The medical response to the Boston Marathon bombings: an analysis of social media commentary and professional opinion

Abstract

Objectives:

To explore the differences in perception of the medical response to the victims of the 2013 Boston Marathon bombings between laypeople and healthcare professionals.

Methods:

Commentary accessible and available on Internet discussion websites by non-medically trained persons and in the academic literature by healthcare professionals was analysed qualitatively.

Results:

Major themes were found relating to both the pre-hospital and hospital-based phases of the medical response to the disaster. Laypeople focused more on pre-hospital care and the actions of specific bystanders, while healthcare professionals focused on hospital care, the importance of a disaster plan, and frequent training for the success of the response.

Conclusion:

Laypeople and healthcare professionals have positive but differing perceptions of the medical response to the victims of the bombings. This may have implications for future funding and implementation of disaster preparedness.

Keywords

emergencies disasters pre-hospital emergency care emergency preparedness

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References

Walls

Zinner

MJ.

The Boston Marathon response: Why did it work so well?

JAMA 2013; 309(23): 2441–2. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23632605 (Last accessed 9th January 2014).

Victims of the marathon bombings. Boston.com, 2013. Available online at: http://www.boston.com/news/local/massachusetts/specials/boston_marathon_bombing_victim_list/ (Last accessed 26th January 2015).

Kellermann

AL.

Lessons from Boston. New England Journal of Medicine 2013; 368: 1956–7.

AS for P and R (ASPR). Hospital Preparedness Program (HPP). Public Health Emergency, 2015. Available online at: http://www.phe.gov/PREPAREDNESS/PLANNING/HPP/Pages/default.aspx (Last accessed 26th January 2015).

Levi

Lieberman

Lang

Preparedness must permeate health care. Health Progress 2013; 94(6): 53–6.

Fisher

Dunifon

. Hospital Preparedness Program Budget Cuts Could Jeopardize Gains Made in Healthcare and Public Health Preparedness. National Association of County and City Health Officials, 2014. Available online at: http://nacchopreparedness.org/?p=1576

Chou

Hunt

Beckjord

Moser

Hesse

Social media use in the united states: Implications for health communication. Journal of Medical Internet Research 2009; 11(4): e48.

Yates

Paquette

Emergency knowledge management and social media technologies: A case study of the 2010 Haitian earthquake. International Journal of Information Management 2011; 31(1): 6–13.

Gao

Barbier

Goolsby

Harnessing the crowdsourcing power of social media for disaster relief. IEEE Intelligent Systems 2011; 26(3): 10–4.

10.

Merchant

Elmer

Lurie

Integrating social media into emergency preparedness efforts. New England Journal of Medicine 2011; 365(4): 289–91.

11.

Vieweg

Hughes

Starbird

Palen

. Microblogging during two natural hazards events. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems – CHI ’10, 2010, pp. 1079–1088. Available online at: http://dl.acm.org/citation.cfm?id=1753326.1753486

12.

Sutton

Palen

Shklovski

. Backchannels on the front lines: Emergent uses of social media in the 2007 southern California wildfires. In Proceedings of the 5th International ISCRAM Conference, 1–9 May 2008. Available online at: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.156.9517&rep=rep1&type=pdf\n; http://www.cs.colorado.edu/~palen/Papers/iscram08/BackchannelsISCRAM08.pdf

13.

Parrott

Hindmarch

The Leeds Sleep Evaluation Questionnaire in psychopharmacological investigations – A review. Psychopharmacology 1980; 71: 173–9.

14.

Yin

Case Study Research: Design and Theory. Thousand Oaks, CA: Sage, 2003.

15.

Denzin

The Research Act: A Theoretical Introduction to Sociological Methods, 2nd ed. New York: McGraw-Hill, 1978.

16.

Brown

Focus group interviews. In Crabtree

Miller

(eds) Doing Qualitative Research. Thousand Oaks, CA: Sage, 1999, 109–124.

17.

Silva

Goel

Mousavidin

Exploring the dynamics of blog communities: The case of Metafilter. Information Systems Journal 2009; 19(1): 55–81.

18.

Explosions at Boston Marathon Finish Line. Metafilter, 2013. Available online at: http://www.metafilter.com/127067/Explosions-at-Boston-Marathon-Finish-Line

19.

Rhaomi. Boston in lockdown as hunt for marathon bombers unfolds. Metafilter, 2013. Available online at: http://www.metafilter.com/127205/Boston-in-lockdown-as-hunt-for-marathon-bombers-unfolds

20.

_supernovasky_. There was just an explosion at the Boston Marathon – Will use this to live update. Reddit, 2013. Available online at: http://www.reddit.com/r/news/comments/1cen3t/there_was_just_an_explosion_at_the_boston/

21.

Gould

KA.

Boston strong: A response to tragedy. Dimensions of Critical Care Nursing 2013; 32(4): 210–1.

22.

Jangi

Under the medical tent at the Boston Marathon. New England Journal of Medicine 2013; 368(21): 1953–5.

23.

Biddinger

Baggish

Harrington

D’Hemecourt

Hooley

Jones

. Be prepared – The Boston Marathon and mass-casualty events. New England Journal of Medicine 2013; 368(21): 1958–60. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23635020

24.

Bluman

EM.

Boston marathon bombing. Foot & Ankle International 2013; 34(8): 1053.

25.

Conn

Marathon day at Massachusetts General. Annals of Internal Medicine 2013; 159(2): 143–4.

26.

Hupp

JR.

