Training /  Disaster Medicine
Disaster Medicine PDF Print E-mail
  • Historical development of disaster medicine:

When disasters strike, members of the local healthcare system are among the first to respond. Every medical provider has the potential to be in a situation where he or she may need to respond to a disaster. For example, following Hurricane Katrina's landfall in southern Mississippi, local physicians and hospitals were the sole source of medical care to the devastated region until the arrival of federal disaster medical assistance teams, and were then integrated into the federal response. Knowledge of how to respond to disasters, and how to coordinate that response with other agencies and organizations involved, is essential.

Since the events of 9/11, there has been an increased focus on the standardization of disaster response in an effort to speed the implementation of relief and decrease the iatrogenic component of the chaos inherent to such situations. In the U.S., the National Incident Management System (NIMS) has been developed in an attempt to facilitate a timely, coordinated and effective response to disasters, ranging from small, local incidents to disasters of national magnitude.

Planning, coordination, execution and debriefing are key to successful disaster response. These components make up the Tac-Med curriculum on Disaster Medicine. While the focus of the specific objectives in this curriculum is domestic disasters, the majority of the principles covered may be applied to international disaster responses as well.

Core Competencies

  • At the completion of Tac-Med disaster medicine training program, an attendee should:
  • Have a basic knowledge of NIMS and the Incident Command System, including its application to the planning, coordination and execution of disaster responses. (Systems-based Practice)

  • Have a basic understanding of the primary importance of safety in disaster responses, including personal protective equipment, decontamination and site security. (Medical Knowledge)
  • Have an understanding of the principles of triage, and the ability to effectively perform triage in a disaster setting. (Patient Care)
  • Possess the clinical competence to provide effective care in a setting of extremely limited resources. (Patient Care)
  • Have an understanding of multi-agency response and coordination and the ability to apply it in the context of disaster response. (Systems-based Practice)

Course Descriptions for Disaster Medicine:

Core Disaster Life Support (CDLS)
CDLS® is an introduction to “all-hazards” preparedness for first responders, community officials, business owners, and other concerned citizens. The course provides a brief overview of natural and accidental man made events, traumatic and explosive events, nuclear and radiologic events, biological events, and chemical events. The focus of the course is to discuss and apply a unique approach to disaster management called the D-I-S-A-S-T-E-R paradigm. The overarching aim is to introduce participants to basic concepts and terms that are reinforced in greater detail in the BDLS® and ADLS® courses.

Basic Disaster Life Support (BDLS)
BDLS® is targeted to multiple disciplines including emergency medical service (EMS) personnel, hazardous materials personnel, public health personnel, and health care providers. The goal of teaching multiple disciplines simultaneously is to develop a commonality of approach and language in the health care community, improving the care and coordination of response in Weapon of Mass Destruction (WMD) disasters and public health emergencies. The BDLS® course is a review of the all-hazards topics including natural and accidental man made events, traumatic and explosive events, nuclear and radiological events, biological events, and chemical events. Also included is information on the health care professional’s role in the public health and incident management systems, community mental health, and special needs of underserved and vulnerable populations.
The recognition and management of the disaster scene and victims are reinforced through a unique approach, introduced in the Core Disaster Life Support Course, called the D-I-S-A-S-T-E-R paradigm. The D-I-S-A-S-T-E-R paradigm organizes the students’ preparation and response to disaster management. It emphasizes an all-hazards approach to mass casualty incident management and facilitates ongoing qualitative and quantitative assessment of an incident.

Advanced Disaster Life Support (ADLS)
ADLS® is an advanced practicum course for the trained BDLS® provider. It is an intensive, 2-day course that allows students to demonstrate competencies in casualty decontamination, specified essential skills, and mass casualty incident information systems/technology applications. Using simulated, all-hazards scenarios and mass causality incidents, ADLS® makes use of four interactive sessions in which participants treat simulated patients in various disaster drills and situations. Training is focused on the development of hands-on skills to allow participants to apply the knowledge learned in BDLS®.

Emergency Medical Skills for Mass Casualty Incidents (MCI)
This course was designed to complement the Hospital Management of MCE course.

