Improving Civilian Medical Response to Chemical or Biological Terrorist Incidents Interim Report on Current Capabilities (1998) / Chapter Skim
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Appendix E
Appendix E
Pages 71-90
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From page 71... ...
Rockville, MD: Office of Emergency Preparedness, U.S. Public Health Service, 1997.
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From page 72... ...
TROPOI~IIAN MEDICAL STRIKE TEAM MISSION, CONCEPI OF OPERATIONS, AND TEAM ORGANIZATION B Mission Statement It Is the mission of Me MMST to respond to, provide support for, and provide asststancc to local and regional fictions to effectiecly address responder safety issues, incident management, and public Stealth consequences of NBC incidents that result from accident or deliberate acts.
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From page 73... ...
· hncident Command Liaison Liaison and coordination with the local Incident commander that includes advising on technical and medical professional issues, establishing an Incident Command System OCS) if none has been established, and establishing and deploying MMST resources into the existing ICS.
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From page 74... ...
-Coordination with local law enforcement officials to brief them on the potential impacts of the incident and courses of action to take. As soon as practical, the Task Force leader will begin assessing the situation by identifying the probable agent involved by victim symptomology, clinical examination, and testing aIld environmental sampling.
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From page 75... ...
This sector is directed by a physician who oversees the medical operation of NBC incidents and coordinates the following functions: Product/agent identification Public health issues · PlO liaison · Cleanup resources Personnel for this sector include a toxicologist and pubic health specialist.
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From page 76... ...
This sector is directed by a law enforcement officer, usually of sergeant rank or higher who oversees the following functions: · Intelligence · Police logistics · Team/scene security · Evidence control Personnel for this session include police officers with expertise in these functional areas. This configuration allows the unit to be split into two field response teams.
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From page 78... ...
Changes should be report in writing to the Director, Office of Emergency Preparedness, U.S. Public Health Service, 5600 Fishers Lane, Roch~ille, MD 20857.
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From page 79... ...
3. Technical Assistance involves providing advice to law enforcement or other entities that through intelligence gathering or other means have received a warning or threat to release NBC matenals in a give area.
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From page 80... ...
It is incumbent on the Task Force Leader (EEL) and sector officers to implement coordinated tactics and strategy, collect and collate related information, and develop an effective overall task force plan.
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From page 81... ...
Using the appropriate detection and monitoring equipment, team personnel must determine the extent of the agent or material envelope In order to establish hot, warm' and cold zones. Once an area has been identified as affected, that area(s)
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From page 82... ...
Unless otherwise warranted, entry team members win wear only level "At' encapsulated suit ensembles with ~hour, self~ontained breathing apparatus (SCBA) and appropnate boots, gloves, and helmets.
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From page 83... ...
CommmucatioDs Procures · Team members (except entry teams) will communicate on He operational channel assigned upon arrival at the incident site.
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From page 84... ...
, local area poison condom centers, etc.~. · The Hospital Operations Sector will communicate within the team on the primary operational channel and win use cellular phone/fa~c for communications to medical facilities within the incident geographic area (e.g., local hospitals, medical facilities, etch.
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From page 85... ...
who become ill or injured Third, vices directly encountered by the Space Team Fourthly, other injured/affected persons as practical · ~ Is not the intent of the Field Medical Operations Sector and Hospital Operations Sector to be a free-s~nd~ng medical resource at incident scenes. However, they are part of the first lisle of intervention In a chain of care that sketches to the local hospital medical system.
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From page 86... ...
A rapid assessment will be =~ted by a decon team member and the findings immediately report to Me HABITAT Officer and Field Medical Operations Officer.
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From page 87... ...
. Medical intervention will be initiated following the MMST protocols found in Appendix I
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From page 88... ...
· It may be necessary for the Hospital Support Sector to contact hospitals by phone/fa~c to give advice on decon procedures for victims who self-refer, agent treatment protocols, and other information as requested by medical facilities. · If He TFL determines that there is benefit ~ providing M MST personnel to local hospitals to assist In the m~n~gemeIlt of incident patients, consideration should be given to the recall of local off-duty emergency medical technicians (EMIs)
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From page 89... ...
. ",.T MMST members can provide assistance to medical facilities in the following areas: Patient tracking Decon procedures for self-referrals Vital-sign monitoring Triage Medical management Ccenmunications and coor~;nadon between Be incident site and hospital Because the pharmaceuticals used for NBC incidents are not normally stocked in adequate quantities, it may be necessary to access additional supplies from manufacturers, local Veterants Administration (VA)
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