The establishment of an active shooter response training curriculum is important to improve the degree of preparedness for these impactful events.

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