Give Emergency
Workers Better Tools,
Training, Organization

By D. J. Peterson

D. J. Peterson is a political scientist at RAND. In 2001, he and a team of RAND colleagues convened a conference of more than 100 emergency personnel who had responded to the 1995 bombing of the Alfred P. Murrah Federal Building in Oklahoma City, the Sept. 11 attacks on the World Trade Center and Pentagon, and the subsequent anthrax incidents.

Peterson.hi
AP/WIDE WORLD PHOTOS/FDNY

New York City firefighters from Manhattan's Ladder Company 4 and Engine Company 54 carry the flag-draped remains of a fallen comrade from the World Trade Center site, as recovery efforts continue on March 14.

Emergency responders lack the equipment, training, and organization they need to protect themselves, let alone their communities, against major terrorist attacks. About one-sixth of those who perished at the World Trade Center—more than 400 people—were emergency responders. Clearly, government officials need a better understanding of how to protect those who protect us.

Emergency responders who were involved at the World Trade Center, the Pentagon, and other attack sites included firefighters, police officers, emergency medical technicians, and construction workers. Many who survived the attacks have identified the following limitations of their existing equipment, training, and site management procedures:

  • Personal protection equipment—respirators, shoes, clothing, and eye protection—was inadequate for the extended search-and-rescue campaign, particularly at the World Trade Center. Firefighting gear is designed for operations that typically last 30 minutes to an hour, not several weeks. Firefighters were hampered by such rudimentary impediments as wet garments and blistered feet.

  • There was an acute shortage of respirators in the first few days at the World Trade Center, and the many types of equipment being used by various organizations were often not interoperable.

  • When appropriate equipment was available, it was often not used, either because of a lack of information regarding the immediate hazards or because of lax enforcement of safety standards.

  • Not all emergency responders at the various attack sites were trained to use the protective equipment. On-site training was needed for emergency medical technicians, construction workers, and volunteers.

  • Emergency responders were perhaps least prepared for the anthrax incidents. In this case, the problem was not lack of information but, rather, information that changed every day.

  • There were widespread problems at the World Trade Center and Murrah Federal Building, in particular, with controlling site access, monitoring and assessing hazards, communicating risks to frontline workers, managing and distributing safety equipment, and enforcing safety standards.

To improve emergency response capabilities, emergency responders have proposed these recommendations to the National Institute for Occupational Safety and Health and other organizations:

  • Establish guidelines for equipment that can function for long periods of time amid rubble, human remains, and a range of respiratory threats.

  • Identify the kinds of protective equipment required for responding to biological incidents, threats, and false alarms.

  • Standardize equipment across organizations, either by coordinating procurements among the organizations or by prodding manufacturers to promote interoperability within classes of equipment.

  • Determine how to rapidly provide responders with useful information about the hazards at major disaster sites and the necessary protective equipment.

  • Investigate ways to better train responders to use the equipment before a disaster occurs.

  • Expand the scope of disaster drills and training to simulate the logistical requirements of extended response activities.

  • Develop guidelines and training for controlling access to major disaster sites and enforcing the use of protective equipment. The most critical need for site management is a coherent command authority.

Cost is a serious barrier. Providing each emergency worker with an ensemble of equipment for a range of hazards associated with a terrorist attack could be prohibitively expensive. Smaller departments may prefer to increase their purchasing power by banding together to coordinate procurements. Larger departments may prefer to expand the number of prepositioned caches of equipment for use as necessary.

Federal support is needed to finance research and development of advanced respirators, clothing, and sensors; information and communications technologies to manage disaster sites; and improved technologies to locate responders buried or trapped under rubble. In some cases, industrial or military technologies might be easily transferable to emergency organizations. In other cases, completely new technologies will need to be devised.

Related Reading

Protecting Emergency Responders: Lessons Learned from Terrorist Attacks, Brian A. Jackson, D. J. Peterson, James T. Bartis, Tom LaTourrette, Irene Brahmakulam, Ari Houser, Jerry Sollinger, RAND/CF-176-OSTP, 2002, 109 pp., ISBN 0-8330-3149-X, $20.00.


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