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DERMaL Resources of Preparedness Phase

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NIOSH Emergency Response Safety and Health Database
The Emergency Response Safety and Health Database (ERSH-DB) is a rapidly accessible occupational safety and health database developed by NIOSH for the emergency response community. The ERSH-DB contains accurate and concise information on high-priority chemical, biological and radiological agents that could be encountered by personnel responding to a terrorist event.
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Medical Management Guidelines for Chemical Agents
List of specific chemicals. Each chemical gives health effect; pre-hospital management and emergency department management.
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Field Management of Chemical Casualties Handbook
US Army Medical Research Institute of Chemical Defense (USAMRICD). Field Management Of Chemical Casualties guidebook.
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Medical Aspects of Chemical Warfare: Chapter 16. Decontamination of Chemical Casualties
This chapter focuses on the safe decontamination of medical casualties exposed to chemical agents
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Guidelines for Mass Casualty Decontamination During a Terrorist Chemical Agent Incident
The Mass Casualty Decontamination Research Team (MCDRT) collectively addressed the issue of how to effectively decontaminate large numbers of people. Emphasis was placed on decontamination methods that could be performed with equipment and expertise readily available to most responder jurisdictions. The general principles identified to guide emergency responder policies, procedures, and actions after a chemical agent incident were: Expect at least a 5:1 ratio of unaffected to affected casualties Decontaminate victims as soon as possible Disrobing is decontamination; head to toe, more removal is better Water flushing generally is the best mass decontamination method After a known exposure to liquid chemical agent, emergency responders should be decontaminated as soon as possible to avoid serious effects.
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WebWISER (Wireless Information System for Emergency Responders) - Online version
ONLINE version. WISER is a system designed to assist first responders in hazardous material incidents. WISER provides a wide range of information on hazardous substances, including substance identification support, physical characteristics, human health information, and containment and suppression advice.
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WISER (Wireless Information System for Emergency Responders)
Home page to download the program. WISER is a system designed to assist first responders in hazardous material incidents. WISER provides a wide range of information on hazardous substances, including substance identification support, physical characteristics, human health information, and containment and suppression advice.
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Medical Aspects of Chemical Warfare: Chapter 15. Triage of Chemical Casualties
This chapter will focus on the process of triage in chemical agent mass casualties. Specific chemical warfare agent classes, current triage systems, and classifications of triage will be reviewed
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Medical Aspects of Chemical Warfare: Chapter 14. Field Management of Chemical Casualties
This chapter compares the current field management operations of the various military services (land-based and sea-based forces) and the civilian medical community. Although patient treatment strategies still vary, there are now many similarities in the decontamination procedures used by these various organizations, with key differences related to the platforms on which field management takes place (e.g., on land vs. on sea-going vessels) and the specific equipment used for medical care, transport, and decontamination.
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CHEMM - Decontamination Procedures
Decontamination Procedures: set-up, ppe, individual and mass decontamination.
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Managing Hazardous Materials Incidents (MHMIs) (PDF Version)
Volume 1: Emergency Medical Services: A Planning Guide for the Management of Contaminated Patients are planning guides to assist first responders in planning for incidents that involve hazardous materials. Volume II - Hospital Emergency Departments: A Planning Guide for the Management of Contaminated Patients are planning guides to assist hospital emergency department personnel in planning for incidents that involve hazardous materials. Volume III - Medical Management Guidelines (MMGs) for Acute Chemical Exposures are guides for health care professionals who treat persons who have been exposed to hazardous materials.
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Emergency Decontamination Corridor System
Firefighter Quick Reference Card.
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Medical Management Guidelines (MMGs)
The Medical Management Guidelines (MMGs) for Acute Chemical Exposures were developed by ATSDR to aid emergency department physicians and other emergency healthcare professionals who manage acute exposures resulting from chemical incidents. The MMGs are intended to aid healthcare professionals involved in emergency response to effectively decontaminate patients, protect themselves and others from contamination, communicate with other involved personnel, efficiently transport patients to a medical facility, and provide competent medical evaluation and treatment to exposed persons.
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Decontamination at health facilities
Information note on chemical release No 4. List of basic equipment for emergency decontamination; removing contaminated clothing; and using the RINSE-WIPE-RINSE technique.
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Reactive Skin Decontamination Lotion (RSDL)
MSDS of RSDL.
