In this discussion, Mike Shertz, an emergency physician and former Green Beret medic, delves into the harsh realities of active shooter situations in medical settings. He highlights the critical importance of recognizing early signs of danger and making quick, decisive choices. The moral dilemmas of staying to help versus fleeing are explored, alongside tactical survival strategies: run, hide, and fight. Shertz insightfully addresses how medical professionals can balance personal safety with their duty to patients during chaos, preparing them for high-stakes crises.