www.caroline-hamilton.com

Doctor Shot and Killed in Grudge Shooting Over “Mom”

Posted on January 25, 2015 9:53 am by Caroline Ramsey-Hamilton Comment

RISKAlert- Active Shooter No. 625, January 21, 2015, Boston, Mass.

Middle-Aged Shooter kills Cardiologist at Brigham and Women’s Hospital, and then Kills
Himself, in an apparent Grudge Shooting Because the Doctor had Operated on his Mother.

On Tuesday morning on Jan. 21, at 11 am, Stephen Pasceri, 55, walked into the Shapiro Center
at Brigham and Women’s Hospital, and asked to see cardiologist, Dr. Michael J. Davidson. When
he saw Dr. Davidson, outside of an exam, he shot him twice, critically injuring him.

Dr. Davidson later died from his injuries. Pasceri then went to the 2^nd floor and killed himself with a gunshot
to the head. Later, it was discovered that Dr. Davidson had operated on Pasceri’s mother, Marguerite, and
she had died on November 15, 2014. Pasceri’s sister was quoted as saying, “He loved his mom, and he
loved her very much. He appeared to be handling her death well,” the sister said of her brother.

“Everything seemed to be going really well. I have no idea why he snapped like this.
He was a great guy. He took care of his family, he had a beautiful house and he has four
beautiful children. He was an upstanding citizen.”

The hospital locked down and rushed Dr. Davidson into surgery, but he died during the night from his injuries.
Brigham and Women’s Hospital’s COO said the hospital was one of the first to institute an active shooter
training program. The hospital does not use metal detectors.

Lessons Learned : “A is for Access Control”

1. Metal Detectors can be are a reliable tool to Prevent In-Hospital Shootings.

2. Active Shooter Drills are NOT ENOUGH as these incidents unfold in just a few minutes.

3. Installing ‘NO WEAPONS’ Signage at Entrances can be a deterrent to these first time shooters.

Despite having a good job, family, and a beautiful home, when confronted with a mid-life crisis, his mother’s
death, another middle-aged shooter goes to a hospital and shoots the doctor, in a scenario that resembles
the Johns Hopkins shooting in 2010. To protect staff and patients, hospitals will have to increase their
security protective measures, including use of metal detectors, no weapons signage and
situational awareness of the staff.

RISKAlerts is a publication of Risk & Security LLC.
To subscribe, write to: info@riskandsecurityllc.com

RiskAlert Incident Report #473 – Hospital Admin Killed at Home

Posted on January 6, 2014 12:43 pm by Caroline Ramsey-Hamilton Comment

RiskAlert INCIDENT REPORT 473 – ACTIVE SHOOTER 12-27-2013

Oschner Hospital Administrator Shot to Death in his Home in Active Shooter Spree

Dateline: December 27, 2013 pm

A Louisiana man attacked his former in-laws, his current wife, and the Administrator of a hospital
where he’d worked, killing three and wounding three others before killing himself, authorities said.

The shooter, Ben Freeman, 38, was found late Thursday night in his car along a highway,
dead from a self-inflicted gunshot wound to the head.

The shootings happened at four locations in two parishes about 45 miles southwest of New Orleans
on Thursday. The first report came about 6:40 p.m., when Lafourche Parish Councilman Louis Phillip
Gouaux, who was shot in the throat, called 911 from his home in Lockport, Houma, La.

The suspect, Ben Freeman, 38, was the ex-husband of Gouaux’s daughter Jeanne, Lafourche Parish
Sheriff’s Office spokesman Brennan Matherne said in a news release.

Gouaux’s wife, Susan “Pixie” Gouaux, was dead when deputies arrived. Louis Phillip Gouaux and his
daughter, Andrea Gouaux, were injured and taken to Interim LSU Public Hospital in New Orleans.
Both were in critical but stable condition, Matherne said.

About 20 minutes later in Raceland, Ochsner St. Anne General Hospital Administrator Milton Bourgeois
was shot and killed at close range at his home. His wife, Ann Bourgeois, was shot in the leg, and taken
to the New Orleans hospital, where she was listed in stable condition. Raceland police said Bourgeois
was shot at close range and his wife was shot in the leg.

Freeman had been employed at three area hospitals over the last few years, including Oschner St. Anne Hospital, where Lafourche Parish Sheriff Craig Webre said he had been a registered nurse before he was fired in 2011. All three hospitals were put on lockdown for a while Thursday.

