In tactical medicine, we talk about the “hot zone, the warm zone, and the cold zone.” We make those distinctions to differentiate what kind of care we should be giving under which conditions. But its critical to realize that what’s cold and what’s hot changes rapidly in dynamic active violence events. There really is no such thing as a permanently cold zone.
For many years fire departments pushed back against any kind of tactical training. They had no problem running into burning buildings, but one bozo with a .22 anywhere in a 100 acre complex was “too dangerous.” This article gives the lie to the notion that EMS personnel can continue to operate without at least rudimentary tactical training.