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  • Volume I:
    First Thirty Minutes
    • Section 1
      Acute Care Algorithm/ Treatment Plans/ Acronyms
      • CALS Approach
        • CALS Universal Approach
        • Patient Transport
      • Airway
        • Rapid Sequence Intubation Algorithm/Rescue Airways
        • Endotracheal Intubation FlowSheet
        • Rapid Sequence Intubation Medications
        • Rapid Sequence Intubation Drug Calculator
        • Rapid Sequence Intubation Dosage Chart
        • Obstructed Airway Algorithm Adult and Pediatric
        • Initial Laboratory Studies
      • Cardiovascular
        • CPR Steps for Adults, Children, and Infants
        • Automated External Defibrillator Algorithm
        • Ventricular Fibrillation-Pulseless Ventricular Tachycardia Algorithm
        • Pulseless Electrical Activity Algorithm-Adult and Peds
        • Asystole Algorithm-Adult and Peds
        • Bradycardia Algorithm
        • Tachycardia Algorithm
        • Atrial Fibrillation/Atrial Flutter Algorithm
        • Electrical Cardioversion Algorithm-Adult and Pediatric
        • Chest Pain Evaluation Algorithm
      • Emergency Preparedness
        • Therapeutic Hypothermia
        • Mobilization Checklist
        • Symptom Recognition-Therapy
        • Blast Injuries
      • Fluids & Electrolytes
        • Causes of Anion and Non-Anion Gap Acidosis
      • Infection
        • Sepsis Guidelines
      • Neonatal
        • Neonatal Resuscitation Algorithm
        • Inverted Triangle-APGAR Score
        • Drugs in Neonatal Resuscitation Algorithm
      • Neurology
        • Altered Level of Consciousness
        • Glasgow Coma Scale-Adult, Peds,Infant
        • Tips From the Vowels Acronym
        • NIH Stroke Scale (Abbreviated)
        • Status Epilepticus Treatment Plan
      • Obstetrics
        • Postpartum Hemorrhage Algorithm
        • Shoulder Dystocia—HELPERR
        • Vacuum Delivery Acronym-ABCDEFGHIJ
      • Ophthalmology
        • Central Retinal Artery Occlusion
        • Chemical Burn Exposure to Eye
      • Pediatrics
        • Pediatric Equipment Sizes
        • Modified Lund Browder Chart
      • Trauma
        • Shock Acronym-Shrimpcan
        • Burn Management Treatment Plan
        • Initial Care of Major Trauma
        • Trauma Flow Sheet
    • Section 2
      Universal Approach
      • CALS Universal Approach To Emergency Advanced Life Support
    • Section 3
      Steps 1-6
      • Steps 1-6
      • Step 1: Activate the Team
      • Step 2: Immediate Control and Immobilization
      • Step 3: Initial Survey
      • Step 3: Simultaneous Team Action By Team Members
      • Step 4: Preliminary Clinical Impression
      • Step 5: Working Diagnosis and Disposition
      • Step 6: Team Process and Review
    • Section 4
      Preliminary Impression/Focused Clinical Pathways
      • Pathway 1: Altered Level of Consciousness (Adult and Pediatric)
      • Pathway 2: Cardiovascular Emergencies (Adult and Pediatric)
      • Pathway 3: Gastrointestinal/Abdominal Emergencies (Adult and Pediatric)
      • Pathway 4: Neonatal Emergencies
      • Pathway 5: Obstetrical Emergencies
      • Pathway 6: Adult Respiratory
      • Pathway 7: Pediatric Respiratory
      • Pathway 8: Adult Trauma (Secondary Survey for Adults)
      • Pathway 9: Pediatric Trauma (Secondary Survey for Trauma in Children)
  • Volume II:
    Resuscitation Procedures
    • Section 5
      Airway Skills
      • Airway Skills 1: Aids to Intubation
      • Airway Skills 2: Bag-Valve-Mask Use
      • Airway Skills 3: Orotracheal Intubation
      • Airway Skills 4: Rapid Sequence Intubation
      • Airway Skills 5: Cricoid Pressure and the BURP Technique
      • Airway Skills 6: Esophageal Tracheal Combitube
      • Airway Skills 7: King Airway
      • Airway Skills 8: Intubating Laryngeal Mask Airway
