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Table of Contents
Table of Contents .......................................................................................................... 1
MODULE 7 RESPONDING TO POST-DETONATION INCIDENTS – Administration
Page................................................................................................................................ 2
Duration ....................................................................................................................... 2
Scope Statement ......................................................................................................... 2
Terminal Learning Objectives (TLO) ............................................................................ 2
Enabling Learning Objectives (ELO)............................................................................ 2
Resources ................................................................................................................... 2
Instructor to Participant Ratio ...................................................................................... 3
Reference List ............................................................................................................. 3
Assessment Strategy ................................................................................................... 3
ICON MAP ...................................................................................................................... 4
MODULE INTRODUCTION ............................................................................................ 5
EXPLOSIVE PROCESS AND EFFECTS ..................................................................... 11
EMERGENCY MEDICAL CARE ................................................................................... 15
STRUCTURAL HAZARDS ........................................................................................... 33
FIRST RESPONDER PRIORITIES ............................................................................... 44
RESCUE AND RECOVERY ......................................................................................... 56
EVIDENCE PRESERVATION ....................................................................................... 68
CASE STUDY: BOSTON MARATHON BOMBING...................................................... 83
SUMMARY .................................................................................................................. 127
7-4 Identify response priorities and critical decisions and actions required
during the initial response to a post-detonation incident.
7-5 Identify first responder responsibilities for evidence preservation during the
initial response to a post-detonation incident.
Resources
• Incident Response to Terrorist Bombings (IRTB) Course Handouts, including
course evaluation forms, pre-test forms, registration forms, self-evaluation forms,
and travel reimbursement forms (one per participant).
• Pencil or pen, protective glasses, badge, and nameplate (one per participant).
• Flash drive containing Participant Guide, Video Library, Case Study Library, and
Additional Resources (one per participant).
ICON MAP
Question: Used when there is an opportunity to ask a question or start a class
discussion.
First Responder Safety: Used to highlight information that relates directly to the
personal safety of first responders.
MODULE INTRODUCTION
This slide contains the Terminal Learning Objective for the module.
ELO 7-1
Identify the impact of explosive effects on response
operations in post-detonation situations.
Explosive effects will determine the scene landscape after the fact.
Understanding these will assist the responder in anticipating what
he or she may encounter in post-detonation situations.
1
Oklahoma City Bombing Injuries, (1998). Oklahoma State Department of Health.
This slide contains a series of video clips of the 1996 truck bombing
of a shopping center in Manchester, England, by the Irish
Republican Army (IRA). The bombers called in warnings 90
minutes prior to detonation, so the area was evacuated, but the
bomb squad was unable to defuse the 3,300-pound (1,500 kg)
mixture of Semtex, a military-grade plastic explosive, and
ammonium nitrate fertilizer. This bomb was approximately half the
size in weight of the bomb utilized at the Alfred P. Murrah Building
in Oklahoma City in 1995.
The shock front or wave can be visually likened to the outer ring of
ripples created when you toss a pebble into a pond. The shock
front is the front line of the blast effect. The shock wave can often
be seen from a distance traveling across the earth. The shock wave
is present in both air and ground. In the ground, effects are similar
to an earthquake. In the air, the shock wave is a front of hot,
compressed gases. The shock wave causes damage by exerting
an intense wind and overpressure on persons and structures.
ELO 7-2
Categorize post-blast injuries common among victims of
bombing incidents.
2
CDC. (2008). Blast Injuries: Essential Facts. Retrieved from
http://www.bt.cdc.gov/masscasualties/pdf/blastinjuries.pdf
All primary blast injuries are a result of the effect of the blast-
pressure wave on the body. Blast-pressure waves are nothing more
than fast moving pulses of compressed air. As such, they are
compressive forces. Understanding their interaction with the body is
relatively easy once this is recognized.3
3
(2009). Chapter 17: Trauma Systems and Mechanism of Injury. Retrieved from
http://samples.jbpub.com/9780763773991/73991_CH17_002_029.pdf
Primary blast injuries are caused by the blast wave interacting with
the body. As the blast wave passes through the body, it causes
damage through spalling, implosion, and inertia. Spalling occurs
when a shock wave reaches a fluid gas interface. It causes the
surface to break up into small particles or fragments. Implosion is
the momentary contraction of an air bubble that occurs when a
high-pressure blast wave passes through it. As the overpressure
falls, the bubble again expands rapidly. Inertia (or acceleration) is
the movement of the body wall in the direction of the blast wave.
