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April 5th, 2014 posted by Paul Rega, MD, FACEP April 5, 2014 @ 1:01 am

Harvard Report: “Why Was Boston Strong? Lessons from the Boston Marathon Bombing”

The team’s final report, Why Was Boston Strong? Lessons from the Boston Marathon Bombing, was publicly released on Thursday, April 3, 2014. The report highlights a number of factors that contributed to a largely successful response and emphasizes what, exactly, made Boston Strong and resilient in the face of tragedy.

It also provides a set of recommendations for jurisdictions to consider going forward. Among other findings, the authors urge responders:


•    To quickly establish a cross-agency, senior strategic and policy-making level of engagement and secure command post — with dedicated space for strategic, tactical and logistical teams — that looks to both the big picture and a longer timeframe.

•    To provide responders and political leaders with more training and experience in the doctrine of incident command in complex circumstances through exercises and utilization of regular “fixed events” to develop skills.

•    To develop a more effective process to manage the inevitable self-deployment of responders who in response to crisis arrive as independent individuals rather than in organized units.

•    To critically review current training and practice on control of weapons fire, which may call for new paradigms.

•    To design and routinely establish a staffing schedule for all levels of personnel ensuring rotation and rest that are essential to sustained performance when critical events last for days.

•    To consider a legislative change to the HIPAA regulations regarding release of information to family members about the health status of patients critically injured in an attack, in order to provide them the best care possible and to cater to their wide range of needs.

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April 2nd, 2014 posted by Paul Rega, MD, FACEP April 2, 2014 @ 4:45 am

Nairobi: 3 almost simultaneous explosions in part of the Kenyan capital Nairobi that is popular with Somalis.



*At least six people have been killed

* Popular with Somalis.

*  A small mother-child clinic and two restaurants were targeted

*  Homemade bombs or grenades are thought to have been used.

*  More than two dozen people were hurt,

*  At least nine of them were critically injured.

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March 21st, 2014 posted by Paul Rega, MD, FACEP March 21, 2014 @ 5:16 am

Afghanistan: 4 Taliban gunmen smuggle tiny pistols into a Kabul hotel filled with foreign observers and Afghan officials and execute at least 9 diners



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March 16th, 2014 posted by Paul Rega, MD, FACEP March 16, 2014 @ 6:11 am

BAGHDAD—A series of car bomb attacks; at least 19 killed


Associated Press    

March 15, 2014 10:35 p.m. ET
“……..Police officials said a car bomb went off at night in a commercial street in al-Ameen district in southeastern Baghdad, killing four people and wounding 13. Minutes later, police said another car bomb explosion near a falafel restaurant killed three people and wounded six in the capital’s Qahira neighborhood.

A third car bomb exploded in a commercial street in western Baghdad, killing four persons and wounding 14 others………. Later, a car bomb in a commercial area of Baghdad’s northwestern neighborhood of Shula killed four people and wounded nine………

In Baghdad’s northern district of Hurriyah, a car bomb also exploded, killing four people and wounding 10……..”

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March 15th, 2014 posted by Paul Rega, MD, FACEP March 15, 2014 @ 1:10 am

Pakistan: Twenty-one people were killed and 90 others, including women and children, sustained injuries in bomb attacks in Peshawar and Quetta on Friday.


“……a suicide bomber targeted an armoured personnel carrier (APC) of the police in the Batathal Bazaar……”

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March 3rd, 2014 posted by Paul Rega, MD, FACEP March 3, 2014 @ 5:40 pm

China Blames Xinjiang Separatists for Stabbing Rampage at Train Station

 29 people  killed and 143 wounded.

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March 1st, 2014 posted by Paul Rega, MD, FACEP March 1, 2014 @ 10:44 pm

Knife-wielding men at a railway station in Kunming, China have killed at least 29 and wounded over 100


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February 28th, 2014 posted by Paul Rega, MD, FACEP February 28, 2014 @ 5:25 am

Iraq: Motorbike blast kills 52 ( “I was hit in my face and my hands and when I got up, everyone was screaming and running towards me away from the blast.” )


Motorbike blast kills 52 in Iraq

By Reuters

7:08AM GMT 28 Feb 2014

“At least 52 people were killed Wednesday as a motorcycle rigged with   explosives detonated in Baghdad’s Sadr City and militants targeted mostly   Shi’ite neighbourhoods around the country….”