      • Airway Skills 9: Nasotracheal Intubation
      • Airway Skills 10: Topical Anesthesia
      • Airway Skills 11: Retrograde Intubation
      • Airway Skills 12: Tracheal Foreign Body Removal
      • Airway Skills 13: Cricothyrotomy
      • Airway Skills 14: Tracheotomy
      • Airway Skills 15: Tracheotomy in Infants
      • Airway Skills 16: Transtracheal Needle Ventilation
    • Section 6
      Breathing Skills
      • Section 6 Breathing Skills Portals
      • Breathing Skills 1: Chest Tube Insertion
      • Breathing Skills 2: Chest Suction and Autotransfusion
      • Breathing Skills 3: Endobronchial Tube
      • Breathing Skills 4: Heliox
      • Breathing Skills 5: Needle Thoracostomy
    • Section 7
      Circulation Skills
      • Section 7 Circulation Skills Portals
      • Circulation Skills 1: Arterial and Venous Catheter Insertion
      • Circulation Skills 2: Central Venous Access
      • Circulation Skills 3: Central Venous Pressure Measurement
      • Circulation Skills 4: Emergency Thoracotomy
      • Circulation Skills 5: Intraosseous Needle Placement (Adult)
      • Circulation Skills 6: Pericardiocentesis
      • Circulation Skills 7: Rewarming Techniques
      • Circulation Skills 8: Saphenous Vein Cutdown
      • Circulation Skills 9: Transvenous Cardiac Pacing
    • Section 8
      Disability Skills
      • Section 8 Disability Skills Portals
      • Disability Skills 1: Skull Trephination
      • Disability Skills 2: Raney Scalp Clips
    • Section 9
      Trauma Skills
      • Trauma Skills Portals
      • Trauma Skills 1: Compartment Pressure Measurement
      • Trauma Skills 2: Femur Fracture Splinting
      • Trauma Skills 3: Pelvic Fracture Stabilization
      • Trauma Skills 4: Suprapubic Cystostomy
    • Section 10
      X-Rays Skills
      • X-ray Skills 1: Cervical Spine Rules and Use of Imaging Portal
      • X-ray Skills 2: Cervical Spine X-ray Interpretation
      • Xray Skills 3: Interpretation of a Pelvic X-ray
  • Volume III:
    Definitive Care
    • Section 11
      Airway
      • Rapid Sequence Intubation Portal
      • Airway Obstruction Portal
      • Heliox Treatment Portal
      • Ventilator Management Portal
      • Noninvasive Ventilatory Support Portal
      • Inspiratory Impedance Threshold Device Portal
      • Status Asthmaticus Portal
      • Anaphylaxis Portal
    • Section 12
      Cardiovascular
      • Cardiovascular 1: Classification of Pharmacological (Therapeutic) Interventions Portal
      • Cardiovascular 2: Cardiac Rhythms Portal
      • Cardiovascular 3: Pharmacology of Cardiovascular Agents Portal
      • Cardiovascular 4: Endotracheal Drug Delivery
      • Cardiovascular 5: Ventricular Fibrillation/Pulseless Ventricular Tachycardia Portal
      • Cardiovascular 6: Pulseless Electrical Activity Portal
      • Cardiovascular 7: Asystole Treatment Portal
      • Cardiovascular 8: Tachycardia Treatment Portal
      • Cardiovascular 9: Electrical Cardioversion Portal
      • Cardiovascular 10: Bradycardia Treatment Portal
      • Cardiovascular 11: Acute Coronary Syndromes Portal (Acure Ischemic Chest Pain)
      • Cardiovascular 12: Acute Heart Failure Portal
      • Cardiovascular 13: Hypertensive Crises Portal
      • Cardiovascular 14: Digitalis Toxicity Portal
      • Cardiovascular 15: Long QT Syndrome Portal
      • Cardiovascular Diagnostic Treatment Portals
    • Section 13
      Emergency Preparedness
      • Emergency Preparedness 1: Community-Wide Collaboration Portal
      • Emergency Preparedness 2: Approaches to Planning
      • Emergency Preparedness 3: Hazard Vulnerability Analysis Portal
      • Emergency Preparedness 4: Incident Command System Portal
      • Emergency Preparedness 5: Emergency Management Program Portal
      • Emergency Preparedness 6: Basic All Hazards Response Portal
      • Emergency Preparedness 7: Rapid and Efficient Mobilization Portal
