Many EMS providers and administrators assume they will be able to follow standard protocolsвЂ“staging outside the danger areaвЂ“until law enforcement has made the scene safe. Low-tech attacks such as these will continue to happen regardless of new laws or security measures, and EMS must be prepared when they occur. or Sandy Hook Elementary School in Newtown, Conn., the overall effect nationwide was the same in that it generated wide-spread fear in the population and made the attackers infamous. While the death toll itself at the Boston Marathon was small compared to other low-tech attacks like the shootings at the Century Theater in Aurora, Colo. The shrapnel ripped through the crowd, killing three people and injuring more than 250 others. The bombs were placed on the ground where they detonated approximately 13 seconds apart. A recent example is the Boston Marathon bombings, in which terrorists placed backpacks filled with improvised explosive devices (IEDs) containing ball bearings and nails near the finish line of the 26-mile course. Terrorist organizations, their lone-wolf sympathizers and other attention-seeking murderers have all recognized the effectiveness and ease of low-tech, small-scale attacks when compared to 9/11-style catastrophic attacks. Often referred to as an вЂњactive shooterвЂќВќ event, these attackers are defined by the NTOA as вЂњan armed person who has used or demonstrated the intent to use deadly physical force and continues to do so while having access to additional victims.вЂќВќ by larger groups have been previously planned but not carried out as successfully as in other countries. Although attackers usually operate alone or in pairs, attacks in the U.S. AP Photo/KCNC-TV DenverДЄttacks directed against buildings and public events containing numerous unarmed citizens have been a favored terrorist tactic for years. EMS responders must be prepared to act outside normal protocols when responding to MCIs caused by low-tech terrorism. In this image from television, a Columbine High School student is rescued by emergency personnel during the shooting spree at the school in Littleton, Colo., on April 20, 1999. Though MCIs are often unpredictable and may include ongoing threats to responder safety, MCIs involving violent attacks include a high likelihood of continuing violence specifically directed at responders. Most EMS systems are trained to respond to MCIs caused by transportation accidents or natural disasters, and many prepare for MCIs caused by violence. Low-tech terrorism is very effective because it creates a high level of fear but requires very little in the way of support, funding, training and planning.ДЄ mass casualty incident (MCI) is typically defined as an event that includes so many patients that it overwhelms local resources. No special training is required to kill or injure large numbers of people using such simple weapons just look for a crowd of people, preferably in a confined area, who have little defense capability or chance of escape, and attack them. Anyone with Internet access can find simple instructions on the manufacture of such devices, including rudimentary timing mechanisms, and the materials are readily available at many local stores in your jurisdiction. Some examples of low-tech might include the use of a vehicle to run over victims in a crowded area, mass shootings, arson, or bombings using simple homemade explosives or incendiary devices. Low-tech terrorism is best defined as the use of common and easily obtained knowledge and weapons in order to cause mass casualties or widespread destruction with little planning and support.

Most likely, EMS will handle casualties from low-tech terrorism instead of high-tech terrorism. This definition also accurately describes the relationship between terrorism and EMS. Perhaps the best description, however, comes from the National Tactical Officers Association (NTOA), which defines terrorism as вЂњany act that threatens mass casualties or widespread destruction.вЂќВќ Most people picture foreign nationals plotting large-scale attacks that involve vehicle-borne improvised explosive devices, suicide bombers or weapons of mass destruction (WMD). Defining the word вЂњ terrorismвЂњВќ can be difficultвЂ“definitions vary between those used in state and federal laws.

Kcnc video ambush