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And at University of Colorado Hospital, they arrived with little warning — 23 patients, the most among the six facilities that treated casualties — and with wounds that spoke to the firepower wielded by their assailant.
"It felt like you were at war," said Dr. Comilla Sasson, one of two attending physicians working the overnight shift. "The sheer number of people you're seeing, and the extent of their injuries, is so unnatural."
Many of the 58 injured suffered the sort of multiple gunshot wounds that conjured visions of a battlefield rather than the suburban theater where the gunman also killed 12 others attending the release of a new Batman film.
"Tissue destruction was massive" from high-caliber weapons, said Dr. Frank Lansville, medical director of emergency services at the Medical Center of Aurora, which treated 18 victims.
At Medical Center of Aurora, Lansville described the first wave of arrivals as life-threatening gunshot wounds to the head and neck, the chest, or the abdomen. Those with head wounds were intubated, if necessary, then resuscitated if they had stopped breathing. Those patients get top priority. . . .
The next group to arrive had extremity wounds, severe soft-tissue damage or bone damage from shotgun blasts and rifle or pistol bullets. Doctors mapped soft-tissue damage and looked for a pulse in that extremity — "where the holes are," Lansville said.
The last to arrive had felt the effect of the fumes from the gas canisters tossed by the assailant, of shrapnel cuts sliced open by flying debris, or of falling and trampling injuries caused by the jostling crowd and panic.
In the final wave of patients, Lansville said, grazing gunshot wounds bled profusely but could be treated quickly. Those patients, after some X-rays to assure there was nothing deeper, were soon released Friday morning.
Thirteen-year-old Kaylan was Veronica's babysitter, and she was seated with the girl and Veronica's mother when the shooting began. "He just kept firing and then he would stop like he was reloading and he kept firing at anyone he saw," Kaylan told CNN's Poppy Harlow.
Kaylan watched as three people with her were shot -- Veronica, the girl's mother, Ashley Moser, and their pastor, Michael Walker.
Childress, an Air Force reservist, was a cybersystems operator on active duty with the 310th Force Support Squadron at Buckley Air Force Base in Colorado. He was from Thornton, Colorado.
Petty Officer 3rd Class John Thomas Larimer, 27. Like his father and grandfather, Larimer chose to join the U.S. Navy. . . . His unit, part of U.S. Fleet Cyber Command/U.S. 10th Fleet, was stationed at Buckley AFB.
norton ash wrote:“I was a threat to no one, I didn’t threaten anybody,” Mapes said.
Why are you such a stupid, insensitive asshole, Mr. Mapes? And while we're here, just how small IS your cock?
there were multiple weapons being fired at once, and not randomly, and b) the shooters were trained military personnel, not amateurs
-But only 12 dead? If this were a trained military op with multiple perps hardly anyone gets out of the theater alive.
undead wrote:-But only 12 dead? If this were a trained military op with multiple perps hardly anyone gets out of the theater alive.
I think this train of thought goes that there were specific military targets for some reason. After all if you wanted to just kill everybody a bomb would be much easier.
I'm not really invested in any particular story I was just remarking that it is pretty impressive for this kid to bust in with a massive assault rifle and a shot gun AND teargas AND full body armor and shoot up the place. That shit has to be really heavy.
undead wrote:I'm not really invested in any particular story I was just remarking that it is pretty impressive for this kid to bust in with a massive assault rifle and a shot gun AND teargas AND full body armor and shoot up the place. That shit has to be really heavy.
Elvis wrote:
Just a note---AR15 is not a fully automatic rifle. However, one can pull the trigger pretty fast, and I've emptied those long clips in a (semiauto) AR15 in just a few seconds.
Burnt Hill wrote:If this is a conspiracy by other than Holmes then to what ends?
Using [WikiLeaks] war logs with about 77,000 events including location, day and time of occurrence and other details from the war in Afghanistan between 2004 and 2009, the team of scientists – including scientists from the universities of Edinburgh and Columbia, USA – were able to predict armed opposition group activity way into the future of the battle.
The researchers’ model was able to create a strikingly accurate prediction of armed opposition group activity in 2010, based solely on the data from the previous years, including which provinces would experience more and less violence as well as anticipate by how much the level of violence would increase or decrease.
Professor Visakan Kadirkamanathan, a co-author, Head of the University of Sheffield’s Department of Automatic Control and Systems Engineering and a member of the Centre for Signal Processing and Complex Systems, said: “Conflict dynamics models of the type developed here can provide forecasts of the levels of conflict with a degree of uncertainty, and reveal geographically spatial patterns in the conflict.
Description of the framework
The Cynefin framework has five domains.[7] The first four domains are:
Simple, in which the relationship between cause and effect is obvious to all, the approach is to Sense - Categorise - Respond and we can apply best practice.
Complicated, in which the relationship between cause and effect requires analysis or some other form of investigation and/or the application of expert knowledge, the approach is to Sense - Analyze - Respond and we can apply good practice.
Complex, in which the relationship between cause and effect can only be perceived in retrospect, but not in advance, the approach is to Probe - Sense - Respond and we can sense emergent practice.
Chaotic, in which there is no relationship between cause and effect at systems level, the approach is to Act - Sense - Respond and we can discover novel practice.
The fifth domain is Disorder, which is the state of not knowing what type of causality exists, in which state people will revert to their own comfort zone in making a decision. In full use, the Cynefin framework has sub-domains, and the boundary between simple and chaotic is seen as a catastrophic one: complacency leads to failure.
Journal of Homeland Security and
Emergency Management
Volume 2, Issue 1
2005
Article 2
Believe in the Model: Mishandle the Emergency
During the past quarter century there have been many developments in scientific models and
computer codes to help predict the ongoing consequences in the aftermath of many types of
emergency: e.g. storms and flooding, chemical and nuclear accident, epidemics such as SARS and
terrorist attack. Some of these models relate to the immediate events and can help in managing the
emergency; others predict longer term impacts and thus can help shape the strategy for the return
to normality. But there are many pitfalls in the way of using these models effectively. Firstly, non-
scientists and, sadly, many scientists believe in the models’ predictions too much. The inherent
uncertainties in the models are underestimated; sometimes almost unacknowledged. This means
that initial strategies may later need to be revised in ways that unsettle the public, losing their trust
in the emergency management process. Secondly, the output from these models form an extremely
valuable input to the decision making process; but only one such input. There is a need to draw on
much tacit knowledge which by definition cannot reside in a decision support system. Most
emergencies are events that have huge social and economic impacts alongside the health and
environmental consequences. While we can model the latter passably well, we are not so good at
modelling economic impacts and very poor at modelling social impacts. Our knowledge of them is
tacit and they lie in the complex space of Snowden’s Cynefin categorisation of decision contexts.
Thus we draw upon recent thinking in both decision support and knowledge management systems
to suggest that we need a more socio-technical approach to developing crisis response system;
and, in particular, we explore how model predictions should be drawn into emergency
management processes in more balanced ways than often has occurred in the past.
Aldebaran wrote:Burnt Hill wrote:If this is a conspiracy by other than Holmes then to what ends?
This may be a "leap too far", but, adding a few apples to oranges...
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