Important take-aways from the Boston marathon bombing. Journal of Oral and Maxillofacial Surgery 2013; 71(10): 1637–8. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24040946 (Last accessed 24th February 2014).

27.

D’Andrea

Goralnick

Kayden

SR.

Boston Marathon bombings: Overview of an emergency department response to a mass casualty incident. Disaster Medicine and Public Health Preparedness 2013; 7(2): 118–21. Available online at: http://www.journals.cambridge.org/abstract_S1935789313000530 (Last accessed 9th January 2014).

28.

Britnell

JJ.

39 unidentified patients. Journal of American Academy of Physician Assistants 2013; June; 1–4.

29.

Askman

Marathon Monday: Boston PAs reflect. Journal of American Academy of Physician Assistants 2013; June; 1–3.

30.

Zoraster

Burkle

CM.

Disaster documentation for the clinician. Disaster Medicine and Public Health Preparedness 2013; 7(4): 354–60. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24229517 (Last accessed 24th February 2014).

31.

Goralnick

Gates

We fight like we train. New England Journal of Medicine 2013; 368: 1960–1.

32.

Hemingway

Ferguson

Boston bombings: Response to disaster. AORN Journal 2014; 99(2): 277–88. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24472590 (Last accessed 24th February 2014).

33.

Erickson

JI.

Leading unplanned change. Journal of Nursing Administration 2014; 44(3): 125–6. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24531281

34.

Gawande

. Why Boston’s Hospitals Were Ready. The New Yorker, 2013. Available online at: http://www.newyorker.com/news/news-desk/why-bostons-hospitals-were-ready

35.

Gebhardt

MC.

Guest editorial: Patriots’ Day at the Boston Marathon. Clinical Orthopaedics and Related Research 2013; 471(7): 2045–6. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23673425 (Last accessed 9th January 2014).

36.

Grant

First, do no (more) harm. JAAPA 2013; 26(11): 65. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24153085 (Last accessed 24th February 2014).

37.

James

JJ.

Coordinated action in response to bombings: From La Belle to Boston. Disaster Medicine and Public Health Preparedness 2013; 7(2): 116–7. Available online at: http://www.journals.cambridge.org/abstract_S1935789313000505 (Last accessed 24th February 2014).

38.

Kearns

Conlen

Valenta

Jeng

JC.

April 2013, from Massachusetts to Texas, disasters that remind us of our own preparedness needs. Journal of Burn Care & Research 2013; 35(1): e53. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24043231 (Last accessed 24th February 2014).

39.

Kim

Malin

Kirkham

Helliwell

Ibrahim

AMS

Tobias

. The Boston marathon bombings: The early plastic surgery experience of one Boston hospital. Plastic and Reconstructive Surgery 2013; 132(5): 1351–63. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24165616 (Last accessed 24th February 2014).

40.

Lakatos

Delisle

Mitchell

Etheredge

ML.

Psychiatric advanced practice nurses contributions to supporting survivors and caregivers affected by the Boston marathon bombings. Clinical Nurse Specialist 2014; 28(2): 92–6. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24504035 (Last accessed 24th February 2014).

41.

Laskowski-Jones

Look for the helpers. Nursing 2013; 43(7): 6. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23703678

42.

Lown

BA.

Reflections on compassion in the midst of violence. Journal of General Internal Medicine 2013; 28(12): 1554–5. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23611490 (Last accessed 24th February 2014).

43.

Milne

BWK

. The Boston Marathon: Broken Hearts, Unbroken Spirit. Emergency Medicine News, 9th May 2013.

44.

Odom

Shaefi

Gupta

Reed

AJ.

The seventh patient. American Journal of Respiratory and Critical Care Medicine 2013; 188(2): 131–2. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23855690 (Last accessed 24th January 2014).

45.

Rajabali

A tale of two physicians: Reflections on the Boston Marathon bombing. British Medical Journal 2013; 346: 1–2.

46.

Rasmussen

Baer

DG.

No drift. JAMA Surgery 2014; 149(3): 221–2.

47.

Rea

Maine nurse responds with Red Cross at the scene of Boston Strong. ANA-Maine Journal 2013; 9(3): 3–4.

48.

Stack

AM.

April 15, 2013. Annals of Internal Medicine 2013; 159(2): 146–7.

49.

Sugrue

Kennedy

Goldsmith

Boston strong, nursing strong. Computers, Informatics, Nursing 2013; 31(11): 527–9. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/24226041 (Last accessed 24th February 2014).

50.

Vitello-Cicciu

Quin

Looking through the eyes of nursing leaders: The Boston marathon tragedy. Journal of Nursing Administration 2013; 43(9): 436–7. Available online at: http://www.ncbi.nlm.nih.gov/pubmed/23979033 (Last accessed 24th February 2014).

51.

Wen

Treat bomb victims, then yourself. Emergency Medicine News 2013; 35(6): 1–19.

52.

c0reyann. Boston Marathon explosions – Live update Thread #4. Reddit, 2013. Available online at: http://www.reddit.com/r/inthenews/comments/1cfdwa/boston_marathon_explosions_live_update_thread_4/

53.

Oremus

UPDATE: Wireless companies say cell service in Boston was not shut down. Slate, 2013. Available online at: http://www.slate.com/blogs/future_tense/2013/04/15/boston_marathon_explosion_cell_service_shut_down_by_police_to_prevent_remote.html (Last accessed 23rd December 2015).

54.

Hanfling

Health care preparedness funding: Are we inviting disaster?

Health Affairs, 2013. Available online at: http://healthaffairs.org/blog/2013/12/31/health-care-preparedness-funding-are-we-inviting-disaster/