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Pierre Carli expands on the prehospital and critical care responses to terrorist attacks. For retrieval medicine specialists and prehospital care providers, terrorist attacks are a new and unique threat. As Pierre impresses on you, terrorist attacks are not accidents. They are a targeted human activity whose purpose is to kill, injure, and inflict the maximum amount of human casualty as possible. They do this with the intention of disrupting society, spreading feelings of fear and panic and inflicting feelings of insecurity in the population. Terrorism is not blind. Terrorist attacks involve organised strategy that is much more complex than any natural or technological disaster. To oppose an aggressive strategy a static plan is not enough. Pierre highlights the need for a counter strategy, comprehensive and adaptable enough to counteract this and deal with a multitude of scenarios. This begins with effective leadership, combining the expertise of the Police, Rescue and Emergency. Prior preparation will all