Topics to include: History and Response - past and present - to active shooter and bombing incidents, Basics of hemorrhage control, airway, ventilation, penetrating trauma, and shock, Role of incident command; law enforcement / EMS coordination, Role of triage, evacuation, and casualty collection, Case Study: The Aurora Experience / response to a movie theater mass shooting, Ballistics, Explosives, and the physiology of wounding, Mitigation of scene hazards, New perspectives on the medical response to dynamic MCI incidents, and Hands on Active Shooter - MCI training. This course integrates guidelines from the Committee on Tactical Emergency Casualty Care (Co-TECC).