Freeman’s wife, Denise Taylor Freeman, was found dead in the couple’s home in Houma in Terrebonne Parish. Matherne said her cause of death was not immediately known.

RISKAlert is a publication of Risk & Security LLC at www.riskandsecurityllc.com.

Get Management’s Attention for Security – Shooter Kills the Hospital Administrator

Posted on January 6, 2014 12:14 pm by Caroline Ramsey-Hamilton Comment

Every Security Officer I’ve ever met has mentioned how difficult it can be to get funding for additional security! It is a never-ending mission, to get the budget for a security program that will truly protect an organization.

Hospitals are no exception. They have suffered their own financial problems and because security is not seen as a ‘clinical’ or ‘patient care’ issue, it is easy to take money from security and put it somewhere else.

But there’s one sure way to get management’s attention for Security — having a security incident. And if you don’t have one at your organization, high profile security incidents at other facilities will all grab management’s attention.

In my Risk-Pro Security Incident Report today, a shooter killed four, wounded three, and then killed himself. What was unusual about this incident was that the shooter went to the Hospital Administrator’s house and shot the administrator dead, and then shot his wife who was taken to an area hospital.

Most executives and administrators think about security as sort of an abstract concept, that doesn’t directly affect them. But it might, and by sending your management a copy of our Risk-Pro Incident Report, you’ll get their attention this time!

(Subscribe to the Risk-Pro Incident Report program by sending an email with the word SUBSCRIBE on it to info@riskandsecurityllc.com)

Got a House near the Coast? The Storm Surge Lessons we’re Learning from the Philippines Disaster and Hurricane Sandy…

Posted on November 16, 2013 3:53 pm by Caroline Ramsey-Hamilton Comment

You already know that the climate is getting progressively warmer, and sea levels around the world
are rising.

This new climate reality played out last week in the Philippines, an archipelago nation with over 7000 islands, as a giant typhoon smashed into the central Philippines districts and destroyed everything in its path, including housing for millions of people living near areas around the cities of Tacloban and Cebu and other islands.

With thousands already dead and thousands more in island areas that have not been reached yet,
the ultimate death toll may be weeks in coming, but some experts think it could top over 15,000 people.

If, like me, you live near an ocean coast anywhere, you have to wonder how future storms may affect your region.

The rising sea levels are already invading fresh water wells along Florida’s east coast, polluting the fresh water with salt, and forcing cities to find new fresh water sources. Saltwater seeping in from the ocean keeps spreading farther west, threatening to ruin the freshwater supplies that provide most of South Florida’s drinking water.

Even though the US doesn’t get typhoons, it does get hurricanes, and what we learned in this typhoon, just like we learned in Hurricane Sandy in October, 2012, was that it’s not the wind, it’s not the rain,
it’s the STORM SURGE that creates the disaster.

In the recent typhoon, the storm surge, while not technically a tsunami, pushed up an enormous amount of water on shore, that destroys everything it touches and pushes the water inland, dragging along houses, trees, cars, people, animals, giant ships, hotels and anything else it finds on it’s path.

“As a nation we don’t understand storm surge well, nor do coastal communities understand storm surge risk,” said Jamie Rhome, a storm surge specialist at the Hurricane Center. “It’s one of the hardest things to communicate.”

Storm surges can travel inland up to thirty miles and can quickly push up rivers, and bays. “People
don’t understand how far inland storm surge can go,” Rhome said. “It penetrates well inland, goes up rivers, into bays. It goes wherever it can, and people don’t realize they are at threat of flooding.”

Cities and regional planning groups need to re-examine the storm surge threat in their areas, and make plans to deal more effectively with these lethal storm surges that may come from hurricane and typhoons in the future.

The LAX Shooting and the Active Shooter Threat

Posted on November 3, 2013 9:26 am by Caroline Ramsey-Hamilton Comment

With the 3^rd Active Shooter incident in less than 45 days, you are probably wondering what is happening here? Why are we having so many active shooters?

There are not any easy answers, but one thing is certain, all the shooters in the Navy Yard Shooting, the Sparks Middle School shooting, and the LAX Shooter all suffered from psychological problems.

In the LAX shooting, the shooter ‘s parent had tried to contact the police because of a suicide text they had received, but it was already too late.

Police red tape being what it is – thorough, the urgency was lost and the incident was already in process before anything had been done.

