Medical Response to Terrorism


Book Description

This comprehensive reference provides all the information emergency departments and personnel need to prepare for and respond to terrorist events. The first section covers all agents potentially used in terrorist attacks—chemical, biologic, toxicologic, nuclear, and explosive—in a systematic format that includes background, triage, decontamination, signs and symptoms, medical management, personnel protection, and guidelines for notifying public health networks. Algorithms show when to suspect and how to recognize exposure and detail signs and symptoms and management protocols. The second section focuses on all-hazards preparedness for hospitals, communities, emergency medical services, and the media, and includes an important chapter on simulation of disasters.




Chemical and Biological Terrorism


Book Description

The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.




Responding to Terrorism


Book Description

Mounting an effective response to a terrorist attack or, just as importantly, managing a possible terrorist incident, is the direct professional responsibility of community physicians, occupational health physicians, accident and emergency staff, general practitioners and doctors in the Armed Forces. This handbook offers such professionals a broad range of clinically relevant information in an immediately accessible format. It collects together data, which is not available in any one other volume, and presents it in a balanced and objective way, while putting the potential risks into perspective. Responding to Terrorism is also relevant to paramedics and nurses in a wide range of disciplines as well as to members of the emergency services.




Preparing for the Psychological Consequences of Terrorism


Book Description

The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.




Preparing for Terrorism


Book Description

The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.




Homeland Security


Book Description

Homeland Security: Principles and Practice of Terrorism Response is the definitive resource on all aspects of homeland security, including incident management, threat assessment, planning for and response to terrorism and other forms of violence, the federal response plan, and weapons of mass effect. Ideal as a textbook for college-level homeland security courses or as a training text for first responders and government officials, Homeland Security: Principles and Practices of Terrorism Response explains key concepts of national security and applies them to real-world operations.




Essentials of Terror Medicine


Book Description

A new field of medicine has emerged as a result of the global proliferation of terrorism. Terror medicine is related to emergency and disaster medicine but focuses on the constellation of medical issues uniquely related to terrorist attacks. The field encompasses four broad areas: preparedness, incident management, mechanisms of injuries and responses, and psychological consequences. In Essentials of Terror Medicine, these core concerns are addressed by a distinguished international authorship brought together by the three editors of this volume, who themselves are recognized experts in relevant disciplines: Shmuel Shapira, epidemiology and hospital administration; Jeffrey Hammond, trauma surgery and emergency response; Leonard Cole, bioterrorism and public policy. Essentials of Terror Medicine provides insightful and practical information for physicians, nurses, emergency responders, and other health professionals who may be called to service during or after a terror incident. It is indispensable reading for the medical community of the 21st century, in which diligence, continued education, and careful preparation for a variety of possible events are a preeminent responsibility.




Toxico-terrorism: Emergency Response and Clinical Approach to Chemical, Biological, and Radiological Agents


Book Description

The emergency medicine expertise you need to prepare for--and manage--any type of bioterrorist attack! Written by emergency room physicians for emergency room physicians, Toxico-terrorism covers every essential aspect of the emergency medical response to microbial, radiological, and chemical agents of terrorism. Turn to any page, and you'll find lifesaving clinical strategies for the management of patients who have been exposed to a biologic, chemical, or nuclear agent. Features A logical, building-block organization filled with key tables and synoptic boxes Important coverage of pre-hospital and EMS issues Insights into the means of transmission, the modes of dispersal, and how secondary infection and/or contamination can occur Overview of bioterror-specific signs and symptoms A section on emergency department preparedness that reviews critical topics such as nursing triage, hospital/facility security, pharmacy preparedness, and hospital staff issues Up-to-date information on labs, microscopy, and radiology Key diagnostic criteria for all agents Thorough coverage of treatment strategies for all agents discussed in the book Infection control modalities Survey of prophylaxis strategies Valuable section on public health considerations




Understanding, Assessing, and Responding to Terrorism


Book Description

A comprehensive guide to understanding, assessing, and responding to terrorism in this modern age This book provides readers with a thorough understanding of the types of attacks that may be perpetrated, and how to identify potential targets, conduct a meaningful vulnerability analysis, and apply protective measures to secure personnel and facilities. The new edition of Understanding, Assessing, and Responding to Terrorism updates existing material and includes several new topics that have emerged, including information on new international terrorist groups as well as a new chapter on Regulations and Standards. A vulnerability analysis methodology, consisting of several steps—which include the techniques necessary to conduct a vulnerability analysis—is introduced and applied through several sample scenarios. By using easily customized templates for the screening process, valuation of a critical asset as a target, vulnerability analysis, security procedures, emergency response procedures, and training programs, the book offers a practical step-by-step process to help reduce risk. Each different type of terrorism is briefly discussed—however, the book focuses on those potential attacks that may involve weapons of mass destruction. There is a discussion of what physical and administrative enhancements can be implemented to improve a facility's ability to devalue, detect, deter, deny, delay, defend, respond, and recover to a real or threatened terrorist attack—whether it be at a facility, or in the community. Techniques on how personnel safety and security can be improved through the implementation of counter-terrorism programs are also outlined. An overview of the major counter-terrorism regulations and standards are presented, along with the significant governmental efforts that have been implemented to help prevent terrorist attacks and foster preparedness at both private and public sector facilities and for personnel. Understanding, Assessing, and Responding to Terrorism, Second Edition: Updates existing material, plus includes several new topics that have emerged including information on new international terrorist groups, new terrorist tactics, cyber terrorism, and Regulations and Standards Outlines techniques for improving facility and personnel safety and security through the implementation of counter-terrorism programs Unites the emergency response/public sector community with the private sector over infrastructure protection, thus allowing for easier communication between them Includes questions/exercises at the end of each chapter and a solutions manual to facilitate its use as a textbook Understanding, Assessing, and Responding to Terrorism, Second Edition is a must-have reference for private and public sector risk managers, safety engineers, security professionals, facility managers, emergency responders, and others charged with protecting facilities and personnel from all types of hazards (accidental, intentional, and natural).