The first fire department or EMS supervisor on scene (depending on the local response model) is assigned as the Medical Branch Director and directs medical operations. The Medical Branch Director keeps the Incident Commander informed on all medical aspects of the response. The Medical Branch Director directs all fire and EMS assets assigned to the Medical Branch. The Triage Group Supervisor and the Transport Group Supervisor work directly for the Medical Branch Director, who works alongside (face-to-face) the Law Enforcement Branch Director in the Command Post.
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Glossary
October 15, 2026 • 1 min read
Medical Branch Director
Definition
In an active shooter incident, the role who directs medical operations. Once designated, this person remains focused on the medical objectives and manages the medical response to the incident.
Official Definition
Source: Active Shooter Incident Management: Instructor Guide, C3 Pathways, Inc., 2026.
Discussion
Author
Lead Instructor
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Lead Instructor
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Frequently Asked Questions
The first fire or EMS supervisor on scene, depending on the local jurisdiction response model (e.g., fire rescue vs. third service EMS, etc.).
The Medical Branch Director keeps the Incident Commander informed and directs all medical operations.
All fire and EMS assets assigned to the Medical Branch.
The Triage Group Supervisor and the Transport Group Supervisor.
The Medical Branch Director keeps the Incident Commander informed and directs medical operations. Additionally, the Medical Branch Director coordinates with the Law Enforcement Branch Director, both of whom are physically co-located face-to-face at the Command Post.
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