Course Objectives: This course teaches the Active Attack Integrated Response (formerly known as the Rescue Task Force) concept, which has become the national standard active shooter response doctrine for law enforcement officers, EMS providers and firefighters to Active Shooter situations. The class brings trained day-to-day EMS providers and firefighters and partners them with law enforcement on scene to rapidly enter secured areas of an active shooter incident to provide triage, emergent care and patient extrication to a casualty collection point. This course is designed to bring EMS and firefighters together with law enforcement to collaboratively train together in an integrated fashion. It will include classroom instruction and fast-paced field training exercises. EMS training will include: performing a quick initial medical assessment and immediate lifesaving interventions in a chaotic and stressful environment, rapid patient movement, introduction to ballistic vests, moving and communicating with law enforcement in various formations. Law enforcement training will focus on neutralizing the threat and establishment of secured areas and escorting and protection of EMS personnel. Firefighter training will focus on assisting with the evacuation of victims and the establishment of casualty collection points. Target Audience: EMS providers, local and regional law enforcement, local firefighters. Day 1 is tactical medicine and is designed primarily for EMS providers; however, many local law enforcement and firefighter students have told us they learned much to help them in their jobs from the day 1 curriculum.