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.

Local Planning for Terror and Disaster gives voice toexperts in key fields involved with local preparedness, assessingthe quality of preparedness in each field, and offering directionsfor improvement. Introductory chapters provide overviews ofterror medicine, security and communications, which areindispensable to successful preparedness, while subsequent chaptersconcentrate on a particular field and how responders from thatfield communicate and interact with others during and after anevent. Thus, a chapter by a physician discusses not onlythe doctor's role but how that role is, or should be, coordinatedwith emergency medical technicians and police. Similarlychapters by law enforcement figures also review policeresponsibilities and interactions with nurses, EMTs, volunteers andother relevant responders.Developed from topics at recent Symposia on Terror Medicine andSecurity, Local Planning also encompasses aspects ofemergency and disaster medicine, as well as techniques fordiagnosis, rescue, coordination and security that are distinctiveto a terrorist attack. Each chapter also includesa case study that demonstrates preparedness, or lack thereoffor a real or hypothetical event, including lessons learned, nextsteps, and areas for improvement in this globalera which increasingly calls for preparedness at a locallevel.

CONTRIBUTORS viiPROLOGUE xiACKNOWLEDGMENTS xiiiPART I INTRODUCTION: THE KNOWN AND THE UNKNOWN1 Preparedness, Uncertainty, and Terror Medicine 3Leonard A. Cole2 Bioterrorism and the Communication of Uncertainty 17Leonard A. Cole, Laura H. Kahn, and Peter M. Sandman3 Responding to Disaster and Terrorism: The Central Role of Communication 29Steven M. BeckerPART II HEALTHCARE PROFESSIONALS4 The Role of the Emergency Physician 47Emily G. Kidd, Donald H. Jenkins, and Craig A. Manifold5 The Role of the Nurse 61Dian Dowling Evans, Samuel E. Shartar, and James W. Gordon6 The Role of the Dentist 71David L. Glotzer7 The Role of the Emergency Medical Technician 83Brendan McCluskey and Henry P. Cortacans8 The Role of the Mental Health Professional 95Ann E. Norwood, Lisa M. Brown, and Gerard A. JacobsPART III INSTITUTIONAL MANAGEMENT9 The Role of the Manager of Mass Casualty and Disaster Events 111Shmuel C. Shapira and Limor Aharonson-Daniel10 The Role of Public Health 123Henry Falk and Isaac Ashkenazi11 The Role of the Hospital Receiver 139Mark A. Merlin12 Managing Traumatic Stress 153Steven M. CrimandoPART IV SUPPORT AND SECURITY13 The Role of the On-Scene Bystander and Survivor 165Bruria Adini14 The Role of the Trained Volunteer 177Brenda D. Phillips, Njoki Mwarumba, and Debra Wagner15 Bioterrorism, Biosecurity, and the Laboratory 189Nancy D. Connell and James Netterwald16 The Role of the Law Enforcement Officer 201Graeme R. Newman and Ronald V. Clarke17 A Model Case of Counterterrorism: Thwarting a Subway Bombing 215Joshua Sinai18 The Newest Security Threat: Cyber-Conflict 227Panayotis A. YannakogeorgosPART V CONCLUSION19 Preparedness, Black Swans, and Salient Themes 241Nancy D. Connell and Leonard A. ColeIndex 249