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I'm interested in better understanding the ongoing geological processes that shape St. Louis and the Mississippi Valley region. So far, I've been looking into the history of seismicity in the region, focusing on the fascinating but little known history of the New Madrid earthquakes of 1811 and 1812 -- the most devastating earthquakes to have hit the US east of the Rockies. I've also been exploring how St. Louis and surrounding areas are dealing with the possibility of another earthquake occurring in the future. According to one article I read, one of the biggest uncertainties is what would happen to the heavily engineered Mississippi River in the case of another major tremblor. The shaking could break the levees, flooding wide areas along the river and creating cascading effects. The flow of the river might also reverse completely, as occurred during the New Madrid earthquakes.

On these possibilities and the lack of scientific consensus surrounding intraplate seismicity in this zone, see this article in The Atlantic.

On current efforts to create earthquake hazard maps in St. Louis, see this overview on the US Geological Survey site.

For a deeper dive into the history of the New Madrid earthquakes, see this book by historian of science Conevery Bolton Valencius. 

Based on available resources, it does not appear that this paper has been discussed or cited in any publically available research or forums. While it is widely published and is readily available, this is a relitively new text, which could contribute to this.

Depending on the source, there have been greatly mixed reviews on this topic, even from within the Fire/EMS profession. While some feel that this is a great way for paramedics and EMTs to make their job safer, many also feel that the risks of bringing firearms into a profession where its providers are taught to "first, do no harm" is counterproductive and even dangerous.