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A tactical medical team consists of first responders who are trained in special operations and basic EMT skills. Being trained in both areas allows tactical medics to attend to the wounded as quickly as possible, even when a scene is not secure. By outfitting a crisis response team with at least one of these multifunctional individuals, agencies can save precious time and, as a result, lives.

Already tasked with many responsibilities, firefighter duties are expanding in a few cities to include more medical care. Unlike tactical medical teams, where EMTs are given tactical skills to use on the scene, this medical attention occurs after an individual has been discharged from the hospital.

Firefighters and law-enforcement agencies in Riverside County are practicing or discussing new federal guidelines that, in order to save more lives, recommend sending armor-wearing medics into mass-casualty attacks before shooters or bombers are subdued. San Bernardino County sheriff's deputies and Rancho Cucamonga firefighters, meanwhile, are years ahead of the guidelines that the Federal Emergency Management Agency issued in September. The tactic is a departure from the common practice of making firefighters wait in safe areas for the all-clear from police before entering a scene to tend to the wounded. The impetus for change, said San Bernardino County sheriff's Lt. Danielle Boldt, began with the 1999 shootings at Columbine High School in Colorado that killed 13 people.

Faced with new threats, first responders put their training to the test in 2014. Law enforcement agencies, disaster workers and even school teachers learned new practices and honed their instincts to better allow them to survive stressful situations while caring for others. As the year comes to an end, we look back on how comprehensive training strategies contributed to effective emergency responses