Whiskey & Wounds

Operational Unity Under Fire: Implementing the CSR Framework for Active Shooter Response

December 09, 20256 min read

Introduction: Fragmented Response, Fatal Consequences

Unified Incident Command Post coordinating LE, Fire, EMS, and Emergency Management with shared channels and a single operational plan.

Active shooter incidents remain one of the most complex, time-compressed, and emotionally charged emergencies a jurisdiction can face. Despite the number of lessons learned and after-action reports filed since Columbine, the reality is that most communities still operate in silos. Law enforcement runs their tactics. EMS stages blocks away. Fire waits for direction. Emergency Management is often looped in only when the bodies are being counted and the press arrives.

This outdated and disjointed response model delays trauma care, wastes precious resources, and reduces the likelihood of survivor recovery. It is not enough to be fast—we must be unified.

The Chaos–Stabilization–Recovery (CSR) framework solves this by offering a phased approach that demands interagency integration. CSR isn’t just about moving quickly—it’s about moving together, under a single command structure, with synchronized priorities and clearly defined roles across every discipline involved.

The CSR Framework: An Overview

The CSR framework divides the response to an active shooter event into three distinct but overlapping operational phases:

  1. Chaos Phase – The initial response to the unfolding threat. Law enforcement engages. EMS and fire stage. Unified Command is initiated.

  2. Stabilization Phase – The shooter is neutralized or contained. MRTs deploy. Hasty CCPs are established. Tactical-medical coordination takes shape.

  3. Recovery Phase – The focus shifts to sustained medical care, victim transport, scene management, family reunification, and long-term operational support.

Each phase requires specific actions. But more importantly, each phase demands that all agencies work as one, under a single Incident Command Post (ICP), with shared language, shared goals, and unified SOPs.

The Role of the Incident Command Post (ICP)

Multi-agency training executing unified SOPs—LE secures the corridor while MRT conducts warm-zone litter movement toward staging.

At the heart of CSR is the Incident Command Post (ICP)—the central nerve center where leadership from law enforcement, EMS, fire, and emergency management coordinate the operation. The ICP isn’t symbolic. It’s operational.

The ICP serves to:

  • Unify strategy and tactics across disciplines

  • Assign clear roles and responsibilities

  • Coordinate Medical Rescue Team (MRT) deployments

  • Monitor threat updates and casualty flow

  • Prioritize resource deployment across sectors

  • Control the transition between CSR phases

Too often, scenes are cluttered with multiple command locations, duplicative radio traffic, and misaligned objectives. CSR corrects this through a single, strategically located ICP, ensuring everyone works from the same playbook.

Breaking from the Past: Ending Siloed Response

In the legacy model, law enforcement “owns” the initial scene while fire and EMS wait in staging—often with no situational awareness. Emergency Management is brought in later, typically long after the tactical and medical actions are underway. These silos exist in doctrine, training, communications, and even mindset.

This structure leads to:

  • Delayed deployment of medical assets

  • Poor corridor security during triage and patient movement

  • Uncoordinated victim transport

  • Bottlenecks at access and egress points

  • Conflicting radio traffic and information gaps

Under the CSR framework, silos are collapsed. Integration is enforced from the first minute of response, ensuring that command decisions consider every agency’s capabilities and constraints in real time.

Operational Synergy: A Unified Tactical-Medical Strategy

One of the CSR framework’s defining strengths is how it fuses tactical operations with medical response. While law enforcement engages the threat, MRTs stage at the Tactical Command Post. Once safe corridors or suppression zones are established, MRTs move into hot or warm zones, performing rapid triage and establishing CCPs.

This synchronization of movement relies on:

  • Preplanned joint SOPs that guide hot and warm-zone medical insertion

  • Live updates relayed through the ICP to all sectors

  • Shared communication platforms (e.g., cross-compatible radios, unified CAD systems)

  • Tactical-medic liaisons embedded within law enforcement teams

Fire and EMS don’t wait for law enforcement to finish. They move with them once a security team is established. This is a radical departure from historical models—and it’s the one that saves lives.

Unified SOPs: The Playbook for Survival

One of the greatest contributors to confusion in active shooter events is inconsistent or incompatible SOPs across agencies. Law enforcement may have a 10-page active threat plan. EMS may rely on a regional MCI guide. Fire may be using ICS doctrine from wildland or structure fire protocols. EMA might not even be included until the second or third hour.