Solid organs vibrate as the shock wave passes through them;
however, adjacent structures have different properties and may
collide with the organs—thus stretching and tearing them.
The ears are most sensitive to blasts because they are organs
designed to detect weak pressure waves (sound) in air. Therefore,
ear injuries are the most common injury seen in post-detonation
incidents. Rupture of the eardrum may occur at about five pounds
per square inch (psi) above atmospheric. From fifteen to thirty psi
with only slight mental deterioration, and then collapse and die later
from the injuries.
This slide lists the most frequent types of secondary blast injuries
and shows a photo of first responders attending to a man injured
during the Boston Marathon bombings.
4
Oklahoma City Bombing Injuries, (1998). Oklahoma State Department of Health.
This slide lists the most frequent types of tertiary blast injuries and
shows a photo of a compound fracture.
5
Oklahoma City Bombing Injuries, (1998). Oklahoma State Department of Health.
There are three types of amputation: complete where the body part
is completely torn off (severed), partial where more than fifty
percent of the body part is torn off, and, de-gloving where skin and
tissue are torn away from a body part.
6
(2004, July 28). WWII Chemical Weapons Injure Boys. China Through A Lens. Retrieved from
http://www.china.org.cn/english/2004/Jul/102425.htm.
7 (2015, October 7). Blast Injury Research Program. Retrieved from
https://blastinjuryresearch.amedd.army.mil/index.cfm?f=application.introduction.
Now that you know about the categories of blast injuries, let’s
discuss what that means for first responders trying to help
individuals and control a scene after a blast. Some of the specific
medical-related challenges that can complicate a post-blast scene
include:
This slide shows some of the Madrid train bombing wreckage and a
few of the 1,800 wounded victims shortly after the explosions.
8
Overall Assessment and Response to Terrorist Bombing in Trains, Madrid, 11 March 2004, (2008). European
Journal of Trauma Emergency Surgery.
9
U.S. Department of Homeland Security. (June 2015). First Responder Guide for Improving Survivability in
Improvised Explosive Device and/or Active Shooter Incidents. Retrieved from http://c-
tecc.org/images/content/First_Responder_Guidance_June_2015_FINAL_2_0.pdf
Selection and screening of the triage area is one of the first steps in
providing medical treatment. The location should be close enough
for easy transport, preferably by foot, yet far enough away to
preclude further injury from building collapse or detonation of
additional devices. The site should be close to roads accessible by
ambulances. Screening is important to ensure that victims are free
of other hazards and additional devices.
STRUCTURAL HAZARDS
ELO 7-3
Identify hazards typically encountered in structures by first
responders after a bombing incident.
Structural Hazards
There are three common types of structural hazards: glass,
fragments, and collapse and fire hazards.
Glass Hazards
The primary sources of glass hazards are windows. Glass hazards
come in one of three forms: projected, falling, and static glass.
Projected or flying glass shards are due to the positive pressure
phase of the blast wave. Normally, glass is not a substantial hazard
during post-detonation operations unless multiple devices detonate
in the vicinity of the target location.
Fragment Hazards
Blast-pressure forces applied to reinforced concrete can cause
fragment hazards due to spalling (fragmentation) or breaching. In
post-detonation situations, first responders can be injured by
concrete and steel that dislodges from intact structures or a debris
field. A nurse responding to the bombing at the Alfred P. Murrah
Federal Building was killed by a piece of concrete that dislodged
and fell from the structure.10
Effects of Fire
Be aware that blast pressure fires started by a bomb can
weaken the integrity of a building, affecting even concrete and
steel. First responders should be aware of these hazards and
follow local policies and procedures, including the
recommendations of structural engineers, when responding to
post-detonation incidents.
10
Oklahoma City Bombing Injuries, (1998). Oklahoma State Department of Health.
11
(2010, Nov. 16). Engineers Test Effects of Fire on Steel Structures. Purdue University. Retrieved from
http://www.purdue.edu/newsroom/research/2010/101116VarmaFire.html.
The search for additional devices should include more than just
operational areas; it should also include staging areas, command
posts, rest and rehab areas, and triage areas.
Other WMDs
Responders must commence monitoring for other WMD
hazards immediately on arrival at the incident scene.
Conventional explosives can be used to disseminate biological,
chemical, and radiological agents. Any sign of contamination by
such materials should cause an immediate adjustment in
operations, including additional evacuations and a change to
Personal Protective Equipment (PPE), that you are trained to wear,
required for operations in the immediate vicinity of the seat of the
explosion (or ground zero) and downwind from that point.