      • Emergency Preparedness 8: Emergency Event Response Classifications Portal
      • Emergency Preparedness 9: Triage Portal
      • Emergency Preparedness 10: Surge Capacity Planning and Scarce Resources Guidelines
      • Emergency Preparedness 11: Glossary of Terms
      • Emergency Preparedness 12: Resources
      • Emergency Preparedness 13: Introduction to Nuclear, Biological, and Chemical Warfare
      • Emergency Preparedness 14: Nuclear Devices Portal
      • Emergency Preparedness 15: Acute Radiation Syndrome Portal
      • Emergency Preparedness 16: Biological Agents Portal
      • Emergency Preparedness 17: Chemical Agents Portal
      • Emergency Preparedness 18: Explosion and Blast Injuries Portal
      • Emergency Preparedness 19: Patient Isolation Precautions
      • Emergency Preparedness 20: Additional References and Resources
    • Section 14
      Endocrine and Metabolic
      • Endocrine and Metabolic 1: Adrenal Crisis Portal
      • Endocrine and Metabolic 2: Diabetic Ketoacidosis Portal
      • Endocrine and Metabolic 3: Myxedma Coma (Severe Hypothyroidism) Portal
      • Endocrine and Metabolic 4: Thyroid Storm Portal (Severe Thyrotoxicosis/Hyperthyroidism)
      • Endocrine and Metabolic 5: Hyperosmolar (Hyperglycemic) Non-Ketotic State Portal
      • Endocrine and Metabolic 6: Acid-Base Portal Concepts and Clinical Considerations
      • Endocrine and Metabolic 7: Disorders of Electrolyte Concentration Portal
    • Section 15
      Environmental
      • Environmental 1: Hypothermia Portal
      • Environmental 2: Hyperthermia/Heat Stroke Portal
      • Environmental 3: Burns Management Portal
      • Environmental 4: Near Drowning Portal
      • Environmental 5: High Altitude Illness Portal
      • Environmental 6: Snake Bite Portal
    • Section 16
      Farming
      • Farming 1: Respiratory Illnesses Portal
      • Farming 2: Farm Wounds/Amputation Portal
      • Farming 3: Chemical Exposures Portal
    • Section 17
      Gastrointestinal/
      Abdominal
      • Gastrointestinal/Abdominal 1: Esophageal Varices Portal
    • Section 18
      Geriatrics
      • Geriatrics 1: General Aging Portal
    • Section 19
      Infection
      • Infection 1: Adult Pneumonia
      • Infection 2: Meningitis Portal
      • Infection 3: Sepsis in Adults Portal
      • Infection 4: Abdominal Sepsis Portal
      • Infection 5: Tetanus Immunization Status Portal
    • Section 20
      Neonatal
      • Neonatal 1: Neonatal Resuscitation Algorithm
      • Neonatal 2: Drugs in Neonatal Resuscitation
      • Neonatal 3: Meconium Suctioning Portal
      • Neonatal 4: Umbilical Artery and Vein Cannulation Portal
      • Neonatal 5: Inverted Triangle/Apgar Score Portal
      • Neonatal 6: Meningitis/Sepsis in Newborn Portal
      • Neonatal 7: Respiratory Distress Syndrome Scoring System Portal
    • Section 21
      Neurology
      • Neurology 1: Status Epilepticus Portal
      • Neurology 2: Stroke Portal
      • Neurology 3: NIH Stroke Scale Portal
      • Neurology 4: Phenytoin and Fosphenytoin Loading Portal
      • Neurology 5: Increased Intracranial Pressure Portal
    • Section 22
      Obstetrics
      • Obstetrics 1: Physiology of Pregnancy Portal
      • Obstetrics 2: Ultrasound Use Portal
      • Obstetrics 3: Bleeding in Early Pregnancy/Miscarriage Portal
      • Obstetrics 4: Dilatation and Curettage Portal
      • Obstetrics 5: Fetal Heart Tone Monitoring Portal
      • Obstetrics 6: Preterm Labor Management Portal
      • Obstetrics 7: Bleeding in the Second Half of Pregnancy Portal
      • Obstetrics 8: Hypertension In Pregnancy Portal
      • Obstetrics 9: Trauma in Pregnancy Portal
      • Obstetrics 10: Emergency Cesarean Section Portal
      • Obstetrics 11: Imminent Delivery Portal
      • Obstetrics 12: Malpresentations and Malpositions: Breech, Occiput Posterior Portal
