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Prehospital Response (From Weapons of Mass Destruction: Emergency Care, P 11-26, 2000, Robert A. De Lorenzo, Robert S. Porter, -- See NCJ-192399)

NCJ Number
192401
Author(s)
Robert A. De Lorenzo M.D.; Robert S. Porter M.A.
Date Published
2000
Length
16 pages
Annotation
In this chapter the planning and preparation and response to a major disaster from terrorist weapons are discussed.
Abstract
Incidences from weapons of mass destruction are seen as more likely today throughout the world and in the United States. With the increased risk of such incidents, it is imperative to plan and prepare, and respond safely, and provide the needed support and care to those injured. If ill prepared, the event may cause significant psychological impact to care providers. This chapter reviews several aspects of preparation and response that are critical if the EMS system and those involved are to respond adequately and safely: (1) conduct an inventory of equipment and supplies; (2) medical direction; (3) provider preparation; (4) response-provider logistics; (5) incident command system; (6) security and safety; (7) psychological preparation; and (8) interagency coordination. In addition, an effective response to WMD incidents is critical. The direction of approach to a suspected chemical, nuclear, or biological weapon deployment is absolutely crucial. The following areas were identified when determining the effective response: (1) provider's role at the WMD incident; (2) identification of the incident's nature and scope; (3) triage methods; (4) on-the-scene treatment; (5) the transporting of casualties; (6) the extrication of casualties; (7) decontamination of nuclear, chemical, and biological agents from casualties; (8) State and Federal response; (9) incident investigation; (10) stress control for care providers; (11) returning to normal; (12) personnel follow-up; and (13) incident review. In summation, preparation and planning are essential to providing the best service and emergency care to those involved in a WMD incident.