CASE EXERCISE OVERVIEW
|Title: ||Chlorine: A Chemical Release in Northern NJ|
|Author: ||Frank Kemp|
|Author Contact Info : ||UMDNJ-NJMS, MSB Rm 506, Newark NJ 07101-1709; (973) 972-4404; firstname.lastname@example.org|
|Date: ||November 2008|
|Target Audience: ||Physicians |
|Time Required: ||3 hrs|
|Copyrighted Original Case: ||
|Link To Copyright Statement: |
NATIONAL PLANNING SCENARIO
- Chem attack: chlorine tank explosion
- Recognize and assess the level of threat in the immediate environment.
- Institute action to contain and mitigate the threat.
- Meet acute patient care needs in the event of a BCRNE or other traumatic event.
- Identify the proper procedures for notification of law enforcement and public health authorities.
- Describe the chain of command in an emergency situation.
- Know the limits of his/her authority and ability and refer to appropriate specialists when necessary.
- Undertake his/her functional role in a community or other local coordinated response plan.
- Identify and procure appropriate supplies and equipment to enable protection of self and subordinates, treatment of patients and mitigation of the threat.
- Communicate with local or community non-health officials (e.g. school boards, mayors, town councils, etc.).
- Communicate with appropriate government authorities (including public health, legal, law enforcement, etc.) to report events and execute the directed response as part of a coordinated preparedness and response plan.
- Describe the possible routes of exposure (inhalation, gastrointestinal, dermal, etc) for CBRNE agents.
- Identify situations, exposures, and health outcomes of a possible CBRNE event.
- Describe the role of PPE in self-protection.
- Describe one's professional roles, functions and responsibilities in CBRNE and other public health situations (i.e. one's personal role in this system/NIMS/NRP).
- Define the Incident Command System (ICS) and National Incident Management System (NIMS), National Response Plan (NRP) and describe their general structure and components. (ICS 100 or equivalent)
- Explain the roles and responsibilities of local, state and federal public health planning and response agencies (e.g.: state health and homeland security departments, CDC, NIH, FEMA, etc).
- List examples of appropriate decontamination methods and how they differ depending on chemical, biological and radiological agent and route of exposure.
- Suspect or consider the possibility of a WMD attack (e.g. "situational awareness," "being a medical detective").
- List the different categories of chemical agents (i.e. blistering agents, nerve agents, etc) and provide appropriate examples (i.e. mustard gas, sarin, etc).
- Define medical triage and discuss situations where its use is appropriate.
- Describe the key components of the public health and emergency response system (NJ e.g.: SNS, LINCS, Medical Coordination Center, Community Mental Health Agency, PODS, MRC, Citizen Corps).
- Describe one's role in the local, community and statewide public health emergency response system.
- Discuss the professional and legal rights, responsibilities and protections in a public health emergency.
- Identify reliable, trustworthy and credible information sources for use during an emergency (i.e. CDC, OEMS, NJDHSS, hospitals) and describe methods by which to obtain information from these sources (HAN/NJLINCS, Internet, textbooks, CD-ROM).
- Describe and analyze ethical conflicts between professional and personal responsibilities.
- Critique and evaluate components of the response plan, including one's individual role.
- Describe one's role in the pre-event planning process (Planning, Intervention, Recovery, and Evaluation).
- Describe and apply a framework for ethical decision making.
- Discuss the treatment protocols for chemical exposures (e.g. antidote administration, removal of clothing, etc).
- Act upon intelligence data that indicates a potential/actual CBRNE emergency.
- Activate appropriate mitigation activities to lessen the impact of a potential/actual emergency.
- Define the ethics of routine public health practices/interventions in emergency situations and discuss the legal/ethical issues of triage.
- Defend the framework chosen for ethical decision making.
- NIMS: Accountability
- NIMS: Flexibility/Adaptability
- NIMS: Interoperability/Compatibility
- NIMS: Scalability
- NIMS: Standardization
- NIMS: Unification
- ICS: Command & Management
- ICS: Common Terminology
- ICS: Incident Action Planning
- ICS: Information & Communications Management
- ICS: Integrated Communications
- ICS: Manageable Span of Control
- ICS: Measurable Objectives
- ICS: Modular Organization
- ICS: Multi-Agency Coordination
- ICS: Resource Management
- NRP: All-Hazards Preparedness
- NRP: Incident Management at Lowest Possible Level
- NRP: Mutual Aid Agreements
- NRP: Preparation
- NRP: Prevention
- NRP: Recovery & Mitigation
- NRP: Response
- CBRNE Detection
- Community Preparedness and Participation
- Emergency Operations Center Management
- Emergency Public Information and Warning
- Environmental Health
- Epidemiological Surveillance and Investigation
- Explosive Device Response Operations
- Isolation and Quarantine
- Mass Care (Sheltering, Feeding, and Related Services)
- Mass Prophylaxis
- Medical Surge
- Onsite Incident Management
- Public Health Laboratory Testing
- Public Safety and Security Response
- Responder Safety and Health
- WMD/Hazardous Materials Response and Decontamination