This book provides a comprehensive overview of the medical and operational management of blast and explosive incidents affecting civilian populations. It incorporates global lessons learned from first responders, emergency medicine providers, surgeons, intensivists, and military specialists with deep experience in handling blast injuries from point of injury through rehabilitation. The book begins with background and introductory information on blast physics, explosion types, frequency, and perspectives from the military. This is followed by a section on prehospital management focusing on medical and trauma responses, triage, psychological consequences, and operational considerations. It then examines the roles of the emergency department and ICU with chapters on planning and training, surge capacity, resilience, management of common injury types, contamination, and ventilator strategies. The next section covers surgical treatment of a variety of blast injuries such as thoracoabdominal, extremity and vascular, and orthopedic injuries. The book then discusses medical treatment of various injury patterns including lung, abdominal, extremity, and traumatic brain injury. The final section of the book covers post-hospital considerations such as rehabilitation, mental health, and community resilience. Throughout, case studies of recent incidents provide real-life examples of operational and medical management. Operational and Medical Management of Explosive and Blast Incidents is an essential resource for physicians and related professionals, residents, nurses, and medical students in emergency medicine, traumatic surgery, intensive care medicine, and public health as well as civilian and military EMS providers.

In "How to Survive a Terrorist Attack Become Prepared for a Bomb Threat or Active Shooter Assault," the variety of approaches and styles converges into a singular, vital purpose: preparation and resilience in the face of terror. The anthology spans pragmatic guides, psychological strategies, and systemic analyses, creating a comprehensive resource for understanding and navigating the grim realities of terrorist threats. The significance of this collection lies in its capacity to blend technical advice with a nuanced understanding of the psychological and social aftermath of such incidents, highlighting pieces that offer groundbreaking strategies for survival and recovery. The contributors, stemming from the Homeland Security and the Federal Emergency Management Agency, bring with them a depth of field experience and scholarly research that is unparalleled. Collectively, they situate the anthology at the intersection of emergency preparedness, public safety, and psychological resilience, drawing upon historical precedents, recent case studies, and advances in security protocols. Their backgrounds ensure that the collection is grounded in practicality while informed by the latest in threat response and crisis management theories, making it an indispensable resource in the evolving discourse on public safety. "How to Survive a Terrorist Attack" is essential reading not only for those directly involved in emergency preparedness and public safety roles but also for citizens seeking to enhance their own awareness and resilience. The anthology offers a unique blend of expertise, presenting a wide range of strategies and insights that are critical in todays unpredictable global landscape. Readers will find value in the practical advice, the exploration of psychological preparedness, and the thoughtful analysis of how communities can recover and thrive after such devastating events. The collection serves as a vital dialogue between experts, offering a multifaceted approach to a complex and pressing issue facing society.

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced-with an emphasis on early hemorrhage control and a more integrated response by first responders (i.e., emergency medical services [EMS], fire, law enforcement, and rescue personnel)-to improve survivability of victims and the safety of first responders caring for them. At the request of first responders and first receivers (e.g., medical technicians, nurses, and physicians) who have encountered mass casualties from IEDs and/or active shooter incidents, this document was developed to provide guidance on how to better approach these incidents. Responders should also consider the combination of both IEDs and active shooter incidents in an organized, complex attack (such as the Mumbai attacks in 2008) that requires both treatment and extraction of the injured from a still-hostile environment. The conditions during such tactical assaults in a civilian setting speak to the need for first responders and first receivers to adopt evidence-based hemorrhage control, risk evaluation, and casualty management measures in a potentially dangerous environment. As a result of these developments, the Department of Homeland Security, in coordination with the Department of Defense (DoD), Department of Health and Human Services, Department of Justice, Department of Transportation, White House Office of Science and Technology Policy, and the National Security Staff, has developed recommendations for individuals who provide emergent and immediate medical management of casualties resulting from IEDs and/or active shooter incidents. Based on best practices and lessons learned, this document focuses on the medical response to IEDs and/or active shooter incidents with recommendations for hemorrhage control, protective equipment (which includes ballistic vests, helmets, and eyewear), and response and incident management.

2017 Award Winner of the ASIS Security Book of the Year Nuñez and Vendrell aim to provide the most current and effective resources for managing special events and critical incidents. Their book relies heavily on case studies and after action reports that examine the lessons learned from a multitude of previous events and incidents. In addition, the text identifies and examines best practices and recommended approaches, providing the reader with a variety of checklists and planning tools.

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced to improve survivability of victims and the safety of first responders caring for them. This multi-disciplinary edition translates evidence-based response strategies based on military experience in responding to and managing casualties from IED and/or active shooter incidents and from its significant investment in combat casualty care research into the civilian first responder environment. Table of Contents: * Executive Summary * Purpose * General Information: * Improvised Explosive Device * Active Shooter * Take an Active Role in Your Own Safety: * Explosions * Active Shooter Incident * First Responder for Improving Survivability in Improvised Explosive Device and/or Active Shooter Incidents * Background: * Defining First Responders * Defining the Threat * Military Lessons Learned and Civilian Adaptation * Improvised Explosive Device Incidents * Active Shooter Incidents * Hemorrhage Control * Protective Equipment * Response and Incident Management * Responder Guidelines: * Hemorrhage Control * Protective Equipment * Response and Incident Management * Summary * Threat-based Scenarios: * Large-scale Terrorist/insurgency Attack * Medium-scale Terrorist/insurgency Attack * Medium-scale Terrorist/insurgency Attack * Small Scale Terrorist/insurgency Attack * Involuntary Suicide Bomber * Discovery/recovery of Homemade Explosives (Not an Attack) * Active Shooter With Access Denial to First Responders * Active Shooter in a Public Commercial Facility * Active Shooter in an Open, Outdoor, Unbounded Location * Active Shooter in a Public Sports Complex * Provide First Aid After Improvised Explosive Device and/or Active Shooter Incidents * Stop the Bleeding and Protect the Wound * First Aid for Specific Injuries * List of Major Bombing Incidents in the United States 2007-2017 * List of Major Mass Shootings in the United States 2007-2017

Recent improvised explosive device (IED) and active shooter incidents reveal that some traditional practices of first responders need to be realigned and enhanced to improve survivability of victims and the safety of first responders caring for them. This Federal, multi-disciplinary first responder guidance translates evidence-based response strategies from the U.S. military's vast experience in responding to and managing casualties from IED and/or active shooter incidents and from its significant investment in combat casualty care research into the civilian first responder environment. Additionally, civilian best practices and lessons learned from similar incidents, both in the United States and abroad, are incorporated into this guidance. Recommendations developed in this paper fall into three general categories: hemorrhage control, protective equipment (which includes, but is not limited to, ballistic vests, helmets, and eyewear), and response and incident management.