The fellow will participate in:. Upon completion of this fellowship, graduates will be skilled in all aspects of the disaster cycle and have the ability to assume a leadership role on the local, regional, federal or international level in the area of disaster medicine, operational medicine and emergency management.
NACJD | Terrorism & Preparedness Data Resource Center
The program prepares fellows to be active in research and academics, leading to their emergence as internationally noted experts in these fields. All hazards disaster preparedness is a critical concept in modern disaster medicine. Creating a coordinated system response and identification of resources for incapacitated facilities or for those experiencing surge capacity is the ultimate goal.
As the only level-1 Trauma Center in the region, Carolinas Medical Center has undergone extensive renovation and prepared personnel for responding to a chemical or biological attack, including the development of a hospital disaster response team. Since , tremendous effort has been dedicated toward the preparedness of Mecklenburg County against the threat of biological and chemical terrorism.
Bomb Threat Stand-Off Evacuation Distances
Our considerable success to date has been predicated upon a coalition among the participating agencies and organizations. Institutional, local and regional opportunities exist for chemical, biological, radiological, nuclear, and explosives CBRNE , active shooter and high-threat response training. The Metrolina HealthCare Preparedness Coalition MHPC employs a full-time disaster and emergency preparedness coordinator who can work with the fellow on local preparedness and emergency management issues.
The fellow will work with the emergency management committee at CMC and assist in disaster preparedness for the main campus and all Atrium Health facilities, including regional affiliates. Operational and strategic level training will include participating in local, regional and national preparedness conferences.
The fellow is expected to complete basic and advanced online courses in incident command structure ICS as well as provide ICS training for residents and staff. The fellow is also expected to participate as needed in real-world emergency operations center EOC and field operations during hurricanes, floods and other natural disasters.
Natural and man-made disasters stress hospital surge capacity and increase community health vulnerability. Carolinas MED-1 , located in Charlotte, NC, was created to strengthen community resilience, expedite high-quality disaster medical response and provide an all hazards response asset to the regional communities.
The staff at Carolinas Medical Center and Medic-developed Carolinas MED-1 over a three-year period to include the necessary and anticipated level of care required when disasters or mass casualty incidents occur. This one-of-a-kind mobile treatment facility is designed and equipped to address a wide range of emergency medical conditions.
Emergent operative surgery, orthopedic stabilization, wound repair, burn treatment, and management of multiple medical problems are all possible. The ODM fellow will serve as assistant medical director for MED-1 and gain exposure at all levels of strategic and operational planning. The tactical medics and medical director participate in all drills and training exercises and respond with the team whenever a deployment occurs.
A dedicated tactical EMS SUV has been integrated and contains all equipment and supplies necessary for tactical deployments. The faculty at CMC boasts a diverse background in civilian and military humanitarian medicine. Their global work resulted in significant collaborations and partnerships. Fellows will also have the opportunity to participate in real-world operations, planning and training overseas as well as participate in courses and seminars related to international disaster assistance in collaboration with The Operational Medicine Institute.
The ODM fellow will have the opportunity to tailor their elective time. Additional opportunities exist in wilderness medicine AWLS instructor courses , public health, and global emergency medicine. CMC is the largest research hospital in the region and one of five teaching hospitals in North Carolina. As part of the hospital campus, the bed Levine Children's Hospital opened in October The emergency department at Carolinas Medical Center manages over , patients each year, or about to patients per day.
Further, the socioeconomic diversity of our patient population sets us apart from other institutions. Patients are triaged to one of these four areas based on the acuity of illness. Please consult other references, Poison Control Center, and check antidote dosages, particularly for children and pregnant women. Navigation menu.
Recognizing Chemical Terrorism-Related Illnesses Adequate planning and regular training are key to preparedness for terrorism-related events. The following clinical, epidemiological and circumstantial clues may suggest a possible chemical terrorist event: An unusual increase in the number of people seeking care, especially with respiratory, neurological, dermatological or gastrointestinal symptoms Any clustering of symptoms or unusual age distribution e. Wash area with plenty of warm water to release clothing.