BUT NOTE: The text was a HELP ME. And it was noticed, but not followed up in time.

All these shooters had major mental issues, that people had noticed, and
that people had remarked on, and that people had worried about.

We don’t know where all the guns in the incidents were purchased, or just picked up at home and taken to the scene.

BUT we know that most of the active shooters had mental issues, which means that the screenings must be approved, and more help available for these individuals, before they can kill or hurt others.

New Active Shooter App Announced on October 20, 2013

Posted on October 19, 2013 12:27 pm by Caroline Ramsey-Hamilton Comment

FOR IMMEDIATE RELEASE

New Active Shooter app released to reduce likelihood of an Active Shooter Incident.

Active Shooter incidents have increased both in the number of incidents, as well as the number of people killed and injured in the last five years. As an aspect of workplace violence, the active shooter has become is a serious recognized occupational hazard, ranking among the top four causes of death in workplaces during the past 15 years. More than 3,000 people died from workplace homicide between 2006 and 2010, according to the Bureau of Labor Statistics (BLS). Additional BLS data indicate that an average of more than 15,000 injuries were annually during this time.

The latest figures show that high-risk organizations like hospitals, schools, malls, universities, military installations and even hair salons have experienced an active shooter incident and are likely to have a dramatically increased risk for experiencing an active shooter incident in the future.

Risk & Security LLC has released a new web-based app, Active Shooter Risk-Pro©, which offers an easy to use risk assessment program that assesses your organizational risk of an active shooter incident, as well as recommending solutions to prevent an incident from occuring in the future.

In additional to using the Department of Homeland Security (DHS) Guidelines on Active Shooter Response, the OSHA standard 3148 (Guidelines for Preventing Workplace Violence for Health Care, the FBI and Secret Service Guidelines on Active Shooter Incidents, and the new OSHA Inspection Directive, Enforcement Procedures for Investigating or Inspecting Incidents of Workplace Violence, from September, 2011, are both included in the new, easy-to-use application.

The program has been tested on some of the largest organizations in the US, and runs on a laptop, PC or tablet, and even on a smartphone!. Active Shooter Risk-Pro© is built to be affordable and simple to use.

The web 2.0 program, includes newly compiled, updated threat databases, new active shooter incident analysis metrics, and automated web-surveys based on the DHS Guidelines..

The new program gives human services and security professionals a quick and easy way to conduct a active shooter, or general workplace violence that will recommend that will pass an audit!

The Risk-Pro© model has been used for easy software applications by the Department of Defense and over hundreds of organizations, hospitals, and local, state and federal government agencies.

About Risk & Security LLC

Risk & Security LLC is a security risk assessment and risk analysis company with over 30 years of combined expertise in security risk assessment. It develops specialized programs and applications which are easy to use, affordable and which help organizations assess their risk, the likelihood of becoing a target, and which recommend cost-effective solutions.

Risk & Security offers full service consulting on critical risk assessments including HIPAA Risk Analysis, Facilities Security Assessments, Hospital Security Assessments, Workplace Violence, Active Shooter Incident Assessment, Environment of Care and more. Risk & Security partners with security companies around the world to provide state-of-the-art security expertise to analyze risk and recommend cost-effective security controls justified by return on investment metrics.

The team of risk and security experts is led Caroline Ramsey-Hamilton, who has created more than 40 software programs, and conducted more than 200 specialized security risk assessments in a variety of environments, including companies in the United States and around the world, including in Abu Dhabi, Hong Kong, Japan, South Africa and Qatar.

Contact Information:

Caroline Ramsey-Hamilton, CHS III

Email: caroline@riskandsecurityllc.com

Phone: 301-346-9055

Twitter: www.twitter.com/riskalert

DOD-OIG Report on Security Weaknesses at the Navy Yard

Posted on October 18, 2013 10:11 am by Caroline Ramsey-Hamilton Comment

The recently released 56-page report by the Department of Defense, Office of the Inspector General found that the Navy Access Control System did not adequately control the risks to the Washington DC Navy Yard and other sites under their control.

NCACS did not effectively mitigate access control risks associated with contractor installation access. This occurred because Commander,
Navy Installations Command (CNJC) officials attempted to reduce access control costs.

As a result, 52 convicted felons received routine, unauthorized installation access, placing military personnel, dependents, civilians, and
installations at an increased security risk.

