Responding to Terrorism book cover

Responding to Terrorism

A Medical Handbook

Paperback, 436 Pages

Published: May 2011

Imprint: Churchill Livingstone

ISBN: 978-0-08-045043-8

Contents

  • Introduction
    Acknowledgements
    Part 1 Terrorism in Perspective – don’t panic!
    Terrorism today
    Key events in terrorism (including significant anniversaries)
    Key terrorist groups and affiliations
    Personal safety
    Personal protection
    Quarantine
    Roles and organisation of the antiterrorist agencies
    UK
    International
    Service rank markings (UK)
    Useful addresses and contact details
    Legal aspects
    New legislation
    Recognising the suspicious person

    Part 2 Responding to a terrorist incident
    Reasons for declaring an incident
    Initial actions checklist
    Declaring a major incident
    Organisation of an incident scene
    Triage
    Agency roles at an incident
    Health Service
    Fire
    Police
    Ambulance
    Bomb disposal
    Nuclear agencies
    Medical response to an incident scene
    Legal aspects
    Forensic aspects
    The scene
    The patients
    Dealing with the media
    Debriefing

    Part 3 Conventional terrorism
    Types of terrorist weapon
    Bombs (fire bombs, pipe bombs, suicide bombs etc)
    Bullets (high energy, low energy, expanding)
    Pathophysiology of wounding
    Blast
    Ballistics
    Initial management
    Safety
    Resuscitation
    Injury patterns in bombings
    Primary blast
    Fragmentation
    Amputations / disruption
    Burns
    Crush
    Psychological
    Presentation, management, strategy.
    Forensic management

    Section 4 Bioterrorism
    The nature of a suspected bioterrorist outbreak
    How to suspect a deliberate release
    Physical features of deliberate release
    Diagnostic symptom complexes
    What to do about it
    Handling a “white powder” incident
    Who to contact for further assistance
    What to tell the public (before and after the release is confirmed)
    Possible agents (presentation, incubation, management etc)
    Anthrax
    Smallpox
    Plague
    Botulinum
    Tularaemia
    Haemorrhagic fever viruses
    Pre-exposure prophylaxis
    Post-exposure prophylaxis

    Section 5 Chemical agents
    The nature of a suspected chemical attack
    How to suspect a deliberate release of chemicals
    Useful symptom complexes for agent recognition
    What to do about it
    Who to contact for further assistance
    What to tell the public – suggestions for first aid
    Protective equipment
    Personal protective equipment
    Collective protection
    Possible agents
    Nerve agents
    Vesicants
    Blood agents
    Chocking agents
    Incapacitating agents
    Smokes
    Other toxins
    Initial management (Specific management is covered under each agent)
    Safety
    Resuscitation
    Decontamination
    Specific antidotes
    Rescuer safety
    Contamination

    Section 6 Nuclear and radiation hazards
    The nature of nuclear terrorism
    Types of radiation
    Sources of radioactive substances
    The “dirty bomb”
    Radiation protection
    Pathophysiology of radiation damage
    Presentation of radiation injury
    Initial response to a radioactive leak
    Initial management of casualties
    Safety
    Decontamination
    Resuscitation
    Sources of information
    Prognosis in radiation injury

    Section 7 Medicine and Civil disorder
    How crowds behave
    How the police handle a crowd
    Role of the other emergency services
    Keeping safe
    Them:
    Improvised weapons
    Us:
    Less lethal weapons
    CS gas
    Water cannon
    Baton rounds
    Tasers
    Initial treatment on scene
    Further Reading

    Index

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