      • Obstetrics 13: Assisted Delivery Portal
      • Obstetrics 14: Shoulder Dystocia Portal
      • Obstetrics 15: Third-stage and Postpartum Emergencies Portal
      • Obstetrics 16: Thromboembolic Disease and Pregnancy Portal
    • Section 23
      Pediatrics
      • Pediatrics 1: Physiologic and Anatomic Considerations Portal
      • Pediatrics 2: Tracheal Foreign Body Portal
      • Pediatrics 3: Epiglottitis Portal
      • Pediatrics 4: Laryngotracheal Bronchitis (Croup) Portal
      • Pediatrics 5: Bacterial Tracheitis Portal
      • Pediatrics 6: Bronchiolitis Portal
      • Pediatrics 7: Pneumonia Portal
      • Pediatrics 8: Sepsis Portal
      • Pediatrics 9: Meningitis Portal
      • Pediatrics 10: Diphtheria Portal
      • Pediatrics 11: Glasgow Coma Scale Portal
      • Pediatrics 12: Intraosseous Vascular Access
    • Section 24
      Sedation/
      Pain Control/
      Anesthesia
      • Sedation/Pain Control/Anesthesia 1: Procedural Sedation
      • Sedation/Pain Control/Anesthesia 2: Management of Combative, Agitated, Delirious Patients
      • Sedation/Pain Control/Anesthesia 3: Malignant Hyperthermia Portal
    • Section 25
      Toxicology
      • Toxicology 1: Systematic Approach
      • Toxicology 2: Essential Antidotes Portal
      • Toxicology 3: Acetaminophen Overdose Portal
      • Toxicology 4: Aspirin Overdose Portal
      • Toxicology 5: Tricyclic Antidepressants Overdose Portal
      • Toxicology 6: Beta Blocker Toxicity Portal
      • Toxicology 7: Calcium Channel Blocker Toxicity Portal
      • Toxicology 8: Bendodiazepine Overdose Portal
      • Toxicology 9: Alcohol Withdrawal Portal
      • Toxicology 10: Toxic Alcohols: Methanol and Ethylene Glycol
      • Toxicology 11: Cocaine Ingestion Portal
      • Toxicology 12: Narcotic Overdose Portal
      • Toxicology 13: Amphetamine Analog Intoxication Portal
      • Toxicology 14: Iron Ingestion Portal
      • Toxicology 15: Carbon Monoxide Poisoning Portal
      • Toxicology 16: Hyperbaric Oxygen and Normobaric Oxygen
      • Toxicology 17: Cyanide Poisoning Portal
      • Toxicology 18: Organophosphates Toxicity Portal
    • Section 26
      Trauma Care
      • Trauma Care 1: Shock Portal
      • Trauma Care 2: Shock Evaluation Overview Portal
      • Trauma Care 3: Use of Hemostatic Agents to Control Major Bleeding Portal
      • Trauma Care 4: Severe Traumatic Brain Injury—Adult 
      • Trauma Care 5: Severe Traumatic Brain Injury—Pediatric
      • Trauma Care 6: Compartment Syndrome
    • Section 27
      Tropical Medicine
      • Tropical Medicine 2: Introduction
      • Tropical Medicine 3: Fever and Systemic Manifestations
      • Tropical Medicine 4: Gastrointestinal and Abdominal Manifestations
      • Tropical Medicine 5: Dermatological Manifestations
      • Tropical Medicine 6: Muscular Manifestations (Including Myocardium)
      • Tropical Medicine 7: Neurological Manifestations
      • Tropical Medicine 8: Ocular Manifestations
      • Tropical Medicine 9: Pulmonary Manifestations
      • Tropical Medicine 10: Urogenital Manifestations
      • Tropical Medicine 11: Disorders of Nutrition and Hydration
      • Tropical Medicine 12: Medicine in Austere Environs
      • Tropical Medicine 13: Antiparasitic Primer
      • Tropical Medicine 14: Concise Parasitic Identification
      • Tropical Medicine 15: Bibliography
    • Section 28
      Ultrasound
      • Ultrasound 1: Emergency Ultrasound Applications Portal
      • Ultrasound 2: Emergency Ultrasound Techniques Portal

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Emergency Preparedness 20:
Additional References and Resources

References

  1. Auf der Heide E.  The importance of evidence-based disaster planning. Ann Emerg Med. 2006;47;34-49. (Summary of trends and key concepts / misconceptions in hospital preparedness.)
