MED-TAC International's Mass Casualty Incident (MCI) and Active Shooter Kits are configured for multi-patient hemorrhage response in high-threat environments. Built around Hartford Consensus and NFPA 3000 frameworks, these kits equip law enforcement, fire/rescue integrated teams, EMS, schools, and corporate security to treat multiple simultaneous casualties until definitive care arrives. Every kit ships from the manufacturer or authorized master distributor.
What Is the Hartford Consensus and Why Does It Define MCI Kit Configuration?
The Hartford Consensus — developed by the American College of Surgeons Committee on Trauma in 2013 following the Sandy Hook shooting — established the THREAT protocol: Threat suppression, Hemorrhage control, Rapid Extrication to safety, Assessment by medical providers, and Transport to definitive care. The consensus identified that 20–30% of trauma deaths in mass casualty events are preventable through immediate hemorrhage control — the same fraction seen in military combat data. The Hartford Consensus directly shapes MCI kit contents: every kit must provide enough tourniquets, hemostatic gauze, and pressure dressings for multiple simultaneous casualties. NFPA 3000 — the Standard for an Active Shooter/Hostile Event Response Program — further operationalizes integrated law enforcement-EMS-fire response with specific equipment caches at the zone interface. Browse the Rescue Task Force Equipment collection for RTF-specific loadouts.
How Do MCI Active Shooter Kits Differ from Standard IFAKs?
| Feature |
Standard IFAK |
MCI / Active Shooter Kit |
| Casualty Capacity |
1 patient |
3–10+ patients (varies by kit) |
| Tourniquet Count |
1–2 |
5–20+ (bulk packs) |
| Hemostatic Gauze |
1–2 packages |
5–15+ packages |
| Chest Seals |
1 twin-pack |
Multiple twin-packs or vented singles |
| Staging |
Individual carry |
Fixed cache: patrol vehicle, school, building entry |
| Regulatory Framework |
CoTCCC / TCCC |
Hartford Consensus + NFPA 3000 + TCCC |
What Are NFPA 3000 Equipment Requirements for Active Shooter Response?
NFPA 3000 (Standard for an Active Shooter/Hostile Event Response Program, 2018) requires that first response agencies establish zone-specific equipment caches at the warm zone / rescue task force staging area. Required cache contents under NFPA 3000 include: CoTCCC-recommended tourniquets (minimum quantity sufficient for anticipated casualty count), hemostatic dressings, pressure bandages, chest seals, and airway adjuncts. The standard also requires that RTF personnel receive specific medical training aligned with TECC (Tactical Emergency Casualty Care) guidelines for warm-zone responders. MCI kits in this collection are configured to support NFPA 3000 compliance for departmental or institutional equipment caches. The Triage collection contains triage tags and MCI management supplies.
Which Organizations Need MCI Active Shooter Kits?
Any organization with a duty to prepare for mass casualty events should stage MCI kits: law enforcement agencies (patrol vehicles, precinct caches, SWAT teams); fire and rescue departments operating as RTF components; EMS systems with warm-zone response protocols; K-12 schools and universities under ALERRT or I Love U Guys Foundation preparedness programs; corporate security teams at high-occupancy facilities; and event security at large venues and public gatherings. FEMA's Healthcare Coalition guidelines also recommend MCI kit staging in hospitals and healthcare facilities. The Corporate & School Medical Kits and Public Access Bleeding Control Kits collections also address institutional needs.
What Training Is Required to Use an MCI Kit Effectively?
Effective MCI kit deployment requires training that mirrors the scale of the equipment: TECC (Tactical Emergency Casualty Care) for law enforcement and fire/EMS RTF personnel; Stop the Bleed Advanced for trained civilian responders; TCCC (Tactical Combat Casualty Care) for military-adjacent operators; and PHTLS (Prehospital Trauma Life Support) for EMS providers. Triage training (START, SALT protocols) is also essential for multi-patient scenarios — sequencing care across multiple casualties requires rapid assessment skills that differ from single-patient IFAK use. MED-TAC partners with training organizations; see the Training Kits & Supplies collection for practice materials.