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Coping with an attack: A quick guide to dealing with biological, chemical and "dirty bomb" attacks
Overview describing threat, immediate action, symptoms, treatment (if exposed), and contagion to certain biological, chemical, and dirty bomb attacks.
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Emergency care for hazardous materials exposure (3rd ed.)
The need for hazardous materials emergency response has grown with the increased use of chemicals and the threat of terrorism. Designed for both the EMS field provider and first receivers in the hospital setting, this important resource provides field recognition and management guidelines for hazardous materials exposures and associated medical emergencies, including emergency care of exposed and contaminated patients. The 3rd edition has been expanded to provide responders with the information necessary to identify the scene of a terrorist act involving the use of hazardous materials, as well as triage procedures for chemical exposure and the management of a mass casualty incident.
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Pre-hospital management and medical intervention after a chemical attack
Chemical warfare agents are toxic weapons and emergency pre-hospital medical care providers should be well prepared, trained, and equipped to give response. Personnel need to be aware of the following medical issues regarding pre-hospital management of a chemical attack, event recognition, incident medical command and control, safety and protection, decontamination, isolation of the incident area (hot zone, warm zone, and cold zone), sampling and detection, psychological management, communication, triage, treatment, transportation, recovery activities and fatality management. During pre-hospital response, healthcare responders should provide self protection by wearing proper protective equipment and ensuring that the casualty is thoroughly decontaminated. Medical first responders are also responsible for performing triage in each zone of the incident area. Victims are triaged into four categories based on the need for medical care; immediate, delayed, minimal, and expectant. Finally, a medical emergency planning should be completed, and exercises conducted to test the system before an event occurs.
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Jane's CBRN Response Handbook (4th ed.)
Janes CBRN Response Handbook combines that latest procedures and guidelines with detailed reference material to deliver a convenient guide that supports effective CBRN incident planning, control and management. An expansion of the highly popular Janes Chem-Bio Handbook the standard among first responders this manual has been developed in line with current best practices and is organized to facilitate usability in the field. Janes CBRN Response Handbook provides comprehensive single-source instruction for professional first responders and anyone involved in preparing for, responding to or managing a CBRN-related incident.
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CG ICS Site Safety Plan (SSP) checklists
OSHA. Various checklists for site safety plans
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Poisoning and drug overdose (6th ed.)
Poisoning & Drug Overdose, Sixth Edition delivers critical information on effective diagnosis and treatment of drug-related emergencies and chemical exposures. Divided into four sections, easily identified by dictionary-style tabs: Section I covers initial emergency management, including treatment of complications; physical and laboratory diagnosis; and decontamination and enhanced elimination procedures. Section II provides detailed information on 150 common drugs and poisons. Section III describes the use of antidotes and therapeutic drugs to treat poisoning. Section IV describes the medical management of chemical and occupational exposures, with a table of more than 500 industrial chemicals. Poisoning & Drug Overdose, Sixth Edition is enhanced by numerous tables, charts, and a comprehensive index featuring generic, chemical, and brand names, making it an essential resource for anyone responding to drug-related emergencies and chemical exposures.
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Medical Aspects of Chemical Warfare
Home page showing table of contents. Note: links to chapters are not working
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PDR guide to terrorism response
A step-by-guide for terrorism response, this work covers various forms of terrorist attack for all types of personnel. It contains in-depth information on biological and chemical agents; and provides basic response data on incendiary, explosive and nuclear attacks.
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Management of terrorist events involving radioactive material (NCRP Report No. 138)
Report No. 138 (2001) provides information and recommendations regarding the radiological health and safety issues related to the threat of terrorist activities involving radioactive material. The Report identifies, evaluates, and makes recommendations regarding immediate and long-term radiological consequence-management issues, communication and coordination challenges, and public information challenges associated with these emergencies. This Report also provides recommendations on training guidelines, critical resources, and guidelines for internal and external exposure, as well as decontamination and cleanup.
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Medical Aspects of Chemical and Biological Warfare. Chapter 15: Decontamination
Decontamination at the MTF is directed toward(1) eliminating any chemical agent transferred to the patient during removal of protective clothing;(2) decontaminating or containing of contaminated clothing and personal equipment; and (3) maintain-ing an uncontaminated MTF.
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Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose (4th ed.)
The fourth edition of Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose is the most current, authoritative, and concise reference for information related to the clinical management of children and adults whose health has been effected or potentially effected by toxic agents, including drugs, environmental threats, and natural toxins. Presents a comprehensive treatment of poisoning through more than 100 chapters in 10 sections
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