  2. Arnold J, Lavonas E. CBRNE- Personal Protective Equipment. emedicine. Oct 16, 2001. www.emedicine.com/emerg/topic894.htm.
  3. Biological and chemical terrorism: strategic plan for preparedness and response. Recommendations of the CDC Strategic Planning Workgroup. MMWR Recommendations and Reports. 2000;21;49(RR-4):1-14.
  4. Burgess JL, Kirk M, Borron SW, Cisek J. Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med. 1999;34:205-12.
  5. Chemical-biological terrorism and its impact on children: a subject review. American Academy of Pediatrics. Committee on Environmental Health and Committee on Infectious Diseases. Pediatrics. 2000;105(3 Pt 1):662-70.
  6. Communications Resources:
    • Wireless Priority Service Information: http://wps.ncs.gov/program_info.html
    • Government Emergency Telecommunications System: http://gets.ncs.gov/
    • Greater NY Hospital Association. Emergency Communications Options PDF available at: http://www.gnyha.org/176/Default.aspx
  7. Cundiff JF, et al. Bioterrorism Readiness Plan: A template for healthcare facilities. Atlanta, GA: Centers for Disease Control and Prevention, 1999.
  8. Darling R, Cartlett CL, Huebner KD, Jarrett DG. Threats in bioterrorism. I: CDC category A agents. Emerg Med Clin North Am. 2002;20:273-309.
  9. DiGiovanni C Jr. Domestic terrorism with chemical or biological agents: Psychiatric aspects. Am J Psychiatry. 1999;156:1500-1505.
  10. Fatah AA et al. Guide for the selection of chemical agent and toxic industrial material detection equipment for emergency first responders. National Institute of Justice Guide. 2000.
  11. Gallo RJ, Campbell D. Bioterrorism: challenges and opportunities for local health departments. J Public Health Manag Pract. 2000;6:57-62.
  12. Garrett LC, Magruder C, Molgard CA.  Taking the terror out of bioterrorism: planning for a bioterrorist event from a local perspective. J Public Health Manag Pract. 2000;6:1-7.
  13. Greenberg MI, Jurgens SM, Gracely EJ. Emergency department preparedness for the evaluation and treatment of victims of biological or chemical terrorist attack. J Emerg Med. 2002;22:273-8.
  14. Hazard Vulnerability Analysis –American Society of Healthcare Engineers (ASHE) - http://www.ashe.org/resources/white_papers/annual06title.html (scroll down to paper -- requires login or fee). (Kaiser-Permanente’s spreadsheet-based model is available at: www.emsa.ca.gov/disaster/files/kaiser_model.xls)
  15. Hick JL, Hanfling D, Burstein JL, DeAtely C, Barbisch D, Bogdan G, Cantrill S. Healthcare facility and community strategies for patient care surge capacity. Ann Emerg Med. 44:253-61;2004.
  16. Holloway HC, Norwood AE, Fullerton CS, Engel CC Jr, Ursano RJ. The threat of biological weapons. Prophylaxis and mitigation of psychological and social consequences. JAMA. 1997;278:425-427.
