Mass Casualty Incident - Boston marathon bombings
Explain in depth on how the bombings occurred, how the surrounding environment affected emergency response teams to get to the bomb site, and the difficulty they faced in securing the scene. All this must lead to eventually explain what tactics that paramedics can use to work with these difficulties and face the burden of triaging patients during this type of incident.
Sample Solution
On April 15, 2013 a pair of homemade bombs exploded near the finish line of the Boston Marathon. The mass casualty incident began at 2:49 pm when the first bomb detonated in front of Marathon Sports on Boylston Street near Copley Square killing three people and injuring more than 260 others (Larkin, 2018). The second bomb exploded 13 seconds later approximately 180 feet away where it caused additional fatalities and injuries to marathon spectators and runners alike. The explosions sent shockwaves throughout both the city of Boston and nation as whole resulting panic confusion chaos destruction which required massive emergency response effort secure scene evaluate victims assess extent damage .
The immediate response from law enforcement was swift with police officers arriving within minutes evacuate area assist injured determine if further threats were present . Firefighters also responded quickly setting up triage sites order treat victims expedite transport nearby hospitals However due complexity bombing event involving multiple explosive devices combined high level security precautions already place due presence dignitaries during race coordinating large scale rescue mission posed significant challenge for responders Accessing scene assessing wounded properly determining location other explosives all had be done carefully efficiently order mitigate potential risk danger civilian personnel .
In addition, difficulty involved securing scene chaotic environment surrounding bombings posed unique set challenges emergency response teams. Massive crowds filled streets creating hazardous conditions heightening fear uncertainty amongst citizens leading possible delays access difficult locations. Furthermore, roads blocked off transit services suspended time making it hard for health care professionals to reach affected areas, causing disruption of flow of supplies and medical services to patients with emergency personnel need. Those responding to the situation ultimately faced logistical physical difficulties while trying to restore safety and order, and the lives of those impacted tragic events (Rosenfeld et al., 2017).
This is an inquiry whose answer has been questioned since restorative recovery initially came into utilization. Some view it as, "permitting the state to act coercively against wrongdoers," while others see it as, "permitting the state to act indulgently toward guilty parties," (F Cullen and P Gendreau, 2012), while others view it as the main compassionate and successful technique for diminishing recidivism. In this exposition, I will show the two sides of this contention and the advantages and disadvantages to the two techniques, to deliver a fair and unprejudiced arrangement by looking at and contrasting Swedish penitentiaries (which select a more rehabilitative way to deal with) the UK framework (which has a more correctional methodology). I will likewise be referring to a few different free examinations which investigate the viability of remedial restoration.
Restorative recovery is characterized as, ""an arranged remedial mediation that objectives for change interior as well as friendly criminogenic factors fully intent on decreasing recidivism and, where conceivable, of working on different parts of a guilty party's life," (F Cullen, n.d.) and is established upon the possibility that, by handling the base of their concern, individuals can improve. These days, this is finished through treatment that assists with handling medication or liquor issues, and endeavors to get to the foundation of why they irritated, as well as showing prisoners important fundamental abilities which they can utilize when they are delivered once more into society. In any case, this strategy is moderately late and was just established and explored somewhere in the range of 1930 and 1950; one of the primary instances of a more rehabilitative methodology was in 1787 when Dr Benjamin Rush lead the "Philadelphia Society for Mitigating the Tragedies of Public Detainment facilities [… ] The Quakers figured isolation could change hoodlums. In such cells, the guilty parties could thoroughly consider their unfair ways, atone, and change." (Encyclopedia.com, 2005). Not long after this, prisons were created, which presented work during the day and imprisonment during the evening, and gave detainees more design to their day to day routines and something helpful to do with their time. Restoration filled in fame during the mid twentieth hundred years and turned out to be generally utilized until the 70s and 80s, where it turned out to be considerably less great (B Huebner, 2009), perhaps because of a negative 'Nothing Works paper composed by Robert Martinson in 1974, which uncovered the failure of most treatment programs. From that point forward there have been various strategies for improving detainees, the main change is the latest model.
The possibility of discipline, nonetheless, is "the punishment or burden of a punishment as retaliation for an offense." (Oxford Word references | English, n.d.), and in essential terms, utilizes discipline to instruct wrongdoers that negative activities have unfortunate results. This has gone back since society created (before this, it was the occupation of the family to teach the culprit). Early texts, for example, the Good book characterized what was an offense and its fitting discipline, which frequently involved being constrained into servitude for a long time as domains created. For more awful wrongdoings, the punishment was demise or expulsion, which then advanced into transient detainment followed by torment which turned out to be progressively utilized in the Archaic time frame. To go with this, new torment gear, the 'Iron Lady' for example, was concocted. Being hung, drawn and quartered, extended