Body Fluids
Pathogens present in blood and other body fluids create risks
for those first responders who come into direct contact with
survivors. Pathogens may be a particular concern in a suicide-
bombing incident, where bombers may attempt to spread
dangerous pathogens on bone fragments and body parts that
come in contact and often penetrate survivors. It is believed
that terrorists are actively recruiting bombers who may be infected
with communicable diseases, to increase the physical and
psychological impacts of suicide-bombing attacks.
ELO 7-4
Identify response priorities and critical decisions and actions
required during the initial response to a post-detonation
incident.
Safety
During the initial response to a post-detonation incident, the first
priority is safety of the public and first responders. Every effort must
12
(2005). NIMS—Incident Command System for the Fire Service. U. S. Department of Homeland Security. Retrieved
from: http://www.dleg.state.mi.us/ccfs/bcc/pdf/dleg_bccfs_manual_nims_ics.pdf.
Scene Control
Control of the scene is a critical step in supporting all other
operations. Traffic flow must be controlled so that emergency
vehicles (fire apparatus and ambulances) can move to perform
critical rescue functions and provide appropriate medical treatment
and evacuation. Survivors must be identified and medically
evaluated before they depart the area. Witnesses and potential
terrorists must be identified for further processing by law
enforcement. Evidence must be protected from contamination or
theft. In addition, curious citizens and untrained volunteers must be
kept out of harm’s way. Scene control is an essential task that is
13
18 U.S. Code 2332b- Acts of Terrorism Transcending National Boundaries. Cornell University Law School.
Retrieved from https://www.law.cornell.edu/uscode/text/18/2332b.
14
Occupational Safety & Health Administration. United States Department of Labor. Retrieved from
https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9765.
Communications
Communication is essential, both in recalling emergency
responders to their agencies and ensuring a coordinated effort at
the incident scene. Typically, standard forms of communication in a
community—landlines and cellular telephones—fail during initial
phases of a response to a major bombing incident. Networks are
overloaded and it becomes difficult, if not impossible, to place
phone calls.
Establish Perimeters
The most critical initial responsibility of law enforcement at the
incident scene is to establish a perimeter. It is absolutely essential
to do so as soon as possible to protect people, preserve the
integrity of the crime scene, and recover evidence. The perimeter
should encompass danger areas in the immediate vicinity of the
target and larger areas required to protect evidence and support
response operations.
This slide lists some of the considerations that may have an impact
on initial rescue efforts. The photo on this slide shows first
responders engaged in rescue operations at the site of the
Oklahoma City bombing in 1995.
15
After Action Report for the Response to the 2013 Boston Marathon Bombings, (2014). Massachusetts Emergency
Management Agency.
This slide contains a photo of a man being rescued from the rubble
after the 1983 bombing of the U.S. barracks in Beirut.
16
Fire Engineering Magazine. (1 November 20016). Assessing Structural Collapse from Acts of Terror. Retrieved
from http://www.fireengineering.com/articles/print/volume-159/issue-11/features/assessing-structural-
collapse-from-acts-of-terror.html.
Most emergency responders say that they are largely immune from
most stressors—with the possible exception of intense, brief
periods of stress associated with physical confrontations for law
enforcement and unexpected, life-threatening situations during
firefighting operations.
Adrenaline will carry first responders during the first few hours of
major incident response operations, perhaps for as many as 12 to
15 hours. However, at a certain point, fatigue overcomes the ability
of the body to produce adrenaline and exhaustion sets in.
Although training, by itself, will not totally prepare anyone for the
stressors they will experience, agencies should provide detailed
descriptions of those stressors and alternative coping strategies
before incidents occur. Frank, open discussion of what first
responders can anticipate is an important element in their
preparation.
A later portion of this module will take a closer look at the Boston
Marathon Bombing incident and the scenes that linger in the minds
of the dedicated first responders who aided in the rescue efforts.
17
Smith, R., Katz, C., Herbert, R., Levin, S. (2005). Mental Health Status of World Trade Center Rescue
Recovery =Workers and Volunteers-New York City, July 2002-August 2004. The Journal of the American
Medical and Association. 293. 30-31. Retrieved from
http://jama.jamanetwork.com/article.aspx?articleid=200104&resultClick=3.
18
Abel, David. (2013, October 15). First responders still in grip of Marathon’s horror. Boston Globe. Retrieved from
http://www.bostonglobe.com.