  17. Lyons K. Is your hospital prepared to treat hundreds of victims of a terrorist attack? J Healthc Prot Manage. 1999-00 Winter;16(1):20-24.
  18. Macintyre AG, Christopher GW, Eitzen E Jr, et al. Weapons of mass destruction events with contaminated casualties: effective planning for health care facilities. JAMA. 2000;283:242-249.
  19. Raber E, Jin A, Noonan K, McGuire R, Kirvel RD. Decontamination issues for chemical and biological warfare agents: how clean is clean enough? Int J Environ Health Res. 2001;11:128-148.
  20. Radiologic Resources:
    1. Radiation Emergency Assistance Center / Training Site. Managing Radiation Emergencies – Guidance for Hospital Medical Management. http://orise.orau.gov/reacts/guide/care.htm
    2. Online resources for medical management of radiation emergencies, or United States Department of Health and Human Services. Radiation Event Medical Management. http://www.remm.nlm.gov/
    3. Online resources for medical management, can be downloaded in its entirety to local computer or Centers for Disease Control and Prevention. Radiologic Terrorism: A Toolkit for Emergency Services Clinicians.  http://emergency.cdc.gov/radiation/toolkit.asp - includes pocket guide for radiological terrorism, fact sheets on radiation illness and injury, and instructional videos.
  21. Rubin JN. Recurring Pitfalls in Hospital Preparedness and Response. http://www.homelandsecurity.org/journal/Articles/rubin.html. Accessed June 27, 2008; removed from site June 30, 2011. (This is an overview of some key stumbling blocks that hospitals face in preparing for disasters.)
  22. Smith CG, Veenhuis PE, MacCormack JN. Bioterrorism. A new threat with psychological and social sequelae. N C Med J. 2000;61:150-163.
  23. Smith PW, Rusnak PG. Infection prevention and control in the long-term-care facility. SHEA Long-Term-Care Committee and APIC Guidelines Committee. Infect Control Hosp Epidemiol. 1997;18:831-849.
  24. Tan GA, Fitzgerald MC. Chemical-biological-radiological (CBR) response: a template for hospital emergency departments. Med J Aust. 2002;177:196-199.
  25. Treat KN, Williams JM, Furbee PM, Manley WG, Russell FK, Stamper CD Jr. Hospital preparedness for weapons of mass destruction incidents: an initial assessment. Ann Emerg Med. 2001;38:562-565.
  26. United States Department of Health and Human Services. National Disaster Medical System. Available at http://www.phe.gov/preparedness/pages/default.aspx Accessed February 15, 2012.
  27. United States Department of Health and Human Services. Office for Civil Rights. Emergency Preparedness Planning and Response. Access from http://www.hhs.gov/ocr/hipaa/emergencyPPR.html on June 27, 2008 and no longer available. See http://www.hhs.gov/ocr/privacy/index.html or http://www.hhs.gov/hipaafaq/providers/hipaa-1068.html. (Tools for HIPPA compliance during disasters.)

Resources

  1. American Civil Defense Association. http://www.tacda.org/
  2. ANSER Institute for Homeland Security has a good set of resources: http://www.homelandsecurity.org/ and http://www.anser.org/anser.
  3. Association for Professionals in Infection Control and Epidemiology, Inc.: www.apic.org/
  4. Bomb / blast / burn injuries: Centers for Disease Control and Prevention. Explosions and Blast Injuries – A Primer for Clinicians. http://emergency.cdc.gov/masscasualties/explosions.asp. This weblink also takes you to a number of other helpful CDC publications including ‘In a moment’s notice – Surge capacity in terrorist bombings’, Injury Patterns and Care, and Predicting Casualty Severity and Hospital Capacity.
