Annoyed Bibliography

I would set up and implement an incident command system using the National Incident Management System (NIMS) in efforts to mitigate the terror attack. (1) With my 180-degree perimeter outside the coliseum EMS teams will be placed in a secure staging are well outside hot zone. All local hospitals and medical centers will be notified to prepare for over saturation of resources. Ambulances will be on standby to transport any casualty to the most appropriate hospital according to the seriousness of their injuries. (2) I will also decide which casualties to be taken to which health center depending on the level and seriousness of their injuries. Paramedics will perform MCI Triage and those who are injured will be taken to the most appropriate hospitals. EMS services have protocols in place and will follow Incident Commands directions as to what routes to take. Those with minor injuries I will refer them to be treated in the small centers for treatment. (Maniscalco & Christen, 2011)

(3) I will also keep the media from giving the terrorists critical intelligence by giving a limit to what the media can report on and setting a condition that whoever gives a report that is beyond the limit set will face severe punishment. Similarly I will use the media to my advantage by using press conferences to tell the citizens in the country that all will be able hence giving them hope and reducing tension and curiosity. (4) The fire department will use extrication equipment and hydraulic tools in order to gain access into the coliseum.

(5) Fire extinguishers, long-range firewater monitors can extinguish most vehicle fires and I would also consider fixed wing aircraft with fire suppression capabilities. I would arm fire fighters with weapons in order to defend themselves. (6) I am going to the EMS together with the SWAT but not in the first wave. I will send the EMS in the second wave after the SWAT officers have moved in to take control of the coliseum so that I will reduce the tendency of SWAT trying to protect the EMS officers instead of dealing with the armed terrorist first. This will be convenient for the SWAT to fight the terrorist as well as increase safety for paramedics (Perry & Lindell, 2003)

(7) My next move will be after I have breached the walls, to send in the SWAT officials first without the EMS, to check the situation then afterwards I will send in the EMS to help transport the casualties to hospitals nearby. (8) I am going to coordinate the casualties by using the bridge to transport them in ambulances to nearest health centers and hospitals in town. Those casualties with severe injuries I will transport them in helicopters to the hospitals for fast immediate attention. (9) The deceased moved to a staging setup for identification and forensic processing. Since the families and friends of the deceased will be highly emotional I shall set up emotional support centers to comfort them. (10) To prepare for another attack I will have run mock drills between area EMS, police, and fire departments. Practice makes perfect and I would also involve community volunteers. I shall additionally try to coordinate information and pre-plan procedures with the FBI and homeland security. I shall request for more forces of the police troops during the next event to take a close supervision of the place. (Maniscalco & Christen, 2011)

In conclusion, terrorist attacks might be very dangerous and hence need to be dealt with accordingly as discussed in the methods above. The federal government needs to provide adequate funding and support for fire department, EMS agencies, and police departments throughout the country so as to be able to deal with such situations when they occur. (Perry & Lindell, 2003)

References

Maniscalco, P. M., & Christen, H. T. (2011). Understanding terrorism and managing the consequences. Upper Saddle River: Prentice Hall.

Aylwin, C. J., König, T. C., Brennan, N. W., Shirley, P. J., Davies, G., Walsh, M. S., & Brohi, K. (2007). Reduction in critical mortality in urban mass casualty incidents: analysis of triage, surge, and resource use after the London bombings on July 7, 2005. The Lancet, 368(9554), 2219-2225.

Hogan, D. E., Waeckerle, J. F., Dire, D. J., & Lillibridge, S. R. (2012). Emergency department impact of the Oklahoma City terrorist bombing. Annals of emergency medicine, 34(2), 160-167.

Perry, R. W., & Lindell, M. K. (2003). Preparedness for emergency response: guidelines for the emergency planning process. Disasters, 27(4), 336-350.

Hick, J. L., Hanfling, D., Burstein, J. L., DeAtley, C., Barbisch, D., Bogdan, G. M., & Cantrill, S. (2004). Health care facility and community strategies for patient care surge capacity. Annals of Emergency Medicine, 44(3), 253-261