Are we ready for terrorism? Emergency medical technicians' and paramedics' training and self-perceived competence since September 11

Authors

  • Art Clawson, MS
  • Nir Menachemi, PhD, MPH
  • Unho Kim, MPH
  • Robert G. Brooks, MD, MBA

DOI:

https://doi.org/10.5055/ajdm.2007.0006

Keywords:

emergency medical technician, paramedic, terrorism-specific training, perceived competence

Abstract

The US continues to be a target for terrorist activities that threaten the lives of the populace. Training on preparedness and response for emergency medical technicians (EMTs) and paramedics is critical to the success of an early response to any such attack. Previous surveys have suggested that terrorism-specif-ic training has been modest at best since September 11. In order to gain further insight into emergency personnel’s level of training and competence, we sent surveys to 4,000 EMTs and paramedics in the state of Florida in late 2005 and early 2006. Results show a much higher level of training than previously reported from other states and suggest a direct correlation between the amount and type of training and self-reported competence. Our results suggest that most emergency personnel are receiving terrorism-specific training, but gaps in competencies exist and require the attention of educators and policymakers.

Author Biographies

Art Clawson, MS

Assistant Professor and Director of Health Affairs, Florida State University College of Medicine, Dallahassee, Florida.

Nir Menachemi, PhD, MPH

Assistant Professor and Director, Center on Patient Safety, Florida State University College of Medicine, Dallahassee, Florida.

Unho Kim, MPH

Florida State University College of Medicine, Dallahassee, Florida.

Robert G. Brooks, MD, MBA

Professor and Director, Center on Terrorism and Public Health, Florida State University College of Medicine, Tallahassee, Florida.

References

Hall M: Report: EMS lacks terrorism training, equipment. USA Today. March 11, 2005. Available at www.usatoday.com/news/nation/2005-03-10-ems-lax_x.htm. Accessed November 16, 2006.

Center for Catastrophe Preparedness and Response NYU: The Forgotten First Responder—A Report on the Critical Gaps in Organization and Deficits in Resources for America’s Medical First Responders. New York: Center for Catastrophe Preparedness and Response, New York University, 2005.

The National Registry of Emergency Medical Technicians: The Longitudinal EMT Attribute and Demographic Study (LEADS), 2003. Columbus, OH: The National Registry of Emergency Medical Technicians, 2004.

Mann NC, MacKenzie E, Anderson C: Public health preparedness for mass-casualty events: A 2002 state-by-state assessment. Prehospital Disaster Med. 2004; 19(3): 245-255.

Lerner EB, Billittier AJ 4th, O’Connor RE, et al.: Linkages of acute care and EMS to state and local public health programs: Application to public health programs. J Public Health Manag Pract. 2005; 11(4): 291-297.

Lerner EB, Billittier AJ 4th, O’Connor RE, et al.: Linkages of acute care and EMS to state and local public health programs: The role of interactive information systems for responding to events resulting in mass injury. Prehosp Emerg Care. 2004; 8(3): 237-253.

O’Keefe M, Levine R: Terrorism response training for emergency medical technicians since September 11, 2001: A nation prepared. Annuals of Emergency Medicine. 2004; 44(4): 104-105.

Miller G, Scott J, Issenburg S, et al.: Development, implementation and outcomes of a training program for responders to acts of terrorism. Prehosp Emerg Care. 2006; 10(2): 239-246.

Clawson A, Brooks R: Protecting rural communities from terrorism: A statewide, community-based model. J Rural Health. 2003; 19(1): 7-10.

Centers for Disease Control and Prevention: Bioterrorism and Emergency Readiness: Competencies for All Public Health Workers. Atlanta: Centers for Disease Control and Prevention, 2002.

DiMaggio C, Markenson D, Loo G, et al.: The willingness of U.S. emergency medical technicians to respond to terrorist incidents. Biosecur Bioterror. 2005; 3(4): 331-337.

Waekerle J, Seamans S, Whiteside M, et al.: Executive summary: Developing objectives, content, and competencies for the training of emergency medical technicians, emergency physicians, and emergency nurses to care for casualties resulting from nuclear, biological, or chemical incidents. Ann Emerg Med. 2001; 37(6): 587-601.

Published

01/01/2007

How to Cite

Clawson, MS, A., N. Menachemi, PhD, MPH, U. Kim, MPH, and R. G. Brooks, MD, MBA. “Are We Ready for Terrorism? Emergency Medical technicians’ and paramedics’ Training and Self-Perceived Competence since September 11”. American Journal of Disaster Medicine, vol. 2, no. 1, Jan. 2007, pp. 26-32, doi:10.5055/ajdm.2007.0006.