Display options
Cite
Chauhan R, Conti BM, Keene D. Marauding terrorist attack (MTA): prehospital considerations. Emerg Med J. 2018;35(6):389-395doi: 10.1136/emermed-2017-206959.
Chauhan, R., Conti, B. M., & Keene, D. (2018). Marauding terrorist attack (MTA): prehospital considerations. Emergency medicine journal : EMJ, 35(6), 389-395. https://doi.org/10.1136/emermed-2017-206959
Chauhan, Ravi, et al. "Marauding terrorist attack (MTA): prehospital considerations." Emergency medicine journal : EMJ vol. 35,6 (2018): 389-395. doi: https://doi.org/10.1136/emermed-2017-206959
Chauhan R, Conti BM, Keene D. Marauding terrorist attack (MTA): prehospital considerations. Emerg Med J. 2018 Jun;35(6):389-395. doi: 10.1136/emermed-2017-206959. Epub 2018 Mar 23. PMID: 29572386.
Copy Download .nbib Format: NLM
Share it on

Emerg Med J. 2018 Jun;35(6):389-395. doi: 10.1136/emermed-2017-206959. Epub 2018 Mar 23.

Marauding terrorist attack (MTA): prehospital considerations.

Emergency medicine journal : EMJ

Ravi Chauhan, Bianca M Conti, Damian Keene

Affiliations

  1. Defence Medical Services, Lichfield, UK.
  2. R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA.
  3. Royal Centre for Defence Medicine, Birmingham, UK.

PMID: 29572386 DOI: 10.1136/emermed-2017-206959

Abstract

Terrorist attacks are increasing each year as are the number of deaths associated with them. Recent incidents have seen a shift in tactics with the use of multiple terrorists across multiple locations with firearms or knives, referred to as the marauding terrorist attack. These methods are becoming more prevalent alongside the use of vehicles deliberately aimed at pedestrians. Management of these incidents can be challenging. Not only it involves a large number of casualties but also the management of a dynamic scene in terms of both location and threat from attack. In order to improve response, and potentially outcomes, a system or response needs to have preplanned and practised procedures in place. This article reviews major incident management for those unfamiliar with current prehospital practice and details some of the findings from recent marauding terrorist firearm attacks, in particular the evolution of newer scene management tools such as 3 Echo and THREAT. It highlights the importance of haemorrhage control and the public initiatives focusing on actions during a terrorist incident.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Keywords: communications; disaster planning and response; emergency ambulance systems; gunshot; major incident, planning

Conflict of interest statement

Competing interests: None declared.

MeSH terms

Publication Types