Hospital Response to the Active Shooter/Active Assailant

Active shooter events have increased 600% in the United States since 2009 and the lethality of these events has increased more than 150%. Hospitals have not been immune to shooting events, and approximately one hospital shooting event occurs each month in the United States. Just in the last decade, more than 154 hospital shootings occurred, leaving 225 dead or seriously injured. Hospital workplace violence has reached endemic proportions, with more than half a million healthcare providers assaulted each year in the United States.


The number one motive for hospital shootings is a grudge against hospital staff. Research at the University of Miami found that 5% of all patients in the study stated they would like to kill their primary healthcare provider. Other motives for hospital shootings include prisoner escapes, suicide, euthanizing ill relatives, and spillover violence from the community.


Retrospective reviews of multiple hospital active shooter events and drills have found numerous flaws with active shooter response. Some of these flaws include staff unaware of lockdown procedures, staff never hearing lockdown warnings, staff ignoring lockdown warnings, staff not knowing what to do with patients, and staff unaware of escape options.

Hospital police and security fail to realize how manpower intensive hospital active shooter events will be, and fail to understand how to effectively search and clear a hospital from a perpetrator. Hospital administrators also fail to realize that parts of their hospital may be closed for an extended period of time during crime scene investigation. Hospital administrators must also understand the legal liability of failing to effectively plan and prepare for these types of events.


This presentation will cover the history of hospital active shooter events, hospital workplace violence statistics, perpetrator motives, methods to combat hospital active shooters, and attack actions if an event occurs. In addition, this presentation will review several hospital active shooter events and review lessons learned. Last, the presenter will discuss the need for mass hemorrhage training for all medical staff and the placement of mass hemorrhage equipment throughout the hospital.

Threat Suppression staff are recognized international experts in active shooter response. Our staff have conducted more than 10,000 hours of research on active shooters. One of our staff members published the world's only doctoral dissertation on active shooter, with a focus on response to these events. The Department of Homeland Security, Department of Justice, Department of Defense, and Department of Education all recognize Threat Suppression as an international leader in active shooter training. Our staff have provided active shooter training for major hospitals, the Emergency Nurses Association, the American College of Emergency Physicians, and the American Association of Critical Care Nurses.

This class is for active public safety, military law enforcement, hospital administrators, hospital security, and government officials only. This class is not available to the general public. If you would like to download a copy of the course description, please click here.


If you would like more information on booking this course, please email, or call 1-800-231-9106.


Contact Information
Phone: 800.231.9106

Corporate Headquarters
Odell Tower, 16th Floor

525 North Tryon Street, Suite 1600

Charlotte, NC 28202 (USA)

Mailing Address
P.O. Box 57

Fort Mill, SC 29715 (USA)


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