Protests are becoming more frequent and unpredictable, often creating complex challenges for emergency healthcare providers. Road closures, surging crowds, and sudden outbreaks of violence can strain resources and compromise safety. When demonstrations escalate, injuries from chemical irritants, kinetic impact projectiles, tasers, dog bites, and stampedes demand rapid and informed responses. This concise guide equips healthcare professionals with practical strategies for delivering timely, high-quality care in pre-hospital and hospital settings during civil unrest. Using lessons learnt from real world events this guide teaches readers to recognize common protest-related injury patterns, implement effective treatment plans, and maintain personal safety amid volatile conditions. Beyond immediate care, this book also addresses post-protest considerations, including trauma-informed approaches and psychological first aid for both patients and healthcare providers alike. Whether on the frontlines or in the emergency department this resource will prepare readers to navigate turbulent events with confidence, compassion, and care.
Introduction David Tan, Gregory Jasani and Garrett Cavaliere; 1. Chemical irritants Bobbi-Jo Lowie and Carolina Mendoza; 2. Kinetic impact projectiles Robert Flint and Larissa Unruh; 3. Conducted energy weapons Michael Sibel and Jason David; 4. Stun grenades Kayla Luliucci and Navin Ariyaprakai; 5. Molotov cocktails Kayla Luliucci, Sarah Lee and Jaclyn Dibello; 6. Dog Bites/Water cannons Heather Groves and Gabriella Miller; 7. Smoke grenades Aaron Frey and Chris Holstege; 8. Protestor caused injuries Gregory Jasani and Satya Vedula; 9. Stampede/crowd injuries Kyle Herbert and Samuel Walther; 10. Prehospital safety/security Satya Vedula, Matt Steenberg and Garrett Cavaliere; 11. Field triage Kyle Herbert and Alexander Barrett; 12. Medical care in a contentious environment Simon Johnson, Faroukh Mehkri, Jason Pickett and Garrett Cavaliere; 13. Emergency department considerations Carolina Mendoza and Bobbi-Jo Lowie; 14. Hospital/system level preparation Robert Flint; 15. Mental health Afrah Ali and David Mancini; 16. Recovery Satya Vedula and Gregory Jasani.
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