Recipe for success: baking in Boston strong-observations on Boston's success


On 15 April 2013 at 14:29 hours, two improvised explosive devices (IED) exploded within 15 seconds of each other in Boston. The explosions occurred approximately 200 yards apart at the Boston Marathon finish line.In the follow on to the event it became quickly apparent that Boston EMS, in collaboration with the health community had achieved, by any standard, an effective response. One determining factor was the survival of victims; in Boston no victims died who survived the initial blast. This success did not happen by chance. In the wake and review of the events it became apparent that the successful response during the Boston Marathon was the result of decades of preparedness.This article will not dwell on the actual response events as other reports and articles have done that well. The intent is to discuss the underlying principles that led to a successful response by Boston EMS and the other parts of the community response system. As will be discussed, the whole community of Boston participated in not only the response that day, but was integral parts of the recipe that created such a successful response.

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