The Boston Marathon Bombings occurred on Monday April 15, 2013, and were a major incident of terrorism and subsequent related shootings in the City of Boston, Massachusetts that killed three people and seriously affected hundreds more. This case study will detail the sequence of events on the day using the prevention, preparedness, response and recovery model (PPPR), focusing specifically on the multi- dimensional preparedness and response of emergency medical services (EMS), the systems and resources in place from the event organisers, Boston Athletics Association and the response of hospitals in dealing with a mass casualty event. Finally, there will be X of recommendations made for improvement based with the best practice model of PPPR. Background April 15th, 2013 marked the …show more content…
At 2.49pm EST, two improvised explosive devices (IED), consisting of pressure cookers concealed in backpacks containing nails, BB’s, shards of metal and shrapnel detonated within 12 seconds of each other. The IEDs were roughly 180 meters apart along Boylston Street behind metal barriers that separated spectators from runners at the finish line of the marathon. Three people died at the scene, and more than 260 were injured (History, 2014). The IED blasts blew out windows, but did not cause any structural damage to buildings adjacent to the blast sites. Despite the life-threatening injuries sustained by multiple victims, there was no subsequent mortality among those who survived transfer to a hospital. Factors that contributed to the high survival rate, include the location of the blasts, timing, preparation for this annual mass gathering event, previous domestic terrorist attacks and the actions of bystanders and emergency services (Goralnick et al., 2015). Both explosions occurred in the last 200 meters of the finish line, where a large number of spectators were gathered and where medical personnel had an established runners’ first aid