In 2016, ISIS encouraged vehicle attacks through its online magazine, targeting crowded outdoor events. Rather than large-scale attacks using weapons of mass destruction, terrorism has shifted towards smaller, lone-actor incidents due to increased security measures. Online radicalisation has facilitated this change, inspiring attacks with easily accessible vehicles requiring minimal skill or preparation.

Following the publication, vehicle-borne attacks increased, with one of the deadliest occurring in Nice, France, during Bastille Day, killing 87 and injuring 458. Victims commonly suffered exsanguinating pelvic fractures. While these attacks are primarily linked to Islamist terrorism, vehicles have also been used in far-right, far-left, and criminal incidents. Between May 27 and September 5, 2020, 104 vehicle attacks were recorded at U.S. protests. However, jihadist-linked attacks tend to be more lethal due to sustained acceleration and higher kinetic energy, causing severe head, spinal, pelvic, and lower extremity injuries.

Emergency response to these incidents is complex, often spanning large areas, such as the one-mile-long scene in Nice. Additional threats like explosives and weapons further challenge responders, as seen in attacks at London Bridge and Barcelona.

Recent months have seen a rise in such attacks across Europe and the U.S., mostly linked to Islamist terrorism. Today, we are joined by Bill Salmeron, Chief of EMS for New Orleans, to discuss the New Year's Eve terrorist attack on Bourbon Street and the EMS response. To read more on the precise location and details of the incident, see here: https://en.wikipedia.org/wiki/2025_New_Orleans_truck_attack

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