First Responders

Firefighters, police, and paramedics play a critical role in protecting people and property during fires, medical emergencies, terrorist acts, and natural disasters. RAND has examined the risks that emergency responders face—physical injury, traumatic stress, and hazardous exposures—and has offered guidelines to better protect them, beginning with an integrated approach to safety management that includes cooperation among local and state agencies, improved training, and careful planning.

Research conducted by: RAND National Security Research Division; Safety and Justice Program; RAND Justice, Infrastructure, and Environment; RAND Health

All Items (43)

Commentary

Lessons from Boston — Apr 24, 2013

Governor Patrick visits the Beth Israel Deaconess Medical Center after the Boston Marathon bombings

Boston's health care providers reacted the way they did because they knew what they were supposed to do. Those who did not were smart enough to follow the lead of those who did. That's how a “ritualized” disaster plan works.

Commentary

Why U.S. Was Surprised, but Prepared for Boston Attack — Apr 18, 2013

Boston Marathon bombing - first responders

Although official after-action reports are still being compiled, it looks like Boston's first responders and hospitals delivered under difficult circumstances, writes Arthur Kellermann.

Journal Article

Text Analysis of After Action Reports to Support Improved Emergency Response Planning — Jan 1, 2011

This study combines a text analysis of 70 after action reports (AARs) with a failure mode effects and consequences analysis (FMECA). This approach provides a mechanism to connect the AAR process with efforts to improve emergency response planning.

Report

Evaluating the Reliability of Emergency Response Systems for Large-Scale Incident Operations — Jun 29, 2010

This report describes a method for modeling an emergency response system; identifying how individual parts of the system might fail; and assessing the likelihood of each failure and the severity of its effects on the overall response effort.

Research Brief

Are Communities Ready to Conduct Rapid and Large-Scale Dispensing of Medications During a Public Health Emergency? — Apr 1, 2009

This research highlight summarizes the findings of RAND's initial evaluation of the Cities Readiness Initiative and the program's impact on communities' readiness to conduct mass dispensing of medications and other medical supplies.

News Release

Better Efforts Needed to Track, Prevent Career-Ending Injuries Among Public Safety Workers — Dec 18, 2008

Non-fatal injuries to police officers, firefighters, emergency medical technicians and other public safety workers are common, but little is done to track these incidents in order to improve prevention efforts.

Report

The Problem of Measuring Emergency Preparedness: How Reliable Should Our Response Systems Be? — Dec 1, 2008

Decisionmakers today largely assess emergency preparedness and homeland security "in the rear view mirror," looking at performance in actual events and responding to perceived failures. While real-world experience is important, better ways to assess preparedness prospectively will lead to better choices as to how and where to strengthen it.

Project

Exploring Injury and Disability Among California Public Safety Employees — Nov 19, 2008

Public safety officers have much higher incidence and cost of injuries that result in disability retirement than other public employees. RAND research helped the Commission on Health and Safety Workers' Compensation and the California legislature in their efforts to provide adequate workers' compensation and disability benefits.

Report

Protecting Emergency Responders at Large-Scale Incidents: Lessons Learned from the Response to the Attacks on the World Trade Center — Sep 12, 2007

Testimony presented before the House Education and Labor Committee on September 12, 2007.

Commentary

Katrina Proved We Must Do Better Job of Protecting Our Protectors — Aug 13, 2007

Katrina Proved We Must Do Better Job of Protecting Our Protectors, in the Clarion-Ledger

News Release

RAND Study Says Hurricane Katrina Response Shows Need to Tailor Some National Guard Units for Disaster Work — Jun 4, 2007

The U.S. Army should change the way it plans for domestic emergencies — both natural disasters and terrorist attacks — to better support state and local first responders, according to a RAND Corporation report issued today.

News Release

RAND Panel Identifies Key Components of Public Health Emergency Preparedness — Apr 5, 2007

April 5, 2007 news release: RAND Panel Identifies Key Components of Public Health Emergency Preparedness.

Research Brief

When It Comes to Terrorism, How Prepared Are Local and State Agencies? — Nov 7, 2006

This research brief presents results of a survey of state and local response organizations to learn what they have done to improve their ability to respond to terrorist incidents since 9/11, how they have improved, and what still needs improvement.

Report

Combating Terrorism: How Prepared Are State and Local Response Organizations? — Nov 1, 2006

Results of a national survey of state and local response organizations' activities following 9/11 to improve preparedness to deal with terrorist incidents and other disasters.

Commentary

Forum: Are We Prepared? Not Quite — Aug 27, 2006

Published commentary by RAND staff: Forum: Are We Prepared? Not Quite, in Pittsburgh Post-Gazette.

News Release

RAND Study Proposes Guidelines to Better Protect Emergency Responders at Large Building Collapses — Apr 24, 2006

April 24, 2006 News Release: RAND Study Proposes Guidelines to Better Protect Emergency Responders at Large Building Collapses

Report

Protecting Emergency Responders, Volume 4: Personal Protective Equipment Guidelines for Structural Collapse Events — Apr 7, 2006

Serves as a technical source for National Institute for Occupational Safety and Health (NIOSH) incident commander guidelines for emergency response immediately following large structural collapse events.

Research Brief

How Prepared Are State and Local Law Enforcement for Terrorism? — Nov 25, 2005

A national survey of state and local law enforcement agencies one year after 9/11 shows that agencies have bolstered their preparedness efforts, but substantial variation exists in the approach to preparedness and the preparedness needs of local agen...

Report

Review of Literature Related to Exposures and Health Effects at Structural Collapse Events — Nov 7, 2005

Reviews the possible health effects of the substances present following a structural collapse to help develop federal guidelines for personal protective equipment used by emergency responders.

Commentary

Prepare for Disaster — Sep 27, 2005

Published commentary by RAND staff: Prepare for Disaster in the United Press International.

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