Active Shooter Training

Physicians Quality Care OCCMed is offering active shooter seminars to train managers and other employees in what to do in those critical minutes after someone with a gun enters the workplace and before law enforcement and medical help arrives.

Sign up for our active shooter seminar. Contact Jennifer Carmack at 731.984.8400 or


Lt. Chip Holland

Lieutenant Donald  “Chip” Holland  has been in law enforcement since 1989.  He has been Operational Commander of a Tactical Unit for 20 years and has led multiple tactical operations, executed search warrants, and served high risk arrest warrants. In addition, he has directed a law enforcement Firearms Training Unit.

Lieutenant Holland was a member of the Narcotics Unit for six years and its operation supervisor for three. He has also been active in the local Criminal Investigation Unit. Lieutenant Holland continues to hone his skills through regular training conducted by the FBI, Secret Service, Department of Defense, and Department of Justice as well as various state, local, and private training organizations. These have included advanced instruction in firearms, tactical operations, active shooter training, counter terrorism, personal defense, school violence, explosive devices and dignitary protection. He is a State of Tennessee Certified Firearms Instructor, Department of Commerce and Insurance Instructor, and is recognized as a Specialized Instructor in Firearms and Active Shooter by the State of Tennessee Peace Officers Standards and Training. Lieutenant Holland has also taught active shooter courses at the Tennessee Law Enforcement Training Academy.

Physicians Quality Care OCCMed is fortunate to have an instructor with the practical experience and skills possessed by Lieutenant Holland and we welcome him to the PQC family.

Dr. Melanie Hoppers

Dr. Melanie Hoppers is a practicing physician, board certified by both the American Board of Internal Medicine and the American Board of Pediatrics. Dr. Hoppers received her Bachelor of Science degree from Union University and was awarded her Doctor of Medicine from the University of Tennessee Health Science Center. Since that time her practice has included primary care, urgent care, emergency medicine and occupational medicine. Dr. Hoppers is currently involved in multiple research trials to investigate the efficacy of new drugs before they go to market.

Dr. Hoppers has over 150 hours of tactical medicine training and is certified by the International School of Tactical Medicine whose clients include the FBI, DEA, ATF and many others.  She is qualified to enter a dangerous situation along with a law enforcement tactical team and render emergency aid.

Dr. Hoppers is co-owner of Physicians Quality Care and understands the necessity of providing a safe and secure work environment.

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Would you know what to do?

active shooter training

Our Active Shooter seminars teach your managers and employees how to react in those critical minutes after someone with a gun enters the workplace and before law enforcement and medical help arrive.

The seminars are taught by a 30-year law enforcement veteran and a physician certified in tactical medicine.

To learn more about our Active Shooter seminars contact Jennifer Carmack at 731.984.8400 or

Companies should have violence response plan to protect employees

active shooter training

The violence is alarming. Active shooter incidents have been increasing since the FBI first started keeping track of them in 2000. And a high percentage of incidents have occurred where people work.

“Although OSHA requires employers to maintain an emergency response plan (Standard 1910.38), it does not have specific requirements about active shooter incidents or preventing workplace violence,” said Jennifer Carmack, Director of Physicians Quality Care OCCMed. “We can help employers develop a workplace violence prevention and response policy.”

Physicians Quality Care OCCMed is offering active shooter seminars to train managers and other employees in what to do in those critical minutes after someone with a gun enters the workplace and before law enforcement and medical help arrives.

The purpose is twofold: to help companies create a prevention and response plan if someone with a gun enters the workplace and to teach people how to control hemorrhagic bleeding to save the life of someone who has a gunshot wound until the victim receives medical care.

The FBI defines an active shooter incident as when an individual is actively engaged in using firearms to kill or attempt to kill people in a populated area.

