|About the TIIDE Project|
The CDC-funded Terrorism Injuries: Information, Dissemination and Exchange (TIIDE) Project was established through a cooperative agreement in response to the urgent, ongoing need to develop, disseminate and exchange information about injuries from terrorism. Explosives are the weapon of choice for most terrorists, and terrorist bombings averaged two per day worldwide in 2005. According to the 2006 Institute of Medicine Report, The Future of Emergency Care in the United States Health System: Emergency Medical Services at the Crossroads, explosions are the most common cause of injuries associated with terrorism. Inaugural TIIDE organizations included:
About the Project
All disasters, regardless of etiology, have similar medical and public health consequences. Disasters differ in the degree to which these consequences occur and the degree to which they disrupt the medical and public health infrastructure of the disaster scene.
The key principle of disaster medical care is to do the greatest good for the greatest number of patients, while the objective of conventional medical care is to do the greatest good for the individual patient.
Terrorism is the most challenging mass casualty incident for emergency responders. The spectrum of terrorist threats is limitless, ranging from suicide bombers, conventional explosives, and military weapons to weapons of mass destruction (nuclear, biological, or chemical). Terrorist events have the greatest potential of all man-made disasters to generate large numbers of casualties and fatalities.
The majority of terrorist bombings consist of relatively small explosives that produce low casualty rates. However, when strategically placed in buildings, pipelines, or moving vehicles, their impact can be much greater. Terrorists have also begun to use larger devices that traditionally have been confined to military operations. The high morbidity and mortality is related not only to the intensity of the blast, but to the subsequent structural damage that leads to collapse of buildings, a common phenomenon in large explosions.The TIIDE Project is constructed around three, interrelated areas that work to minimize the health consequences of terrorism and other public health emergencies:
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