Recent global events have once again turned the medical community’s attention toward the preparedness for, and response to, acts of terrorism and intentional harm. These situations are an ever-present reminder of the perils of modern society. While large events will always attract the attention of mass media, countless smaller situations that never make the news will continue to forever alter the lives of those involved. Furthermore, such incidents of intentional harm, including active shooter events, suicide bombers, and terrorist attacks, occupy only a portion of the spectrum of traumatic injury, which remains the number 1 cause of death of Americans ages 1 to 46 years.1