Improving global prehospital and emergency medicine, public health, and disaster health care and preparedness

Counter-Terrorism Medicine

The Counter-Terrorism Medicine Special Interest Group (CTM-SIG) enables WADEM members with an interest in this new area to find a place to exchange ideas, share experiences, and collaborate on research. The CTM-SIG strives to be on the cutting edge of this ever-changing new field and set the standard for global mitigation, preparedness, and response to asymmetric terrorist attacks.

Listen to the Most Recent Podcast

WADEM · Targeted Automobile Ramming Mass Casualty Attacks – Dr. James Phillips

Targeted Automobile Ramming Mass Casualty (TARMAC) attacks are devastating, deadly, and some of the most easily executed types of assaults. How can health care and disaster medicine professionals prepare for, mitigate, and treat those injured by intentional vehicular assaults? Join Dr. Ryan Hata and Dr. James Phillips as they discuss the implications and cutting-edge technology surrounding TARMACs in the latest WADEM CTM podcast.

Watch the “Counter-Terrorism Medicine – Fireside Chat” Presentation

Webinar Date: 6 March 2023

Counter-Terrorism Medicine – Fireside Chat

Prof. Derrick Tin, Dr. Fadi Issa, and Dr. Ryan Hata discuss the latest developments and research around Counter-Terrorism Medicine (CTM). The presentation is followed by a discussion with the panel answering questions from the remote audience about this emerging subspecialty topic in disaster medicine.

Presentation Slides

Counter-Terrorism Medicine SIG Leadership

Ryan Hata, MD
Assistant Professor

Clinical Emergency Medicine at Indiana University

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About Counter-Terrorism Medicine

Counter-Terrorism Medicine is a new initiative mandated by the increasingly complex and devastating terrorist attacks now escalating in frequency around the world. In this age when high-profile terrorist attacks such as those seen in Paris, Brussels, and London have become regular events, and lower-profile attacks on soft civilian targets are a nearly daily occurrence, those in healthcare must learn to be proactive rather than reactive in the steps taken to respond to the ever-changing scenarios.

It is time to define exactly what the unique mitigation, preparedness, and response measures to asymmetric, multi-modality terrorist attacks are, and how public health systems, health care facilities, and prehospital responders must learn and implement them.

Terrorist attacks often result in specific ballistic and blast-related wound patterns that put a high demand on health care personnel to care for the surge of critically injured people. In addition, both responders and health care facilities are now being targeted in either primary or secondary attacks, demanding a higher awareness of specific scene safety and target-hardening issues. Combined with the need to prepare for the very real possibility of Chemical-Biological-Radiological-Nuclear-Explosive (CBRNE) modalities being used in a future terrorist attack, these new challenges facing our hospitals and healthcare personnel must be addressed through specific Counter-Terrorism Medicine practices.

The recent surge in asymmetric attacks on major cities and transportation hubs is a health care crisis, one that is feared will only escalate. “Soft” targets are inadvertently exposed in open societies, and terrorists will continue to attack in ways designed to maximize casualties. Responders and hospitals are and will be at the forefront of caring for these patients, while also at risk of being primarily or secondarily targeted. These are the unique areas of discussion and difficult problems the CTM-SIG will tackle.

Mission, Purposes, and Goals

Mission: The mission of the WADEM Counter-Terrorism Medicine Special Interest Group (CTM-SIG) is to introduce this new initiative on the global stage and to foster collaboration among researchers and practitioners with an interest in the mitigation, preparedness, and response steps required in order to be proactive in the global approach to an asymmetric terrorist attack.

Purpose: The purposes of the CTM-SIG are to:

  • Define specific proactive strategies in mitigation, preparedness, and response to an asymmetric terrorist attack;
  • Develop and exchange scientific and professional information relevant to achieving step;
  • Encourage collaborative efforts enhancing and expanding the field of CTM research.

Goals: The goals of the CTM-SIG are to:

  • Develop a Counter-Terrorism Medicine declaration of cooperation;
  • Network and integrate Counter-Terrorism work into WADEM activities and programs;
  • Foster the professional growth of the members of the CTM-SIG;
  • Train and educate researchers on the innovative practices of Counter-Terrorism Medicine