8.2 Emergency, Evacuation & Medical Response
Key Takeaways
- PTA Topic 9: for medical emergencies, call 911, keep the area safe/clear for EMS, and do not attempt lifesaving measures beyond your training/certification.
- Know primary and alternate evacuation routes—stairs are the usual vertical egress in fire; elevators are generally not for fire evacuation unless authorized.
- Power outages require lighting/radio backups, non-electronic access control, and clear elevator-entrapment procedures.
- Maintain specific points of contact (911, facilities, supervisor, client, vendors) and give precise location details when calling.
- Fire and acts-of-nature response follows site plans and public-safety direction: alarm/evacuate, keep exits clear, and avoid making hazards worse.
8.2 Emergency, Evacuation & Medical Response
Quick Answer: Under BSIS Powers to Arrest Topic 9, the appropriate response to most medical emergencies is to call 911, keep the area safe and clear for responders, and avoid practicing medicine beyond your training/certification. Know evacuation routes (stairs, elevators, doors), power-outage procedures, points of contact, fire-safety basics, and acts-of-nature plans from site post orders.
Emergency situation response, including response to medical emergencies is Topic 9 in the BSIS Power to Arrest syllabus. Related electives—especially Evacuation Procedures (up to 2 hours)—expand that foundation into routes, power loss, contacts, and life-safety during fires and natural events. Together, these skills protect lives and keep you inside your legal role as a security guard, not a first-responder substitute.
Medical Emergencies: Observe, Call, Do Not Overreach
The July 2023 BSIS Power to Arrest and Appropriate Use of Force Training Manual is direct: a security employee faced with a medical emergency should almost always call 911 and help keep the situation and area safe and clear for emergency personnel. A guard should avoid attempting lifesaving measures of any type if they are not trained and/or certified to do so.
Translate that into a reliable sequence:
- Scene safety — Do not become a second victim (traffic, violence, chemical smell, downed wires).
- Recognize distress — Unresponsiveness, severe bleeding, chest pain, difficulty breathing, seizure, overdose signs, heat illness, traumatic injury.
- Call 911 (or activate the site’s emergency notification that immediately reaches 911) and stay on the line for instructions.
- Notify the post-order point of contact / supervisor while EMS is en route.
- Control the scene — Clear bystanders, hold elevators if directed for EMS, open access routes, meet responders at the designated entrance.
- Aid only within training — If you are CPR/First Aid/AED certified and employer policy authorizes use, follow that training; if not, do not improvise medical procedures.
- Document times, observations, names of witnesses, and actions taken.
“Helping” beyond training can worsen injuries and expand liability. Comfort, calm communication, and scene management are valuable even when you are not the medical provider.
Evacuation Routes: Stairs, Elevators, Doors
BSIS Evacuation Procedures electives require a working knowledge of evacuation routes, including stairs, elevators, and doors. Memorize maps for your post—primary and alternate paths, assembly points, and areas of refuge for people who cannot use stairs.
| Route element | Typical rule for guards | Exam / field trap |
|---|---|---|
| Stairs | Primary vertical egress during fire alarms | Blocking stairwells with carts or propped doors |
| Elevators | Usually do not use for fire evacuation unless fire department / post orders authorize firefighter service use | Habitually directing crowds into elevators during alarms |
| Doors | Keep exit doors clear, unlocked in the direction of egress when required, and never chained | Locking exits “for security” during occupancy |
| Assembly points | Move people to the designated outdoor or safe area and account if ordered | Letting people re-enter before all-clear |
Your job in an evacuation is often to direct, communicate, and report—not to force people physically unless lawfully authorized and trained for a specific life-saving necessity consistent with use-of-force rules. People may refuse to leave; report locations of persons remaining to arriving fire personnel.
Power Outage Procedures
Power outages disable lights, badge readers, elevators, and sometimes phones or cameras. Post orders and evacuation electives expect you to know:
- Where emergency lighting, flashlights, and backup radios are stored
- How access control falls back to non-electronic ID checks
- Whether elevators are out of service and how to handle entrapment calls (call elevator service / 911 per orders; communicate with trapped occupants if a car intercom works)
- Who the utility / facilities / client contacts are
- How to prevent panic: calm announcements, guided movement, and protecting dark stairwells and parking areas from secondary accidents or crime
Never prop open fire doors “for air flow” in a way that defeats compartmentation, and never leave a critical post unmanned during outage chaos without following relief rules.
Specific Points of Contact
Evacuation and emergency training stresses specific points of contact. Build a mental and written list for every post:
- 911 / local emergency dispatch
- Site facilities / engineering
- Security supervisor / operations center
- Client representative / property manager
- Elevator service vendor (for entrapments)
- Alarm monitoring company
- After-hours emergency call tree
When you call, give location (address + floor/suite), nature of emergency, known hazards, and callback number. Vague radio traffic wastes minutes.
Fire Safety Basics for Guards
You are not the fire department, but you must not make fires worse:
- Know pull-station locations, extinguisher locations, and alarm panel expectations in post orders.
- If you discover smoke/fire: rescue only if trained and safe, activate alarm / call 911, confine by closing doors if safe, evacuate, and extinguish only if trained, the fire is small, and you have a clear escape path.
- Match extinguisher class to fuel (ordinary combustibles, flammable liquids, energized electrical, etc.)—wrong extinguisher choice can spread fire or create shock hazard.
- Keep exit paths and fire lanes clear for apparatus.
- After alarm activation, meet fire personnel with keys/access as directed; do not reset alarms until authorized.
Acts of Nature and Life-Safety Emergencies
California posts face earthquakes, wildfire smoke/ash, extreme heat, flooding, high wind, and (in some regions) severe winter storms. Elective language covers emergency procedures related to life, safety, and acts of nature. Practical guard priorities:
| Event type | Guard priorities |
|---|---|
| Earthquake | Drop/cover/hold if indoors during shaking; after shaking, check for injuries/hazards; evacuate if structural damage, gas odor, or orders require; account and report |
| Wildfire / heavy smoke | Follow shelter-in-place or evacuate orders from officials/client; manage HVAC/door guidance only as directed by facilities |
| Flood / water intrusion | Keep people away from flooded electrical areas; report utility hazards; do not walk into swift water |
| Extreme heat | Watch for heat illness in outdoor posts and events; call 911 for severe symptoms; move people to cooler areas per policy |
| Civil / weather closure | Enforce access changes in updated orders; communicate calmly; document timeline |
Always prefer official instructions from public safety and the client’s emergency plan over rumors on social media.
Integrating PTA Topic 9 With Site Orders
Topic 9 is the legal/ethical baseline: call for help, keep the scene workable, stay within training. Site evacuation electives and post orders supply the how for your building. If orders are silent on a sudden medical emergency, default to 911 + scene safety + notification. If orders conflict with imminent death/serious injury risk, protect life, then document.
Mastering this section reduces panic decisions and exam errors that confuse “be a hero medic” with “be a competent security professional.”
According to the BSIS Power to Arrest guidance on medical emergencies, what is the most appropriate default response for a guard who is not certified to provide care?
During a fire alarm in a multi-story office building, which evacuation guidance is generally correct for security personnel directing occupants?
A building loses power, badge readers fail, and two visitors are at the lobby. What is the best access-control approach?
When calling 911 from a large commercial property, which information set is most useful?