Medical Preparedness and Response for Bombing Incidents
Course Objectives
Module 1: Case Study
1.
2.
3.
Describe the London bombing and the subsequent response.
Relate the events of the London bombing to objectives and information in modules 2-11 of this course.
Explain how to apply the lessons learned from the London bombing to help prevent and/or respond to a
possible local bombing incident.
Module 2: Identification of Potential Terrorist Threats and Targets
1.
2.
3.
Describe factors that encourage terrorists to use explosives in attacks against their targets.
Define the various types of terrorism and explain their potential impact on the medical community.
Identify potential targets for terrorist attacks utilizing explosive materials.
Module 3: Explosives and Characteristics
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5.
Differentiate between High Explosives (HE) and Low Explosives (LE) and provide examples of each.
Identify blast physics variables related to bombing injuries.
Explain unique characteristics and components of Improvised Explosive Devises (IED).
Describe the relationship between explosives and Chemical, Biological, Radiological, and Nuclear (CBRN)
agents.
Recognize the need for hospital personnel and first responders to be prepared, trained, and equipped with
appropriate Personal Protective Equipment (PPE).
Module 4: Pre-Attack Indicators of a Bombing Incident
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2.
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4.
Describe vulnerabilities of potential target facilities.
Describe activities associated with potential terrorist attacks.
Identify the nine phases of terrorist attack planning.
Describe injuries and indicators associated with the process of Improvised Explosive Device (IED) production.
Module 5: Bombing Incident Injury and Patterns
1.
2.
3.
Explain primary, secondary, tertiary, quaternary, and quinary blast injuries.
Describe appropriate medical management for primary, secondary, tertiary, quaternary, and quinary blast
injuries.
Explain unique treatment aspects of blast-related Mass Casualty Incidents (MCI).
Module 6: Triage
1.
2.
3.
Describe the use of the Simple Triage And Rapid Treatment/Transport (START) and JumpSTART triage methods
and the primary goal of each method.
Compare and contrast commonly used triage systems and their applicability to bombing incidents, both during
on-scene response and at the receiving hospital.
Apply a triage system by means of a bombing incident.
© 2008, Texas Engineering Extension Service and New Mexico Institute of Mining and Technology. All rights reserved
Module 7: General Pre and Post Detonation Response Considerations
1. Understand how the National Incident Management System (NIMS), Incident Command System (ICS), and
Hospital Incident Command System (HICS) can assist to effectively manage resources.
2. Discuss the nine (9) protective measure categories.
3. Explain bomb threats and the use of resource materials related to assessing threat validity
4. Describe appropriate stand-off distances when responding to potential bombing incidents
5. Discuss the establishment of appropriate perimeters to ensure safe and secure operations
6. Discuss the appropriate measures to ensure scene security and safety of responders and receivers
7. Explain unique scene management principles used during bombing incidents
8. Describe various adversary tactics and the appropriate response
Module 8: Strategic and Command Considerations
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Explain the components of the preparedness planning process.
Discuss the planning process as related to the health care and emergency preparedness communities.
Describe the process for completing a Hazard Vulnerability Analysis (HVA).
Discuss the six critical areas of hospital emergency management planning.
Identify the critical tasks from the Target Capabilities List (TCL) that relate to bombing incident preparedness.
Discuss strategic implications of bombing incidents on the healthcare system.
Explain the After Action Review (AAR) process as it relates to bombing incident preparedness.
Describe the Dynamic Crisis Decision Making process.
Module 9: Tactical and Operational Considerations
1. Discuss the process of performing an incident threat assessment
2. Describe the appropriate measures to ensure scene security and safety of responders and receivers
3. Explain unique scene management principles used by non-medical responders during bombing incidents.
4. Discuss the response phases related to bombing incidents
5. Explain unique management principles used by emergency medical responders and receivers related to
bombing incidents
6. Describe the process of rehabilitation and demobilization.
7. Describe the process of recovery following a bombing incident.
Module 10: Resource Management
1. Identify and describe local, state, federal, and Non-Governmental Organization (NGO) resources that may aid
in a bombing incident.
2. Explain how the typing of resources during a major bombing incident aids in the management of response
resources.
3. Discuss the benefits of implementing a Joint Operations Center (JOC) and a Joint Information Center (JIC)
4. Describe the considerations a major medical facility may utilize to better manage resources during a mass
casualty response to a major bombing event
Module 11: Table Top Exercise
© 2008, Texas Engineering Extension Service and New Mexico Institute of Mining and Technology. All rights reserved