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Local Planning for Terror and Disaster: From Bioterrorism to Earthquakes




Local Planning for Terror and Disaster: From Bioterrorism to Earthquakes

Leonard A. Cole, Nancy D. Connell

ISBN: 978-1-118-39775-6 August 2012 Wiley-Blackwell 274 Pages

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Local Planning for Terror and Disaster gives voice to experts in key fields involved with local preparedness, assessing the quality of preparedness in each field, and offering directions for improvement. Introductory chapters provide overviews of terror medicine, security and communications, which are indispensable to successful preparedness, while subsequent chapters concentrate on a particular field and how responders from that field communicate and interact with others during and after an event. Thus, a chapter by a physician discusses not only the doctor's role but how that role is, or should be, coordinated with emergency medical technicians and police. Similarly, chapters by law enforcement figures also review police responsibilities and interactions with nurses, EMTs, volunteers and other relevant responders. 

Developed from topics at recent Symposia on Terror Medicine and Security, Local Planning also encompasses aspects of emergency and disaster medicine, as well as techniques for diagnosis, rescue, coordination and security that are distinctive to a terrorist attack. Each chapter also includes a case study that demonstrates preparedness, or lack thereof, for a real or hypothetical event, including lessons learned, next steps, and areas for improvement in this global era which increasingly calls for preparedness at a local level.





1 Preparedness, Uncertainty, and Terror Medicine 3
Leonard A. Cole

2 Bioterrorism and the Communication of Uncertainty 17
Leonard A. Cole, Laura H. Kahn, and Peter M. Sandman

3 Responding to Disaster and Terrorism: The Central Role of Communication 29
Steven M. Becker


4 The Role of the Emergency Physician 47
Emily G. Kidd, Donald H. Jenkins, and Craig A. Manifold

5 The Role of the Nurse 61
Dian Dowling Evans, Samuel E. Shartar, and James W. Gordon

6 The Role of the Dentist 71
David L. Glotzer

7 The Role of the Emergency Medical Technician 83
Brendan McCluskey and Henry P. Cortacans

8 The Role of the Mental Health Professional 95
Ann E. Norwood, Lisa M. Brown, and Gerard A. Jacobs


9 The Role of the Manager of Mass Casualty and Disaster Events 111
Shmuel C. Shapira and Limor Aharonson-Daniel

10 The Role of Public Health 123
Henry Falk and Isaac Ashkenazi

11 The Role of the Hospital Receiver 139
Mark A. Merlin

12 Managing Traumatic Stress 153
Steven M. Crimando


13 The Role of the On-Scene Bystander and Survivor 165
Bruria Adini

14 The Role of the Trained Volunteer 177
Brenda D. Phillips, Njoki Mwarumba, and Debra Wagner

15 Bioterrorism, Biosecurity, and the Laboratory 189
Nancy D. Connell and James Netterwald

16 The Role of the Law Enforcement Officer 201
Graeme R. Newman and Ronald V. Clarke

17 A Model Case of Counterterrorism: Thwarting a Subway Bombing 215
Joshua Sinai

18 The Newest Security Threat: Cyber-Conflict 227
Panayotis A. Yannakogeorgos


19 Preparedness, Black Swans, and Salient Themes 241
Nancy D. Connell and Leonard A. Cole

Index 249

“In summary, this book is an excellent read and the way the various incidents and subsequent responses are recounted, one cannot help but to reevaluate how to plan for disasters and emergencies to be better prepared for not only realistic worst case events but also for the Black Swan.”  (Journal of Chemical Health & Safety, 1 April 2013)

Local Planning for Terror and Disaster: From Bioterrorism to Earthquakes, is required reading for anyone involved in responding to Mass Casualty Events which means all of us, because we could all become first responders.”—Nancy Hartevelt Kobrin, PhD,

"'Local Planning' may be among the most important books published this year. . . ."—Warren Boroson,

"Leonard Cole and Nancy Connell have produced an essential book, not just for counterterrorism and disaster preparedness professionals, but for each and every American. We can’t prevent disasters but we can mitigate them, and the key to mitigation is preparedness.  I know of no better place to look for that key than in the pages of this book."—Clark Ervin, Former Inspector General, US Department of Homeland Security

"A great read. At a time when funding for local preparedness efforts is waning, this book is a clarion call for reversing that trend.  Leading experts and practitioners from across the preparedness spectrum provide vivid case studies and give valuable judgments about what matters most in responding to disasters and terrorism.   Read it and be reminded how much depends on local response when catastrophe strikes." —Thomas Inglesby, MD, Director of the Center for Biosecurity of UPMC 

“This text is an excellent addition to the discipline of disaster management.  It includes realistic case studies to introduce the diverse range of disaster and terror situations that medical, security, or other professionals should be prepared to address.  Any disaster professional would benefit greatly from heeding its lessons.” —Jane Bullock, Former Chief of Staff, Federal Emergency Management Agency

"This book provides a unique approach to the true interdisciplinary requirements for responses to terrorist and disaster events as it translates findings from case studies into actions needed for preparedness. Thus, it provides much needed information for the disciplines that comprise disaster medicine, including administration and security. It is an important read that will enhance our levels of preparedness." —Marvin Birnbaum, MD, PhD, Chair, Board of Directors, World Association for Disaster and Emergency Medicine