The recent spike in major active shooter events in the United States has forced homeland security officials and first responders to more closely examine techniques and protocols to safely and effectively respond to these attacks. The operational paradigm to “Stop the Killing, Stop the Dying” through an integrated law enforcement and emergency medical services (EMS) response to active shooter events has been promoted by a number of key U.S. local, state, and federal agencies.1 New York State has been at the forefront of this effort by providing robust, hands-on, scenario-driven training to law enforcement and EMS responders at the State Preparedness Training Center (SPTC).