Equip Your Organization for Multi-Casualty Response
Hartford Consensus-configured kits for law enforcement, fire/rescue, schools, and corporate security. Bulk institutional pricing available.
Frequently Asked Questions
What is the THREAT protocol from the Hartford Consensus?+
THREAT stands for: Threat suppression (law enforcement neutralizes or contains the threat); Hemorrhage control (immediate bleeding control by any trained responder or civilian bystander); Rapid Extrication to safety (move casualties out of the threat zone); Assessment by medical providers (EMS and RTF providers conduct patient assessment); Transport to definitive care (rapid transport to trauma centers). The protocol recognizes that the first responders to reach casualties in an active shooter event may be law enforcement officers, not medics — and that hemorrhage control training for all first responders is critical.
How many tourniquets should be in an MCI kit?+
Tourniquet quantity in an MCI kit should be based on the anticipated casualty count for the facility or deployment scenario. A general planning factor: assume 60–70% of penetrating trauma casualties in an active shooter event will have extremity wounds requiring tourniquet application. For a school with 500 students, planning for 10–20 tourniquet applications would be a minimum starting point for a cache kit. Most MCI kits in this collection are configured for 5–10 patients; larger institutional kits can be assembled from bulk tourniquet orders and appropriate bag/case components.
What is the difference between TCCC and TECC for active shooter response?+
TCCC (Tactical Combat Casualty Care) was developed for military combat settings. TECC (Tactical Emergency Casualty Care) is the civilian law enforcement adaptation, developed by the Committee for Tactical Emergency Casualty Care (C-TECC). TECC addresses civilian-specific scenarios — including active shooter, mass casualty, and high-threat rescue environments — with three phases mirroring TCCC: Direct Threat Care (hot zone), Indirect Threat Care (warm zone), and Evacuation Care (cold zone). For active shooter response, TECC is the governing framework for law enforcement, fire/rescue RTF, and EMS warm-zone operations.
Can schools legally purchase and stage MCI kits?+
Yes. MCI kits and their components — tourniquets, hemostatic gauze, chest seals, pressure dressings — are legal for institutional purchase and staging in all 50 states without restriction. Many states have enacted legislation specifically encouraging or mandating bleeding control kit staging in schools. The Stop the Bleed campaign, supported by the American College of Surgeons, provides a school-specific kit framework. Schools should coordinate with their local EMS medical director to select appropriate kit contents and ensure staff training aligns with kit components.
How often should MCI kit contents be inspected and replaced?+
Staged MCI kits should be inspected quarterly: check all expiration dates, verify packaging integrity, confirm tourniquet function (windlass and buckle), and replace any items with compromised sterile packaging. Most consumable components (hemostatic gauze, chest seals, bandages) have 3–5 year shelf lives. Designate a responsible party (security director, nursing staff, SRO) for quarterly checks and document inspection dates. MED-TAC offers restocking services and can supply individual replacement components for expired items without requiring full kit replacement.
What is the difference between a Stop the Bleed kit and an MCI active shooter kit?+
A Stop the Bleed kit is a minimal public-access configuration — typically one tourniquet, one hemostatic dressing, and one pressure bandage — intended for a single untrained bystander to manage one patient. An MCI active shooter kit is a professional-grade, multi-patient cache with 5–20+ tourniquets and corresponding hemostatic and chest seal supplies for a Rescue Task Force or first response team managing simultaneous casualties. Stop the Bleed kits are appropriate for public wall-mount cabinets; MCI kits are appropriate for law enforcement vehicles, RTF staging areas, and emergency caches at high-occupancy facilities.
Related Collections
All products sourced from the actual brand manufacturer or authorized master distributors. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