  5. Centers for Disease Control and Prevention’s emergency preparedness and response site (covers many areas and topics): http://www.bt.cdc.gov/
  6. Center for Infectious Disease Research & Policy (CIDRAP), University of Minnesota: http://www.cidrap.umn.edu/cidrap/index.html
  7. Center for the Study of Bioterrorism and Emerging Infections – Saint Louis University School of Public Health: http://bioterrorism.slu.edu/
  8. Domestic Preparedness Information Line: 1 800 368 6498
  9. eMedicine Emergency Medicine Online: http://emedicine.medscape.com/emergency_medicine#warfare
  10. Hospital Incident Command System. HICS IV August 2006.  California Emergency Medical Services Authority. http://www.emsa.ca.gov/HICS/default.asp (accessed February 15, 2012). A NIMS-compliant and the most accepted incident management system for healthcare facilities.
  11. Joint Commission Emergency Preparedness Requirements – 2012 Crosswalk of the Joint Commission Environment of Care Standards for Hospitals at: http://www.jcrinc.com/Books-and-E-books/CWECH12/3995/. 
  12. Minnesota Department of Health Hospital Bioterrorism Preparedness for Hospitals: http://www.health.state.mn.us/oep/healthcare/index.html
  13. Multi-Agency Coordination Systems in Health Events.  Minnesota Department of Health.  St. Paul, MN 2006. http://www.health.state.mn.us/oep/plans/index.html  (accessed February 15, 2012). – State public health / hospital concept of operations for MAC.
  14. National Academy of Sciences terrorism resources: http://www.nap.edu/collections/terror/index.html
  15. National Association of State EMS Officers: http://www.nasemso.org/Projects/RuralEMS/
  16. National Center for Emerging and Zoonotic Infectious Diseases: http://www.cdc.gov/ncezid/
  17. National Incident Management System. Federal Emergency Management Agency – Department of Homeland Security.
    1. http://www.fema.gov/emergency/nims/index.shtm - The NIMS homepage – background information and links to many documents and training.
    2. http://www.fema.gov/emergency/nims/NIMSTrainingCourses.shtm - training information including course and instructor requirements.
    3. http://training.fema.gov/EMIWeb/IS/is100HCb.asp - link to on-line ‘Introduction to incident management for healthcare workers.’
    4. http://training.fema.gov/emiweb/is/is200b.asp - link to on-line course ‘ICS for Single Resources and Initial Action Incidents’ required for all assuming management who are likelyt to assume supervisory positions within the ICS.
    5. http://training.fema.gov/emiweb/is/is700a.asp - link to on-line course ‘National Incident Management System – An Introduction’ required for command and general staff.
  18. National Response Center: national response teams for hazardous materials. Lots of links for chemical incidents. www.nrt.org and 1 800 424 8802
  19. National Rural Health Association Paper on Rural Preparedness -- link to paper on this page: http://www.ruralhealthweb.org/popup.cfm?objectID=B361B8AC-3048-651A-FE171A21E9DAF70B
  20. Nuclear Threat Initiative: www.nti.org
  21. REAC/TS (Radiation Emergency Assistance Center/Training Site). Their web site url is http://orise.orau.gov/reacts/default.aspx and their emergency phone line for acute help is 1 865 576 1005 (Ask for REAC/TS)..
  22. USAMRIID - US Army Medical Research Institute of Infectious Diseases: www.usamriid.army.mil  and USAMRIID's Medical Management of Biological Casualties Handbook, a.k.a "Bluebook"
    1-888-872-7443. (among other products, they have chemical, radiological, and biological medical management handbooks which can be downloaded into handhelds)
  23. U.S. Department of Health and Human Services: Public Health and Medical Emergncy Support: http://www.phe.gov/preparedness/pages/default.aspx
  24. U.S. Department of Health and Human Services, Health Resources and Services Administration's, Rural Health: http://www.hrsa.gov/ruralhealth/
  25. U.S. Department of Labor’s Occupational Safety and Health Administration’s emergency response site: http://www.osha.gov/SLTC/emergencypreparedness/index.html; also see their personal protective equipment site with numerous topics: http://www.osha.gov/SLTC/personalprotectiveequipment/index.html
  26. Washington State Department of Health's Public Health Emergency and Response Preparedness site for Local Health Departments/Distrcits and Healthcare Providers: http://www.doh.wa.gov/phepr/pheprlho.htm
  27. Wisconsin Department of Health Services, Public Health Emergency Preparedness: http://www.dhs.wisconsin.gov/preparedness/
Edition 13-October 2011

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