The seminars are taught by Lt. Donald “Chip” Holland, a 30-year West Tennessee law enforcement veteran, and Melanie Hoppers, M.D., a Physicians Quality Care physician, who is board certified in pediatrics and internal medicine and who has had extensive training in tactical medicine. Lt. Holland has been a leader for a tactical response team and has taught active shooter training at the Tennessee Law Enforcement Academy.

Each seminar lasts five to six hours and includes a facility walk-through, a written action plan, and practical classroom instruction on what to do in an active shooter incident, both to protect oneself and how best to keep from interfering with law enforcement in a critical situation.

The final portion of the seminar gives attendees hands-on experience in hemorrhage control, correct tourniquet use, wound packing, and safe lift and carry techniques.

For more information about the active shooter seminar or developing a response plan, contact Carmack at 731.984.8400 or

Know how to control bleeding

active shooter training

Whether it’s workplace violence or a serious accident, knowing how to control bleeding can save lives.

That’s why Physician’s Quality Care OCCMed is offering classes that teach how to control life-threatening bleeding. The classes can be taught as part of OCCMed’s active shooter seminars or separately.

“We also are selling kits to control bleeding for companies to have on hand for emergencies,” said Jennifer Carmack, Director of Physicians Quality Care OCCMed.

“People with a life-threatening wound are more likely to survive if a bystander knows how to control the bleeding until medical care arrives,” said Dr. Melanie Hoppers, Chief Medical Officer at Physicians Quality Care, who teaches the hemorrhagic bleeding course.

“Since gunshot wounds are likely to cause bleeding, there’s a renewed push in teaching people how to control the bleeding until the victim gets medical help. It’s important in saving lives. For example, all of the people who got makeshift tourniquets from bystanders at the Boston Marathon bombing survived.”

Dr. Hoppers has received extensive on-site training at the International School of Tactical Medicine in Sacramento, Calif. Students at the Sacramento school have included members of the FBI, DEA, ATF and hundreds of other organizations.

First aid for an open, bleeding wound …

  • Immediately apply firm, direct pressure to the wound to stop the bleeding.
  • If a clean cloth or bandage is available, put it on the wound and press it firmly with your palm to control bleeding.
  • Apply constant pressure until the bleeding stops.
  • Maintain the pressure by binding the wound with a thick bandage or a piece of clean cloth. If not available, continue to maintain pressure with your hands.
  • Apply a tourniquet if you’re trained in how to do so. Be prepared to explain how long the tourniquet was in place when emergency help arrives.
  • If possible, raise the injured limb above the level of the heart. Immobilize the injured body part as much as possible.
  • Remove any clothing or debris on the wound. 
  • Don’t remove large or deeply embedded objects, probe the wound or try to clean it. 
  • Don’t put direct pressure on an eye injury or embedded object.

Source: Mayo Clinic  

Time is of the essence

Every moment counts when you are near an active shooter. The Department of Homeland Security advises being prepared to take three courses of action:

  • Avoid. If you see someone with a gun or hear gunfire, run away as fast as possible if you have an accessible escape path – even if others around you don’t want to follow.
  • Deny. If you can’t escape, find a place where the shooter is unlikely to find you. Find a room with a door and lock it, or barricade heavy furniture against the door. Hide behind large items. Silence electronics. Remain calm and quiet.
  • Defend. Confront the shooter as a last resort when you believe your life is in imminent danger.

Some facts about active shooter incidents

  • Of 160 active shooter incidents in the United States between 2000-13, 80 percent occurred at work.
  • The U.S. had an average of 6.4 active shooter incidents yearly between 2000-06.
  • The U.S. had 16.4 incidents per year from 2007-13.
  • Both 2014 and 2015 had 20 incidents.
  • Active shooter incidents in 2016 and 2017 included 49 deaths and 50 injuries at an Orlando nightclub and 58 deaths and more than 575 people injured at an outdoor concert in Las Vegas.

Source: FBI

For more information about scheduling an active shooter seminar, contact Jennifer Carmack, Director of Occupational Medicine, at 731.984.8400 or