Development, implementation and outcomes of a training program for responders to acts of terrorism

Prehosp Emerg Care. 2006 Apr-Jun;10(2):239-46. doi: 10.1080/10903120500541191.


Introduction: Responding to acts of terrorism requires the effective use of public-safety and medical-response resources. The knowledge, skills and attitudes necessary to respond to future threats is unfamiliar to most emergency responders.

Objectives: The purpose of this report to describe the development, implementation and evaluation of a multidisciplinary, interactive and simulation-enhanced course to prepare responders to acts of terrorism.

Methods: We used a 5-step systematic process to develop a blended-learning, simulation-enhanced training program. Learners completed a self-confidence questionnaire and written examination prior to the course and a self-confidence questionnaire, written examination and course evaluation when they finished the course.

Results: From July 7, 2003 to March 8, 2005, 497 consenting learners completed the course. After course completion, learners demonstrated significant increases in their knowledge of terrorism response (t = -64.3, df = 496, p < 0.05) and their confidence in responding to terrorist events (t = -45.5, df = 496, p < 0.05). Learner feedback about the course was highly positive.

Conclusions: We successfully implemented a two-day course for professionals likely to respond to terrorist acts that included scenario-based performance training and assessment. Course participants increased their knowledge and were more confident in their ability to respond to acts of terrorism after participating in this course.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Emergency Medical Technicians / education*
  • Female
  • Florida
  • Humans
  • Inservice Training / methods
  • Inservice Training / organization & administration*
  • Male
  • Middle Aged
  • Program Development*
  • Program Evaluation*
  • Surveys and Questionnaires
  • Terrorism*