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February 26th, 2014 posted by Paul Rega, MD, FACEP February 26, 2014 @ 4:45 am

Feb. 26, 1993: A bomb explodes in the garage of New York’s World Trade Center, killing six and injuring more than 1,000 others.

Historical Event, Terrorism

Invesigators going through the rubble following the bombing of the World Trade Center.


“…….[A]t about 17 minutes past noon, a thunderous explosion rocked lower Manhattan.

The epicenter was the parking garage beneath the World  Trade Center, where a massive eruption carved out a nearly 100-foot  crater several stories deep and several more high. Six people were  killed almost instantly. Smoke and flames began filling the wound and  streaming upward into the building. Those who weren’t trapped were soon  pouring out of the building—many panic-stricken and covered in soot.  More than a thousand people were hurt in some way, some badly, with  crushed limbs.

It was Friday, February 26, 1993, and Middle Eastern terrorism had arrived on American soil—with a bang.


As a small band of terrorists scurried away from the  scene unnoticed, the FBI and its partners on the New York Joint  Terrorism Task Force began staffing up a command center and preparing to  send in a team to investigate. Their instincts told them that this was  terrorism—they’d been tracking Islamic fundamentalists in the city for  months and, they’d later learn, were tantalizingly close to encountering  the planners of this attack. But hunches weren’t enough; what was  needed was definitive proof.

They’d have it soon enough. The massive  investigation that followed—led by the task force, with some 700 FBI  agents worldwide ultimately joining in—quickly uncovered a key bit of  evidence. In the rubble investigators uncovered a vehicle identification  number on a piece of wreckage that seemed suspiciously obliterated. A  search of our crime records returned a match: the number belonged to a  rented van reported stolen the day before the attack. An Islamic  fundamentalist named Mohammad Salameh had rented the vehicle, we  learned, and on March 4, an FBI SWAT team arrested him as he tried in  vain to get his $400 deposit back.

One clue led to another and we soon had in custody three  more suspects—Nidal Ayyad, Mahmoud Abouhalima, and Ahmed Ajaj. We’d  also found the apartment where the bomb was built and a storage locker  containing dangerous chemicals, including enough cyanide gas to wipe out  a town. All four men were tried, convicted, and sentenced to life.

The shockwave from the attack continued to reverberate. Following the unfolding connections, the task force soon uncovered a  second terrorist plot to bomb a series of New York landmarks  simultaneously, including the U.N. building, the Holland and Lincoln  Tunnels, and the federal plaza where our office in New York is housed.  On June 24, 1994, FBI agents stormed a warehouse in Queens and caught  several members of a terrorist cell in the act of assembling bombs.


Meanwhile, the mastermind of the World Trade Center  bombing was still on the run—and up to no good. We’d learned his  name—Ramzi Yousef—within weeks after the attack and discovered he was  planning more attacks, including the simultaneous bombing of a dozen  U.S. international flights. Yousef was captured in Pakistan in February  1995, returned to America, and convicted along with the van driver, Eyad  Ismoil. A seventh plotter, Abdul Yasin, remains at large.

We later learned from Yousef that his Trade Center plot was far more sinister. He wanted the bomb to topple one tower, with the collapsing debris  knocking down the second. The attack turned out to be something of a  deadly dress rehearsal for 9/11; with the help of Yousef’s uncle Khalid  Sheikh Mohammed, al Qaeda would later return to realize Yousef’s  nightmarish vision.

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February 25th, 2014 posted by Paul Rega, MD, FACEP February 25, 2014 @ 1:56 pm

At least 29 students killed in attack suspected to have been carried out by Boko Haram Islamists, Nigerian military says.


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