ASSESSING MEDICAL PREPAREDNESS TO RESPOND TO A TERRORIST NUCLEAR EVENT potx

[...]... triage, and stabilize those injured by the detonation to safely; b to evacuate casualties to regional treatment facilities; c  the metropolitan region’s medical system to treat casualties; of and d  evacuate serious casualties to appropriate treatment facilities to statewide and nationally 8 Current preparedness to prevent and treat delayed casualties caused by radioactive fallout as well as the psychological... national preparedness, it was recognized and assumed that the initial response would be largely local and regional and that it could take as long as a week before substantial state and federal resources could arrive This assumption was based on the realization that no city or metropolitan area would be able to respond to a nuclear event alone and that the preparations for such an event would also have... overwhelming mass casualty scenario there would be austere medical care rather than ideal standard-of-care practice Flynn questioned whether those who volunteer to augment the initial emergency medical response would have access to enough first-aid and basic medical supplies  medical preparedness for a terrorist nuclear event He indicated that the anatomy of a nuclear detonation can be dissected into blast,... 76 Panel 1 on Capability to Reach, Triage, and Treat the Injured, 78 Panel 2 on Capacity to Transport Casualties to Local Treatment Facilities, 82 Panel 3 on Preparedness of the Metropolitan Area’s Medical System, 84 Panel 4 on Preparedness to Evacuate Serious Casualties from the Metropolitan Area, 87 General Discussion of Topic 7: Preparedness for Responding to the Immediate Casualties of an IND Event, ... such as the National Disaster Medical System, to respond to infectious and other health emergencies, but as Hurricane Katrina showed, they are not adequate to overcome a substantial loss of critical medical and response infrastructure There are, of course, a number of public and nonpublic efforts by a variety of federal, state, and local agencies to prevent, mitigate, and respond to the threat of an... Hiroshima, ­Nagasaki, and nuclear bomb tests on Pacific atolls and in the Nevada desert more than half a century ago have been used to make estimates of the number of casualties Clearly, these estimates are very rough for a number of reasons: • • • •    This As already noted, the Hiroshima and Nagasaki bombs that exploded were airbursts and therefore produced much less fallout than a ground-level detonation... Officials UASI U.S USPS Urban Area Security Initiative United States United States Postal Service VA Department of Veterans Affairs WMD WMD-CST weapon of mass destruction Weapons of Mass Destruction Civil Support Team Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report introduction A nuclear attack on a large U.S city by terrorists—even with a lowyield improvised nuclear. .. DHS to have the National Academy of Sciences assess the current level of medical readiness to respond to a nuclear detonation in Tier 1 UASI cities In response to the congressional mandate, DHS contracted with the Institute of Medicine (IOM) of the National Academies to •    The establish a committee of experts in emergency medical response and treatment, medical and public health preparedness, health... injury patients should be based on conventional criteria of mechanical trauma and burns, because they are the primary cause of death in the first few days Removal of significant radiation contamination would occur simultaneously with the primary triage process As data on the radiation dose became available, a secondary triage evaluation, now based on likely radiation injury, would be conducted after... the affected population; 2 examine the capacity and identify gaps in the capability of the federal, state, and local authorities to deliver available medical countermeasures in a timely enough way to be effective; 3 review and summarize available treatments for pertinent radiation illnesses, including the efficacy of medical countermeasures; and 4 appraise the expected benefit of medical countermeasures, . PREPAREDNESS TO PREVENT AND TREAT THE DELAYED CASUALTIES OF AN IND EVENT 96 Discussion of Preparedness to Prevent and Treat the Delayed Casualties of an IND Detonation, 104 WRAP-UP AND FINAL. Policy THE NATIONAL ACADEMIES PRESS Washington, D.C. www.nap.edu TERRORIST NUCLEAR EVENT ASSESSING MEDICAL PREPAREDNESS TO RESPOND TO A W O R K S H O P R E P O RT THE NATIONAL ACADEMIES PRESS. Acronyms AFRRI Armed Forces Radiobiology Research Institute AMS Aerial Measuring System ARAC Atmospheric Release Advisory Capability ARS acute radiation syndrome ASPR Assistant Secretary for Preparedness