Additionally, the CNIC N3 Antiterrorism office (N3AT) misrepresented NCACS costs. This occurred because CNIC N3AT did not perform
a comprehensive business case analysis and issued policy that prevented transparent cost accounting of NCACS. As a result, the Navy
cannot account for actual NCACS costs, and DoD Components located on Navy installations may be inadvertently absorbing NCACS costs
.
Furthermore, CNIC N3AT officials and the Naval District Washington Chief Information Officer circumvented competitive contracting
requirements to implement NCACS. This occurred because CNIC N3AT did not have contracting authority. As a result, CNIC N3AT
spent over $1.1 million in disallowable costs and lacked oversight of, and diminished legal recourse against, the NCACS service provider.

You can read the entire report at: http://www.dodig.mil/pubs/documents/DODIG-2013-134.pdf

Courtesy Caroline Ramsey-Hamilton at Risk and Security LLC

caroline@riskandsecurityllc.com

What’s Your Active Shooter Risk? How to Assess the Threat!

Posted on October 15, 2013 4:54 pm by Caroline Ramsey-Hamilton Comment

Just the idea of an Active Shooter in your organization, whether you’re a military base, like Fort Hood, and the Washington Navy Yard, or a school like Sandy Hook, a beauty shop, a cracker factory in Philadelphia, a retail mall, a movie theatre, a grocery store parking lot, or a hundred other places, is a terrifying thought.

I lived about 3 miles from one of the shooting sites, a gas station, used by the Beltway Snipers back in October, 2002. They killed ten people, totally at random, and critically injured three others. Both of the snipers were sentenced, and John Muhammad was killed by lethal injection in 2009.

If you lived in the DC area, do you remember how scary it was just to pump gas into your car, people were huddled against the side of their cars in the gas stations, and hidden by their shopping carts at the local Home Depots.

The fear of the Active Shooter comes from the seeming randomness of the action, which means there’s no way to prevent it, unless you give up, stay home, and hide under the bed all day.

But there are things you can do. Instead of thinking of an Active Shooter incident as a totally unique situation, it’s really a form a Workplace Violence, Gas Station Violence, Parking Lot Violence and other related forms of random violence. In fact, the Department of Homeland Security has identified quite a few steps you can take to keep yourself safer if you are in the vicinity of an active shooter (http://www.dhs.gov/active-shooter-preparedness).

Most of the shooters are mentally ill. Normal individuals do not enjoy planning and killing strangers, and it is usually a last ditch effort, with the suicide of the shooter as the grand finale. Their actions can sometimes be identified early, and the police can be alerted, or the Human Resources group at work, or even the local Sheriff can intervene before it gets to the actual shooting.

Signs that someone is having trouble negotiating their life, especially if that someone is a gun fanatic, with their living room full of AK-47 assault weapons and hollow point bullets, is not hard to spot, because these individuals often leave lots of warning signs, like:

Irrational Posts on Facebook or inappropriate tweets.
Threats made against friends and family.
A dropoff in personal hygiene, as the person gets more obsessed.
Problems negotiating their personal life.
Demonstrating signs of isolation and groundless paranoia

Organizations can protect themselves from an potential active shooter through a combination of specific controls that include elements like access control, continuous monitoring of cameras, employee awareness and training programs, clear cut evaluation routes, regular active shooter drills, and hardening of facilities, to name a few.

One of the best preventive measures is to conduct an Active Shooter Risk Assessment, which is similar to other security analyses, except that it is focused on a particular set of threats related to an Active Shooter Incident. As part of my annual Threat Trend Reports, I’ll be releasing a new set of threat data about the Active Shooter, to help organizations calculate their risk of
having such an incident. For example, did you know that the number of active shooter incidents has jumped from 1 in 2002
to 21 incidents in 2010?

Locations have changed, too, and we found that

About 25% of active shooter incidents occur in schools,
About 25% in retail locations, and
About 37% in workplaces.

In future blogs, we’ll be looking at each element of the active shooter incident, and providing more information to keep
your organization safe.

Chemical Security Programs Affected by Government Shutdown

Posted on October 7, 2013 4:30 pm by Caroline Ramsey-Hamilton Comment

CFATS is an essential defensive program to monitor the security of the chemicals used in the U.S. CFATS stands for the Chemical Facility Anti-Terrorism Standards. The program is run by the Department of Homeland Security and is vitally important because chemicals can be used in bombs and chemical attacks.