This program is designed to help hospital clinicians to develop specific assessment and management skills for response to WMD situations, including a detailed approach for decontaminating and isolating, as needed, casualties of chemical, biological or radiological events as established by Joint Commission on Accreditation of Healthcare Organizations, 2004.  This program will attempt to address the following objectives:

•    Explain and apply the acronym ABCDDs in terms of immediate care of CBRNE casualties.
•    Explain and apply one or more acronyms for the secondary assessment of CBRNE casualties.
•    Summarize the physics, types of injuries, and hospital-based responses appropriate to the assessment, clinical management,  
and administrative disposition of blast casualties.
•    Apply the principles of medical management of blast mass casualties in a hospital setting.
•    Summarize the physics, types of injuries, and hospital-based responses appropriate to the assessment, clinical management,
and administrative disposition of casualties exposed to ionizing radiation.
•    Apply the principles of medical management of ionizing-radiation (including nuclear) mass casualties in a hospital setting.
•    Summarize the toxicology, types of injuries, and hospital-based responses appropriate to the assessment, clinical
management, and administrative disposition of mass casualties from chemical agents.
•    Apply the principles of medical management of chemical-agent mass casualties in a hospital setting.
•    Summarize the biology, types of injuries, and hospital-based responses appropriate to the assessment, clinical management, 
and administrative disposition of mass casualties from biological agents.
•    Apply the principles of medical management of biological-agent mass casualties in a hospital setting.
•    Discuss and apply the principles of CBRNE MCI hospital response in the setting of typical MCI scenarios.
•    While participating in each of several separate small-group exercises, demonstrate the ability to apply the principles of MCI
hospital response to individual scenarios involving different CBRNE agents.
•    Describe available follow-on training resources for the hospital management of CBRNE mass-casualty incidents.

Hospital Management of Mass Casualty Events (MCE)
This course was designed to complement the Emergency Medical Skills for MCI course.

This program is designed to help hospital planning officials to develop specific plans for response to WMD situations, including a detailed approach for decontaminating and isolating, as needed, casualties of chemical, biological or radiological events as established by Joint Commission on Accreditation of Healthcare Organizations, 2004.  This program will attempt to address the following objectives:

•    Identify and apply key legal requirements, including those related to the National Incident Management System (NIMS), the
National Response Plan (NRP), the Hospital Incident Command System (HICS), and the Joint Commission on Accreditation of 
Healthcare Organizations.
•    Define key terms relating to CBRNE agents and mass-casualty incidents.
•    Compare and contrast the effects of CBRNE agents.
•    Describe the proper use of applicable instruments in the detection of CBRNE agents.
•    Explain the nature of patient decontamination, the similarities and differences involving patient decontamination of different kinds
of CBRNE agents, and effective methods of patient decontamination.
•    Demonstrate understanding of and familiarity with the patient-decontamination and personal-protective-equipment (PPE)
conditions and recommendations from OSHA Best Practices for Hospital-based First Receivers of Victims from Mass Casualty
Incidents Involving CBRNE agents.
•    Describe how to choose and use proper personal protective equipment in the decontamination and post-decontamination
hospital zones in a CBRNE mass-casualty incident.
•    Describe appropriate triage categories for CBRNE casualties.

NIMS 100, Introduction to Incident Command Systems (ICS)
ICS 100, Introduction to the Incident Command System, introduces the Incident Command System (ICS) and provides the foundation for higher level ICS training. This course describes the history, features and principles, and organizational structure of the Incident Command System. It also explains the relationship between ICS and the National Incident Management System (NIMS).

NIMS 200, ICS for Single Resources and Initial Action Incidents
ICS 200 is designed to enable personnel to operate efficiently during an incident or event within the Incident Command System (ICS). ICS-200 provides training on and resources for personnel who are likely to assume a supervisory position within the ICS.

ICS-100.C, Introduction to the Incident Command System for Healthcare/Hospitals
ICS 100, Introduction to the Incident Command System for Healthcare/Hospitals, introduces the Incident Command System (ICS) as it applies to the healthcare/hospital environment and provides the foundation for higher level ICS training. This course describes the history, features and principles, and organizational structure of the Incident Command System. It also explains the relationship between ICS and the National Incident Management System (NIMS).

Pet First Aid and Disaster Response
The Pet First Aid & Disaster Response Guide is designed to help pet owners to providde temporary, urgent care to pets until they can reach a veterinary or emergency clinic.  The course will teach readers to care for their animals before, during and after and emergency.  the Pet First Aid & Disaster program includes coverage of:

     Injury prevention and disaster preparation.
     Personal safety precautions to help pet owners identify and minimize risks.
     A wide array of pet emergencyes including bleeding and bite wounds, cardiac arrest, choking, burns, poisoning, trauma and more.

Course Dates:  Call to schedule, minimum enrollment 6
Cost: $75.00
Course Length: 6 hours (1 day)
Prerequisites: None
Contact: Shannon Moyer-Pasquale for additional information.
 

Tac-Med Upcoming Events - Click to Register

Tactical Medical Operators Course
10-16-2010 08:00
Tactical Operations Medical Support - Basic
11-04-2010 08:00 - 11-07-2010 17:00



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