Boston Marathon Bombings

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Boston Marathon Bombings:

Boston Marathon Bombings How lessons from a terrorist attack is saving lives. By: Scott Meyers – Herzing University Capstone Project

117th Running of the boston Marathon:

117 th Running of the boston Marathon Two pressure cooker bombs placed near the finish line 3 killed, over 240 injured Injuries included amputation and mass hemorrhage Initial police response was to treat victims and evacuate area Hemorrhage control became a life-saving priority through makeshift tourniquets, wound-packing, and direct pressure.

Preventable combat death:

Preventable combat death “The overwhelming cause of preventable combat death continues to be extremity hemorrhage” (North American Rescue-TECC)

Hemorrhage :

Hemorrhage Death from extremity bleeding in 15 to 30 minutes Extremity arterial bleeding can cause death in as little as 3 minutes

Injuries sustained in the bombings:

Injuries sustained in the bombings Injury Rate of Injury Single Amputation 23% Double Amputation 7% Fractures and vascular injuries 30% 115 patients to four acute care hospitals 43 w/lower extremity injuries Hemorrhage control was critical with these patients

At the scene of the blast:

At the scene of the blast “Multiple critically inured victims were [found], with numerous amputations and massive soft-tissue injuries. The available number of tourniquets was rapidly exhausted, and shirts, belts, surgical tubing, and other devices were rapidly deployed to stem the massive bleeding” ( Hseih , 2014).

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“Law enforcement officers in the area of the bombings were among the initial first responders who provided aid to survivors. Many rendered medical aid, applying tourniquets, and calming the injured as they awaited medical support” (The Project Management Team, 2014).

After Action Reports are critical in recognizing hemorrhage control training for law enforcement:

After Action Reports are critical in recognizing hemorrhage control training for law enforcement IMPROVEMENT AREA 3.1 – LACK OF TOURNIQUETS FOR FIRST RESPONDERS Recognized lessons of tourniquet importance learned on the battlefield

The Hartford Consensus:

The Hartford Consensus “The Hartford Consensus makes it clear that training law enforcement officers in hemorrhage control techniques is crucial, and that appropriate training for officers must be identified and delivered” (Spence, 2013).

Law enforcement responds to lessons learned in Boston through increased training:

Law enforcement responds to lessons learned in Boston through increased training Law enforcement officers learn what warfighters have known for years MARCH assessment Officers learn rapid assessment techniques within the warm zone Tactical Emergency Casualty Care Officers learn self-aid/buddy-aid and mass-casualty treatment with an emphasis on hemorrhage control

Enhanced medical training = enhanced survivability:

Enhanced medical training = enhanced survivability Lessons in hemorrhage control from Boston continue to positively impact communities Lives have been saved through TECC training and other enhanced medical training. Law enforcement is better prepared for the next mass-casualty event.

In Memoriam::

In Memoriam: Krystie Campbell Officer Sean Collier Lingzi Lu Martin Richard

References:

References Hsieh, A. (2014, January 16). 5 triage lessons learned from the Boston Marathon Bombing. Retrieved from https://www.ems1.com/ems-products/Bleeding-Control/articles/1649473-5-triage-lessons-learned-from-the-Boston-Marathon-Bombing / North American Rescue-TECC (n.d.). Retrieved from https://www.narescue.com/training/tccc Spence, D. (2013, December). Enhancing Survivability at Mass Casualty Events . Community Policing Dispatch (12 th ed., Vol. 6). Retrieved from https://cops.usdoj.gov/html/dispatch/12-2013/enhancing_survivability_at_mass_casualty_events.asp The Project Management Team (2014). After Action Report for the Response to the 2013 Boston Marathon Bombings. Retrieved from http:// www.mass.gov/eopss/docs/mema/after-action-report-for-the-response-to-the-2013-boston-marathon-bombings.pdf

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