Doctors who treated the wounded corroborated reports that the bombs were packed with shrapnel intended to cause mayhem.
“We’ve removed BBs and we’ve removed nails from kids. One of the sickest things for me was just to see nails sticking out of a little girl’s body,” said Dr. David Mooney, director of the trauma center at Boston Children’s Hospital.
At Massachusetts General Hospital, all four amputations performed there were above the knee, with no hope of saving more of the legs, said Dr. George Velmahos, chief of trauma surgery.
“It wasn’t a hard decision to make,” he said. “We just completed the ugly job that the bomb did.”
Obama plans to visit Boston on Thursday to attend an interfaith service in honor of the victims. He has traveled four times to cities reeling from mass violence, most recently in December after the schoolhouse shooting in Newtown, Conn.
In the wake of the attack, security was stepped up around the White House and across the country. Police massed at federal buildings and transit centers in the nation’s capital, critical response teams deployed in New York City, and security officers with bomb-sniffing dogs spread through Chicago’s Union Station.
Homeland Security Secretary Janet Napolitano said that the stepped-up security was a precaution and that there was no evidence the bombings were part of a wider plot.
Pressure-cooker explosives have been used in Afghanistan, India, Nepal and Pakistan, according to a July 2010 intelligence report by the FBI and the Homeland Security Department. One of the three devices used in the May 2010 Times Square attempted bombing was a pressure cooker, the report said.
“Placed carefully, such devices provide little or no indication of an impending attack,” the report said.
The Pakistani Taliban, which claimed responsibility for the 2010 attempt in Times Square, has denied any part in the Boston Marathon attack.
Al-Qaida’s branch in Yemen gave a detailed description of how to make a bomb using a pressure cooker in a 2010 issue of Inspire, its English-language online publication aimed at would-be terrorists acting alone.
In a chapter titled “Make a bomb in the kitchen of your mom,” it says “the pressurized cooker is the most effective method” for making a simple bomb, and it provides directions.
Naser Jason Abdo, a former U.S. soldier, was sentenced to life in prison last year after being convicted of planning to use a pair of bombs made from pressure cookers in an attack on a Texas restaurant frequented by soldiers from Fort Hood. He was found with the Inspire article.
Investigators in the Boston bombing are also combing surveillance tapes from businesses around the finish line and asking travelers at Logan Airport to share any photos or video that might help.
“This is probably one of the most photographed areas in the country yesterday,” said Boston Police Commissioner Edward Davis. He said two security sweeps of the marathon route had been conducted before the bombing.
Boston police and firefighter unions announced a $50,000 reward for information leading to arrests.