To avoid giving terrorists and possibly drug dealers access to the raw materials that are used in the manufacture of chemicals, chemical facilities, like manufacturing plants, distribution centers, etc., are supposed to be actively monitored by security personnel who are trained in chemical security.

Fertilizer chemicals were purchased to blow up the Oklahoma City Murrah Federal Building. Chemicals are in every medication you take, including sensitive heart medication, and other pharmaceuticals that mean life or death to those to take them.

Rep. Bennie Thompson (D-Miss.) said in a statement to Global Security Newswire Friday that the incident at a fertilizer plant in West, Texas, “brought into focus the need to secure dangerous chemicals against accidental or malicious release or detonation.

Imagine if a terrorist was able to insert a poisonous ingredient in a statin manufacturing plant – over 15 million Americans now take statins to reduce their cholesterol. Or imagine a poison ingredient put into pool chemicals, or something like putting water into jet fuel. Think catastrophe!

In fact, CFATS was just geared up because of a Presidential Executive Order issued in August, 2013, after the deadly blast in West, Texas that killed 14, most of them firefighters. The order instructed federal agencies to review safety rules and create new strategies for plants that store hazardous materials. The order also included a review of potential new guidelines to improve storage and handling of ammonium nitrate, the explosive material that caused the West. Texas fertilizer plant explosion in April 2013.

Already this week, chemical companies that had DHS inspections scheduled for this week received notice that the site visits would be postponed indefinitely. Likewise, the review of security plan documents is also expected to be frozen, as DHS employees who normally do this work have been furloughed.

A critical meeting scheduled for this week, which included industry leaders, DHS, EPA and Occupational Safety and Health Administration officials was canceled as a result of the government shutdown, which creates prolonged uncertainty for industry regarding what new regulations they might have to comply with and whether companies will have another opportunity to weigh in on possible changes.

Now the program has been shutdown and critical employees furloughed.

Chemical security is a critical chokepoint because of the potential for major disasters, whether accidental or intentional.

Security programs should be immune from political shutdowns that threaten the safety and security of the entire country.

Categories:
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RiskAlert
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Capitol Hill Security Incident Scares Congress- Could it Happen To You?

Posted on October 4, 2013 2:05 pm by Caroline Ramsey-Hamilton Comment

The Capitol Hill Security Chase and Shooting yesterday gave a bad scare to everyone – including Senators, Congresspeople, tourists, furloughed federal employees and staff who still have their jobs.

The atmosphere on Capitol Hill was already so toxic that almost everyone jumped to the (incorrect) conclusion that it was
a disgruntled voter, and so there was shock when:

1. It was a young WOMAN
2. There was a 1 year old child in the back seat
3. The driver of the car was not armed and mentally ill, (probably schizophrenic).

Where are you going today on a beautiful Fall Friday? Almost anywhere you’re planning to go has had a
major security incident in the past three years…. whether it is:

A school
A movie theatre
A mall
A hospital
The office
A public building
A hair salon

And if a security incident did happen where you were, are you confident you’d know what to do?

That brief incident at the Capitol showed how in literally one minute, the situation goes from what
passes for normal at the Capitol, to total chaos, fear and terror. The situation was handled correctly.

The communications systems were in place to send out a quick “Shelter In Place” order, and to keep
people updated. The poor tourists and staff who were walking in the area were laying on the ground,
hiding behind trees, and had no idea what was going on – so they probably experienced the greatest fear.

The Capitol Hill police, the first responders, were probably not expecting to have the driver be a woman
with no political agenda, if you see a car trying to rush a barracide, the logical assumption is that they
have an explosive device and are trying to get closer to the target, but that was no true in this case.

So before you venture out for the weekend, keep these tips in mind, write them down and keep them in your purse or wallet.

1. Be Situationally Aware – note where you at all times, how close a door is, or an alternate route for
your car when you’re in traffic.

2. Spend 30 minutes deciding how you would react in an emergency shooter situation, and make a plan,
like deciding to use your car keys as a weapon, or keeping pepper spray in your purse.

3. Remember to turn the sound off on your cell phone, if you’re caught in a developing security incident.

4. If police are on the scene, follow their directions quickly and exactly.

5. Have a local emergency number pre-set in your phone so you can call for help.

As they find out more about the Capitol Hill incident, this will probably be catalogued as an isolated incident,
which took place at a very inappropriate time, and a very inappropriate place, but it’s another wake up
for everyone.

Everything can change in a New York minute — be ready, just in case it changes for you!