While a physician's formal declaration of death has a place in Connecticut law, using the term as it relates to response to a Mass Casualty Incident such as Sandy Hook Elementary School is word-smithing, more akin to children's magic show props than knowledge of Mass Causality Incidences and emergency medicine. Connecticut Law
In the state of Connecticut, resuscitative measures must be started on a patient that is not breathing or is in cardiac arrest unless certain criteria are met.
(Note: A comprehensive list of references are available at the end of this article, below.)
One of those criteria is a licensed Connecticut physician or authorized nurse has the authority to declare a patient dead. When that situation occurs, resuscitative measures need not be undertaken or may be discontinued.
For the average Sandy Hoax conspiracy theorist of little or no experience or training of modern MCI response, such as Wolfgang Halbig, James Fetzer, or Sofia Smallstorm, that is where they stop in their research and understanding of a Mass Casualty Incident (MCI) and more specifically, Connecticut law and MCI protocols.
However, that is not where Connecticut law stops. Connecticut EMS protocol follows "presumption of death" guidelines as it relates to the "average" trauma scene. A victim that has suffered certain mortal wounds need not be treated. For example: if the victim is beheaded or has other certain conditions considered "wounds incompatible with life", EMS need not provide resuscitation measures. Likewise, in those instances, a physician need not declare those victims dead. The victim is presumed dead by the EMS responders. 1
One must still go farther than that when discussing Sandy Hook, because "presumption of death" protocols change for a Mass Casualty Incident (MCI).
Connecticut Law:Effective August 1, 2007 the state of Connecticut mandated the SMART triage tagging system for all MCIs. 2
Sandy Hook Elementary:
According to the final report, the Director of EMS for Danbury Hospital was on scene and pursuant to Connecticut mandate, SMART triage was followed. 3 Further, the aforementioned document here has a specific section beginning on page 104 specifically detailing MCIs for North Central Connecticut EMS personnel, the jurisdiction covering the response that day. SMART triage tagging is specifically discussed based on Connecticut mandate.

What is SMART triage?
The SMART triage system mandated in Connecticut follows certain mathematical criteria to determine when SMART Triage will be used. Essentially, it boils down to a formula of conditions, numerous casualties, and those casualties exceeding the number of responders. In that case, responders try to do the most good with the limited resources on hand.
Connecticut EMS Guidelines previously referenced put it this way:
Multi-Casualty and “Mass Casualty” traditionally are interchangeable terms in Connecticut. Connecticut’s Term references an incident that meets locally defined thresholds in accordance with the jurisdiction emergency response plan.
That describes the incident at Sandy Hook Elementary School and the initial response perfectly because there were 29 casualties, the number of shooters had not been ascertained, the scene was an active shooter response to a school, hundreds needed to be rescued, and numerous agencies responded. Add frantic parents and a hounding press to the extent of the injuries within the school; Sandy Hook Elementary was a high-stress Mass Casualty Incident in every sense of the term.Responding personnel had been specifically trained in how to manage a MCI, following SMART triage guidlines since it was mandated 2007. The mandated protocol was implemented on December 14, 2012, and SMART triaging of victims was followed.
"Black Tagged"
So what did that mean for victims? Well, to put it directly, those victims, who were shot multiple times and were unresponsive and not breathing, they were "black tagged" and therefore "presumed dead" by first responders. Only two of the children who were shot that day were breathing, and they were evacuated to Danbury Hospital, the pediatric trauma center for Connecticut. Those two children perished. There were two teachers who suffered non-life threatening gun shot wounds and they were also evacuated to the hospital. Those two teachers survived.
Every other victim was shot dead, and that presumption made in accordance with law and mandates, and that was done on scene. The victims had suffered devastating wounds incompatible with life. This is documented in statement after statement by responding personnel.
Why is this system followed? Because the survival rate of a patient with traumatic penetrating injury who is unresponsive and unable to breath on their own is virtually nil. 5 In a scene of this magnitude, with scant resources available at the first responder level, that is the way it is done. That IS the law.
Wolfgang Halbig, displaying his lack of MCI knowledge, has claimed this was malpractice. Malpractice is negligence. For there to be negligence, there must be a breach of the standard of care. In this instance, the standard of care in a MCI is mandated by state law and that standard of care was met. Therefore, the is no negligence, there is no malpractice.
So, to answer the Conspiracy Theorist's question, "Who 'declared' the victims dead at Sandy Hook Elementary School that day?" EMS did, and they did so in accordance with Connecticut Law. A doctor's certification of death was not necessary because that is NOT the law in Connecticut.
References:
1 http://www.ctemscouncils.org/downloads/NCEMS_BLS_Guidelines.pdf
2.http://www.ct.gov/dph/lib/dph/ems/pdf/communication_statements/2007_04_SMART_Triage_System_for_Connecticut.pdf and http://military.smartmci.com/news/connecticut_mandates_smart_triage.php
3. Statement of M. Cassevechia, EMT-P, Connecticut Final Report, Book 6 Document 2113.
4. http://sitelwordpresstest.sitelms.org/teachingsurgery/wp-content/uploads/sites/4/2013/08/cpr-after-trauma.pdf
5. And in-depth review of a START triage system may be reviewed here: http://www.emsconedonline.com/PDFs/STARTTriage.pdf
6. http://www.ct.gov/dph/lib/dph/agency_regulations/sections/pdfs/title_07._municipalities/07-2._pronouncement_of_death_by_a_rn.pdf
7. http://www.ct.gov/dph/lib/dph/ems/pdf/communication_statements/2010_07_Guidelines_for_EMS_Determination_of_Death.pdf
8. http://www.mondaq.com/unitedstates/x/32551/Healthcare/New+Law+Permits+Registered+Nurses+To+Sign+Death+Certificates+When+They+Are+Authorized+To+Pronounce+Death










