Managing Hazardous Materials Incidents Vol. Division of Toxicology, U. Department of Health and Human Services. Technician EMS Course. Domestic Preparedness Training Program, Version 8. Table 3: Nerve Agents Antidote Recommendations Nerve agent antidotes may be obtained as auto-injector syringes. Severe effects of nerve agents include unconsciousness, seizures, apnea, flaccid paralysis. Table 4: Cyanide Antidote Recommendations Victims whose clothing or skin is contaminated with hydrogen cyanide liquid or solution can secondarily contaminate response personnel by direct contact or through off-gassing vapors.
Table 4: Cyanide Antidote Recommendations Patient Mild conscious Severe unconscious Other Treatment Child If patient is conscious and has no other signs or symptoms, antidotes may not be necessary. Sodium nitrite 1 : 0. If still apneic after antidote administration, consider sodium bicarbonate for severe acidosis. Adult If patient is conscious and has no other signs or symptoms, antidotes may not be necessary.
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If neither is available, use sodium thiosulfate alone. If there is an inadequate clinical response after 30 minutes, administer a second dose of sodium thiosulfate which is half the initial dose. PPE to Prevent Inhalation Exposure: Protection from both vapors and particulates may be required when the chemical agent is being released.
PPE to Prevent Dermal Exposure: Latex examination gloves provide very little protection from most chemical agents and can cause allergies. Decontamination Guidelines Proper decontamination is often the most important first step in treating a patient exposed to chemical agents. Odors Some chemical agents are accompanied by a characteristic odor that may provide a warning. Disclaimer The information on this card is meant to be a quick guide and is not intended to be comprehensive.
Document updated: July Revised: January Your browser does not support iFrames. Confusion Nausea Gasping for air, similar to asphyxiation but more abrupt onset Seizures. Chlorine Hydrogen chloride Nitrogen oxides Phosgene. Eye and skin irritation Airway irritation Dyspnea, cough Sore throat Chest tightness.http://danardono.com.or.id/libraries/2020-04-29/pil-tracker-my.php
Mustard HD may have an odor like mustard, garlic or horseradish Lewisite L may have an odor like geranium Phosgene oxime CX may have a pepper-like or pungent odor. Redness and blisters of the skin Tearing, conjunctivitis, corneal damage Mild respiratory distress to marked airway damage. May appear as mass drug intoxication with erratic behaviors, shared realistic and distinct hallucinations, disrobing and confusion Hyperthermia Mydriasis dilated pupils. Dry mouth and skin Initial tachycardia Altered consciousness, delusions, denial of illness, belligerence Hyperthermia Ataxia lack of coordination Hallucinations Mydriasis dilated pupils.
As a very important part of the anti-terrorism campaign, emergency medical relief should also include the prevention of epidemics and psychological disasters in addition to rescuing the wounded. During the process of emergency medical relief, the resources of many departments should be mobilized and coordinated, including equipment, communication, transportation, epidemic prevention, medical service, civil defense, fire control and environmental protection.
Thus, it is important and necessary to set up an efficient and powerful command that is capable of directing and coordinating multiple departments. Meanwhile, authority should be simplified and streamlined to improve response speed. It is also essential that rehearsals should be repeatedly conducted to identify and resolve any possible problems in order to improve the coordination of the different departments. On September 1, , in the city of Beslan in the Republic of North Ossetia in northern Russia, more than students, teachers and parents were held as hostages.
Thanks to the establishment of an anti-terrorism command under the direct leadership of the Russian president, a positive outcome was achieved. In response to terrorist attacks, it is very important to establish an inter-departmental rescue mechanism and conduct a coordinated command on the nation level because emergency medical relief usually involves very hard and challenging tasks that require the mobilization of all available forces and resources [ 5 , 6 ]. Because terrorist attacks are usually unpredictable and sudden, without any prior signs or time to prepare, it is necessary to establish various national, provincial and municipal anti-terrorism rescue contingency plans and systems that are ready to respond to any possible terrorist attack.
It is also important to establish an emergency medical defense plan at all levels, as well as monitoring and alarming systems. It is important to build up skillful professional teams that receive regular training and simulation drilling to respond swiftly to emergencies. The storage of anti-terrorism rescue protection equipment, first aid and decontamination drugs should be in proportion to the density of the population of a certain area.
Additionally, special attention should be given to the design of medical relief contingency plans for terrorist attacks involving nuclear, biological and chemical weapons.
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The rescue organization should contain professional rescue personnel specializing in dealing with terrorist attacks involving nuclear, chemical or biological weapons.