Dialog: The Mumbai Option

First Responders
Certified first responders in the U.S.  . en.wikipedia.org

Dozens killed, wounded in Yemen Houthi hospital bombing

Dozens killed, wounded in Yemen Houthi hospital bombing

Dozens killed, wounded in Yemen Houthi hospital bombing Iran Press …
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Naconah.  This (incident in Yemen) is an example of the Mumbai option.  It rests with terrorists killing first responders and attacking hospitals, killing staff and patients. In other words, Samaritans.  Nothing is sacred or respected anymore.  We read their discourse and statements and knew that we would see this at some point, and it’s here.  This is going to complicate our lives and presents challenging security issues.

On Friday, I had a long talk with the Director of Nursing Programs at a university.  He is aware of the issue.  He said he needs to talk directly to people out in the field to get input in devising suitable courses for medical and security practitioners.  He acknowledged that terrorism is a poor man’s WMD, that many of our foreign policies are driving it, but sees no immediate answer to it.
The bottom line.  We are entering a new phase in the war on terror so-called.  It will be an endless war and there will be no decisive battle like in conventional military operations.  What Mumbai meant, is that terror now has shifted to a total war domain where nothing is sacred, off limits, or respected.
It presents us with another dilemma and hard choice.  Hospitals and medical practitioners are at risk.  The military is not the proper choice to provide security.  This is going to have to be provided by local police, but under very strict guidelines and rules of engagement.
Medical personnel, firefighters, and EMTs in responding to multiple casualty scenarios are going to have to be protected by police from the initial call, to deployment at the scene, to caring for victims at hospital.  It means a prolonged engagement and threat protection scenario.  This will eventually degrade police capabilities and presents relief and fatigue issues.  Perhaps one answer is to constitute a local volunteer militia force of former police and military veterans to provide this service.
Please let me know your thoughts.  I will summarize and call the university back and brief the Director of Nursing.  He wants to maintain a dialog.  My sense is that people in many instances are far ahead of the goddamn politicians, and come up with simpler and far better solutions than they ever could.
We need to stay on top of this and other issues to keep the politicos from trying to take our liberties away from us and implementing a martial law society on us.

Cyrellys.  September 29 of 2014  We are looking for further input, suggestions, current practices that can be of use addressing this problem.

Bo.   September 29 of 2014.
Trained hospital staff should NEVER meet incoming injured patients! Incoming should be met  by trained “Receivers”. Yes, they do make white body armor. Their job is to get the patients to a safe entry portal (blast wall) as quickly as possible. I know that time is critical but Doctors and vital staff should be protected at all cost!

Naconah.  September 29 of 2014.
EXCELLENT!  Thank you so much, Bo.  Would enjoy working with you on this and other security issues.

Cyrellys.  September 29 of 2014.  Those receivers could be trained EMTs who could continue what the First Responders do between the arrival and safe zone.  Another thought, Oregon uses volunteers for a variety of duties, everything from directing traffic at accidents, to setting up event zones, tape, crowd control, checking IDs, additional observer on calls, that sort of thing.  These volunteers often ride along with the backup officers and operate under their direction.  They usually do the menial tasks leaving the Officers free to be First Responders, and in hands-on control of  Crisis.  Perhaps these volunteers could be used more widely.  When Oregon’s program of volunteers first began they wore street clothes, but now they wear service clothing.  My Dad in his seventies (you’d never guess his age!) is still serving three days a week in this capacity.  Perhaps these volunteers could take on security at hospitals, firehouses, and for the personal security of First Responders themselves on crisis scenes.

Edit to Add:
Naconah.  Great, Cy.  I know our people can arrive at the proper solution to these issues without getting the politicos’ sticky fingers on it.  We must retain control of our destinies and at the local level.  We have seen time and time again that the politicians are effing whores and will sell us out time and time again.

I am thinking along with Bo the MRAPS can be converted to ambulances and responder security vehicles.  Also thinking that we should have unmarked scout vehicles and personnel running the route first, looking for ambushes and threats along the way.  Medics are priceless assets and I agree with Bo that they need to be protected at all costs.  Additionally, US Army and Air Force medics/nurses and Navy Corpsmen in the military are vital morale builders.  Doctors, and especially our nurses serve the same functions for civil society.
All of this added security and protection can be provided by armed citizens trained by local militia forces.  If used widely, I do not think it will add significantly to costs associated with running hospitals and their related services.  Some hardening of care facilities needs to be addressed, perhaps addition of some security personnel and equipment, but nothing like getting the politicians hands on this and having them building more empires at our expense.  I can see retired Navy Seabee and Army Engineer volunteers along with civil engineers and construction workers designing and building hardened positions for care facilities.
Perhaps builders and building supply sources could donate materials for this to keep costs down.  I would also recommend firing some politicians and using their salary costs to help fund this.  Who needs those morons around anyway?

Cyrellys.  On available models and design:  I agree.  These things need to remain handled at the local level.  I feel it is the only way for it to remain constructive and avoid adding to the police state infrastructure.  This should be a benefit to the first responders and improve their ability to do what they do best.  Armed citizens or equivalent retirees from military or first responder groups, trained by militia or retired military in the necessary skills could be the security equivalent to rural Montana’s volunteer firefighters (model) who handle rangeland and rural first response emergency situations.  Each volunteer would ostensibly either serve a certain amount of duty time each month or would be on-call.  I think there are enough examples of volunteers pitching in out there that this could be well organized and handled at either the local community level or city or state level.  Perhaps active duty or retired sheriffs departments could donate some time to help with the civilian interface end of the training which militias and military retirees could provide?  I think if more people were part of the solution or effort towards those ends, there would be less abuse or cause for criticism over adding a security facet which actually does something worthwhile for a change  Cy.

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