EVIDENCE PRESERVATION
ELO 7-5
Identify first responder responsibilities for evidence
preservation during the initial response to a post-detonation
incident.
This slide shows a piece of cloth that was recovered from the plane
wreckage and police walking around the wreckage of the Boeing
aircraft as it lies in a field outside the Scottish town of Lockerbie.
19
(2012). Terrorist Bombing of Pan Am Flight 103. Central Intelligence Agency. Retrieved from
https://www.cia.gov/about-cia/cia-museum/experience-the-collection/text-version/stories/terrorist-bombing-
of-pan-am-flight-103.html.
20
After Action Report: Alfred P. Murrah Federal Building Bombing. The Oklahoma Department of Civil Emergency
Management.
This slide contains a photo of the evidence collection after the 2010
Times Square Bombing attempt.
Added shrapnel
Similar explosive materials
These are fragments from the same device shown on the previous
slide and could be recovered as evidence. The circular flat metal in
the middle of the photo is the winding coil of the egg timer, the red
piece in the lower left is a piece of the battery, and the other items
are various pieces of the bomb components. This image illustrates
how evidence collected after a blast will likely look very different
from the original materials and components.
The class will now review a case study about the Boston Marathon
Double Bombing that occurred on April 15, 2013.
This slide contains basic details about the bombing and a photo of
the first detonation.
The first bomb exploded closest to the finish line, which was
located in front of Marathon Sports and Lens Crafters, the second
bomb was about a block before the finish line in front of Forum
Restaurant, Atlantic Fish Company, and Starbucks.21
21
After Action Report for the Response to the 2013 Boston Marathon Bombings, (2014). Massachusetts Emergency
Management Agency.
This slide shows survivor Jeff Bauman, who lost his legs as a result
of the bombing.
The man who lost his legs is Jeff Bauman, who was cheering for
his girlfriend at the Boston Marathon. The 28-year-old describes the
terrifying moment:22
April 15, 2013: It was 2:48 p.m.—one minute before the most
high-profile terrorist event on American soil since Sept. 11—
and he (Tamerlan) was standing right beside me. We were
half a block from the finish line, two in a crowd of half a
million. I was there with my friends to support my girlfriend,
Erin Hurley, who was running for charity. We were just like
everyone else that day: cheering and clapping, laughing.
Then, suddenly, I noticed Tsarnaev. He had on a hooded
jacket that was too much, even on a cool day. The thing that
struck me, though, was his demeanor. Everyone was
enjoying themselves. Except this guy. He was all business.
We stared at each other for eight, maybe 10 seconds, then
my friend said something, and I looked away. When I looked
22
After Action Report for the Response to the 2013 Boston Marathon Bombings, (2014). Massachusetts Emergency
Management Agency.
This slide shows a photo of the injuries at the scene, just after the
bombing.
This slide shows a photo of Jeff Bauman being wheeled away from
the scene in a wheelchair.
The individual in the cowboy hat is Carlos Arredondo. Just after the
first detonation, Arrendondo immediately sprinted into action and he
can be seen in a series of photos and videos of the aftermath
pulling debris and fencing away from the bloody survivors and
clearing the way for emergency personnel to tend the wounded. He
saw Jeff Bauman, missing both of his legs and losing blood rapidly,
and knew Jeff needed the most help. Arredondo lifted Bauman and
put him into a wheelchair, and when the fabric used as a tourniquet
kept getting caught in its wheels, he held the fabric (this was initially
mistaken for Arredondo pinching Bauman's femoral artery).
This slide shows the glass that was broken by the force of the blast.
23
After Action Report for the Response to the 2013 Boston Marathon Bombings, (2014). Massachusetts Emergency
Management Agency.
A few seconds after Dzhokhar finished the call, at about 2:49 pm,
the first bomb exploded about 100 feet before the finish line. A
quarter of the marathon’s 23,000 runner had yet to complete the
race.
Bruce Mendelsohn, 44, was in the office building above the first
explosion. The windows were open, and he said the blast blew him
off the couch. He ran downstairs and saw 10 to 12 people with
gruesome lower-body injuries.24
A survivor who was lying next to the fencing here had severe
lacerations behind both knees, and the skin on her back had turned
black.
24
Criminal Complaint: United Stated of America V. Dzhokhar Tsarnaev, (2013). United States District Court for the
District of Massachusetts.
25
After Action Report for the Response to the 2013 Boston Marathon Bombings, (2014). Massachusetts Emergency
Management Agency.