CSR requires the development and adoption of shared SOPs, built collaboratively across disciplines, that define:

  • Roles and responsibilities in each CSR phase

  • MRT formation, deployment triggers, hot and warm zone criteria

  • Radio and communication protocols

  • Hasty CCP setup and patient movement tactics

  • Tactical-medical transition points

  • Command succession and authority flow

Unified SOPs aren’t just policy—they are the rules of engagement for domestic battlefield medicine. Without them, agencies default to fragmented response. With them, chaos becomes coordinated.

Emergency Management’s Role: Not After, But During

Emergency Management (EMA) is often the forgotten component in early-phase operations. In the CSR framework, EMA plays a vital role from the beginning, supporting:

  • Resource tracking

  • Mutual aid coordination

  • Shelter-in-place and evacuation messaging

  • Infrastructure integrity and utilities coordination

  • Family assistance and reunification centers

  • Long-term recovery and mental health planning

EMA isn’t just a logistics tail—they are a critical command asset. Their presence in the ICP during Chaos and Stabilization enables smoother Recovery operations and ensures community needs are anticipated and not delayed.

Training: Turning Theory into Muscle Memory

CSR timeline showing how the ICP synchronizes law enforcement, MRT, Fire/EMS, and Emergency Management from entry to recovery.”

For CSR to work, training must reflect it. This cannot be a one-time PowerPoint or tabletop exercise. It must be a crawl-walk-run approach that builds interagency trust and operational fluency.

Key CSR training strategies:

  • Joint scenario-based exercises with real-time command decision points

  • Live deployment drills including MRT movement and CCP establishment

  • Cross-training EMS, fire, and police in corridor security, triage, and force protection

  • Unified command post operations with simulation injects

  • Multi-agency after-action reviews focusing on process improvement—not blame

Interagency familiarity must be so strong that agencies instinctively align roles the moment they arrive. The battlefield is not the place to learn each other’s SOPs.

Survivability: The Ultimate Metric of Success

Too often, agencies measure active shooter success by how fast the threat was neutralized. While that is critical, true success is measured by lives saved—especially those who would have died without early intervention.

By implementing CSR with full interagency coordination, jurisdictions can:

  • Deploy MRTs within minutes of the first call

  • Establish CCPs inside hot zones

  • Conduct trauma triage before full scene clearance

  • Rapidly move casualties through secured corridors

  • Transport patients within the golden hour—often within 20 minutes of injury

These aren’t abstract goals. They are operational realities if the system is built and trained properly.

Conclusion: The Future is Unified, or It’s Fatal

The days of siloed response must end. Active shooter incidents are not just law enforcement events. They are multi-domain crises that demand multi-agency action, from the first radio transmission to the final patient transport. If your agencies aren't operating under a shared plan, with shared command, and shared accountability, then you're planning to fail.

The CSR framework is the roadmap out of fragmentation. It provides the phases. The structure. The command. The coordination. But it only works when we commit—fully—to each other.

Because in this fight, no agency wins alone. And when we act alone, people die.

The ICP is the anchor. Unified SOPs are the compass. CSR is the path.

Train together. Lead together. Respond together. That’s how we win.

Rory Hill is the founder and President of Goat-Trail Austere Medical Solutions (GAMS) with over 30 years of experience in EMS, tactical medicine, and emergency management. A U.S. Army veteran and former flight paramedic, Rory has served both urban and austere environments—from Indiana to Iraq—specializing in high-threat response, training, and operations. He holds advanced degrees in Emergency and Disaster Management and continues to teach evidence-based NAEMT-certified courses while leading GAMS with a focus on “Real World Medicine for Real World Situations.”

Rory Hill

Rory Hill is the founder and President of Goat-Trail Austere Medical Solutions (GAMS) with over 30 years of experience in EMS, tactical medicine, and emergency management. A U.S. Army veteran and former flight paramedic, Rory has served both urban and austere environments—from Indiana to Iraq—specializing in high-threat response, training, and operations. He holds advanced degrees in Emergency and Disaster Management and continues to teach evidence-based NAEMT-certified courses while leading GAMS with a focus on “Real World Medicine for Real World Situations.”

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