Authored in 2008 by Richard Serino, then-Director of Boston’s Emergency Medical Services, Marathons – A Tale of Two Cities and the Running of a Planned Mass Casualty Event (PDF) provides a detailed and fully operationalized plan for carrying out a mass casualty drill uncannily similar to what transpired at the Boston Marathon bombing on April 15, 2013.
In 2009 Serino retired from his post at Boston EMS after being appointed Deputy Administrator at the Federal Emergency Management Administration by President Barack Obama.
The 39-frame slide presentation details how emergency personnel and resources are to be coordinated and deployed. It also emphasizes “Working with the media.” “Their mission is to get a story,” frame 11 instructs. “Building a longstanding relationship with journalists and reporters ensures that they get the right story and that they serve as a resource when needed.”
Several maps of downtown Boston “based on consistent grid coordinates” and including “zone designations for incident reporting” (frame 26) delineate the Marathon route and finish line area on Boylston Street. Specific procedures for medical providers, including electronic patient tracking via barcodes (frame 31) further indicate the scope and precision of the mock event.
The video below provides an overview of Marathons and still footage suggesting Serino’s on-the-scene direction of the BMB exercise shortly after 2:50PM when the explosives were detonated.
Many thanks to “Skeptical” for bringing this to my attention.