When the US reflects on the tragic events of 9/11, as many poor souls that were lost and wounded, there were many more that required intense psychological first aid, similar to medical first aid, until professional help was available. As people watched buildings explode and people jumping out of multi story windows rather than burn to death, the emotional distress must have been not only unimaginable but also devastating. Some people just fell to the ground in a panic and could not even breathe. All of the paramedics were too busy to deal with something that may have seemed so trivial but to these people, psychological first aid was vital.