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Bombing attacks against civilians have become the primary weapon of terror groups worldwide, and they are likely to remain the primary instrument of terrorism because bombs are easily and inexpensively manufactured, are simple to activate, and require no more than a motivated and determined perpetrator. The explosive can be of military, commercial, or homemade origin. Metal particles of various shapes...
Planning for medical response to terrorist incidents focuses almost exclusively on the early hours after the event. Once scenes have been cleared and all patients dispatched from the emergency department, the major incident is stood down. However, it may be many hours before the last patient leaves the operating room and critical care areas are only just beginning to absorb the impact of the event...
If a mass casualty incident (MCI) occurs on American territory, the main difficulty with disaster response is not from a lack of resources or volunteers but from a lack of a properly managed disaster plan. In fact, first responders and local healthcare practitioners, and even non-clinical locals rush to the scene and to local healthcare facilities to offer their services or make donations. The presence...
Amid the wailing sirens of approaching ambulances, the screams of wounded patients, the hectic activity of trauma teams, and the emotional outrage of the public, it is often easy to forget that at the heart of the medical response to urban terrorism is an organizational challenge known as resource allocation problem.1 As trauma care providers or administrators, we know that the success of our institution’s...
Every terror incident, no matter its size, location, or nature, is a national event. National efforts before, during, and afterwards include introduction of preventive measures, preparedness, event management, and dealing with the after-effects on individuals and communities.
The World Trade Center, September 11, 2001, terrorist attacks and Hurricanes Katrina and Rita, in the Gulf in 2005, have produced significant changes in emergency response planning and potential funding opportunities in the United States. Hospitals, healthcare organizations, and acute care providers are now active in community disaster response preparation, planning, and mitigation strategies. Isolatedsilo,...
The Global War on Terrorism represents a crossroads of globalization, radicalization, and technology. Ultimately, successful counter-terrorism operations begin at home and with human capability. Natural threats have plagued human populations throughout the course of time. Emerging and reemerging infectious diseases coupled with the emergence of technologic capabilities, global information access,...
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