TRAINING
Instructing students in the use of a rigid stretcher.
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This 1995 image depicts CBRN garb worn at the time.
A scientist working in a BSL-4 laboratory.
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threats. BAIT training has involved National Guard CSTs, local, state and federal law enforcement and HAZMAT teams, and federal criminal investigation agencies.
The Field Management of Chemical and Biological Casualties course (FCBC) is a fully accredited fi ve-day course off ered four times annually (February, April, June and September) at USAMRICD. FCBC is typically attended by medics, paramedics, scientists, fi remen, physician assistants and other medical professionals. Physicians and nurses desiring to improve their medical triage and patient treatment skills for chemical and biological casualties are encouraged to attend. Attendees at FCBC are provided an entire chemical and biological casualty response training library. Every participant receives a Training Sergeant’s Kit, including two handbooks, fi eld cards and DVD-ROM materials. Soſt ware includes M40A Mask Maintenance, Virtual Nerve Agent Casualty and a Patient Decontamination Exercise. Over 2,000 students have attended the FCBC.
Hospital management The fi ve day Hospital Management of Chemical, Biological, Radiological, Nuclear and Explosive Incidents Course (HM-CBRNE) off ered at USAMRICD was designed for emergency planners, hospital administrators, clinicians and emergency responders. It off ers healthcare professionals state-of-the-art instruction that may save lives in a major CBRNE incident. Designed for civilian and military healthcare managers and clinicians, the HM-CBRNE course is taught by the nation’s leading authorities in biological, chemical, explosive and radiation incident management. The HM-CBRNE course is intended to help mitigate the existing gaps that would necessarily occur during a major CBRNE event for those attempting to support and maintain hospital operations.
Protective suits used in a BSL-4 laboratory.
HM-CBRNE course topics are presented in a seminar format that encourages participation. At least half of the course is devoted to group activities and hospital teams centered on the Hospital Incident Command System (HICS). These team eff orts culminate in a multi-facility mass casualty tabletop exercise. The HM- CBRNE course includes expert overview of all CBRNE fi elds to include psychology of CBRNE events. Other highlights include principles of hospital emergency management, regulatory frameworks such as the National Incident Management System (NIMS), the National Response Framework (NRF), and the HICS. There are also equipment and procedure demonstrations, as well as a multi-station practical exercise. Additionally, HM-CBRNE benefi ts all other routine and crisis hospital operations. HM-CBRNE is typically attended by hospital manage- ment, emergency planners, emergency responders, public health offi cials, physicians, nurses and others. AFRRI’s Medical Eff ects of Ionizing
Radiation (MEIR) course began as a course designed to teach about the medical eff ects of nuclear weapons. This postgraduate-level course teaches medical providers about the biomedical consequences of radiation exposure, how the eff ects can be reduced, and how to medically manage casualties. MEIR training includes all types of nuclear incidents that could occur, and thoroughly covers four key subjects: health physics, biological eff ects of radiation, medical/ health eff ects, and psychological eff ects.
Civilian CBRN training providers The Centers for Disease Control and Prevention (CDC) and the American Schools of Public Health (ASPH) co-sponsor academic Centers for Public Health Preparedness (CPHP), located throughout the US. These include 14 Preparedness and Emergency Response Learning Centers (PERLC), and 9 Preparedness and Emergency Response
Research Centers (PERRC), and are located in schools of public health. The PERLC serve
in a national capacity for preparedness and response training and education needs of the public health workforce, to collaborate, develop and deliver core competency-based training and education that respond to the public health preparedness and response needs of state, local and tribal public health authorities, and emphasize essential public health security capabilities. The PERRC was established to
evaluate the structure, capabilities, and performance of public health systems for preparedness and emergency response activities. Research priorities addressed by the PERRC include: enhancing the usefulness of training; improving timely emergency communications; creating and maintaining sustainable response systems; and generating criteria and metrics for the eff ectiveness of preparedness and response activities. Military medical providers continue
to have the advantage of attending postgraduate medical training for CBRN provided by world-class SMEs at USAMRIID, USAMRICD, and AFRII. The public health workforce continues to have guidance through public health preparedness centres established nationwide. Together, these important educational programmes continue to provide high-quality CBRN education and all-hazards preparedness to the nation’s medical, fi rst-responder, hospital, and public health communities. Such training is imperative for a CBRN event, and, if properly conducted, has the added benefi t of preparing students for the inevitable all-hazards event. ❚❙
Col. (Ret) Zygmunt F. Dembek, PhD, MS, MPH is an epidemiologist and biochemist, and served on active military duty as the Chief of Education and Training at USAMRIID, where he also served as the USAMRIID Laboratory National Research Council Program Representative to the National Academy of Sciences.
76 CBNW 2013/02
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