At least one child was carried away, and other people with injuries
walked or were helped along. The explosion shredded pants and
injured people’s legs.
Deirdre Hatfield, 27, witnessed the second blast. She saw glass
shattering and a large fireball. Ms. Hatfield saw a woman and two
children thrown back by the blast and flesh and bone scattered on
the ground.
26
After Action Report for the Response to the 2013 Boston Marathon Bombings, (2014). Massachusetts Emergency
Management Agency.
Shortly after the first explosion, Dzhokhar was seen heading away
from the blasts without his bag. A marathon participant who had
already finished the race took this photo at 2:50 pm.
The picture in the bottom right hand corner shows the younger of
the two terrorists; the placed IED; and the youngest fatality in the
bombing, Martin Richard, circled in blue.27
27
Criminal Complaint: United Stated of America V. Dzhokhar Tsarnaev, (2013). United States District Court for the
District of Massachusetts.
28
The Hunt for the Boston Bombing Suspects. (2013). [Interactive map illustrating how the police tracked down the
Boston Bombing suspects]. The New York Times. Retrieved from
http://www.nytimes.com/interactive/2013/04/19/us/boston-marathon-manhunt.html?_r=1&.
2. Armed carjacking
Allston – A short time after shooting the campus officer, a
man who officials believe was Tamerlan Tsarnaev
approached a parked Mercedes-Benz SUV, climbed in and
pointed a gun at the driver, stating, "Did you hear about the
Boston explosion?" and "I did that," according to a criminal
complaint filed April 22. The gunman forced the victim to
drive to another location, where they picked up another man,
who officials believe was Dzhokhar Tsarnaev.
29
Winter, T., Thibault, A., & Schuppe, J. (2015, March 16). Cops Recall Deadly Shootout with Boston Bombing
Suspects. NBC News. Retrieved from http://www.nbcnews.com/storyline/boston-bombing-trial/boston-
bombing-trial-jury-inspects-boat-where-dzhokhar-tsarnaev-hid-n324231.
30
Levenson, E. (2015, March 10). Here’s the Note Dzhokhar Tsarnaev Wrote Inside the Boat Where He Was
Captured. Boston.com. Retrieved from https://www.boston.com/news/local-news/2015/03/10/heres-the-note-
dzhokhar-tsarnaev-wrote-inside-the-boat-where-he-was-captured.
This slide goes into some detail on information gained from the
investigation.
The picture of the pressure cooker on the top of the slide is the
same brand and style that was used by the bombers. The brand is
“Fagor” and the pressure cooker is a mid-size pressure cooker with
a volume of approximately 6 quarts. On the bottom left is a picture
of “Flash Powder” or firecracker fill. Reports from authorities leaned
toward this type of low explosive material used in the bombs. The
bottom two center pictures are commercial clip art of nails similar to
the ones used in the device and commercial BB’s. The picture on
the bottom right is shrapnel recovered from the scene. The initiator
was improvised from a Christmas tree light bulb.
This slide shows evidence or parts of the pressure cooker lid, and
possibly the bottom, which were located at the scene.
The photo on the bottom left hand corner is part of the backpack,
which would have concealed the IED. The bottom right hand picture
shows a piece of a zipper that may have come from the backpack,
which concealed the devices. The bottom right photo also shows
some of the shrapnel that was added to the devices: common BB’s
and what appear to be carpet 5/8-inch nails.
31
Criminal Complaint: United Stated of America V. Dzhokhar Tsarnaev, (2013). United States District Court for the
District of Massachusetts.
32
Criminal Complaint: United Stated of America V. Dzhokhar Tsarnaev, (2013). United States District Court for the
District of Massachusetts.
33
Criminal Complaint: United Stated of America V. Dzhokhar Tsarnaev, (2013). United States District Court for the
District of Massachusetts.
34
Criminal Complaint: United Stated of America V. Dzhokhar Tsarnaev, (2013). United States District Court for the
District of Massachusetts.
This slide gives more detail from the evidence the FBI recovered
from the younger suspect.
This slide explains some of the training and preparation the Boston
Marathon bombers received. This slide also contains a photograph
of the 11th edition of Inspire magazine commemorating the Boston
Marathon bombers.
This slide explains visual recognition indicators for IEDs that might
employ the use of pressure cookers.
This slide lists the casualties and victims of the bombers. The five
photos show the victims killed during the bombings and related
incidents (clockwise from the top right): Lingzi Lu, Krystle Campbell,
Martin Richard, Sean Collier, and Dennis Simmonds.
SUMMARY