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=== The World Trade Center bombing (1993) === In 1993, the north tower of the [[1993 World Trade Center bombing|World Trade Center was bombed]], in a plot with a similar intended outcome as the later [[September 11 attacks|September 11th attacks]].<ref>{{Cite web |title=February 26, 1993 Commemoration |url=https://www.911memorial.org/connect/commemoration/February26-1993 |website=9/11 Memorial & Museum}}</ref> While search, rescue and triage operations immediately following were ordinary, the attack itself represented one of the first terrorist attacks affecting the United States directly. The fact that the U.S. was no longer seen as untouchable, along with the later [[Oklahoma City bombing]] in 1995, and the September 11th attack lead to long term changes in triage practices to be more focused on operational safety and the risk of secondary attacks designed to kill care providers.<ref>{{Cite journal |last=Eckstein |first=Marc |date=August 1999 |title=The Medical Response to Modern Terrorism: Why the "Rules of Engagement" Have Changed |journal=Annals of Emergency Medicine |language=en |volume=34 |issue=2 |pages=219β221 |doi=10.1016/S0196-0644(99)70232-5|pmid=10424924 |doi-access=free }}</ref>
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