3 November 1997
Source: Mail list terrorism@mediccom.org

Date: Sun, 02 Nov 1997 22:54:41 -0500
From: "Henry Siegelson, MD, FACEP" <hsiegel@emory.edu>
To: TERRORISM@mediccom.org
Subject: Domestic Preparedness Program

The Domestic Preparedness Program is a free, one day, 8 hour lecture
program that is funded by the Nunn-Lugar legislation.  The training is
supported by six federal partners:  the Department of Defense, the
Federal Emergency Management Agency, the Department of Health and Human
Services, the Department of Energy, the Department of Justice, and the
Environmental Protection Agency.  This program is designed to deliver
information in a classroom setting regarding the preparation,
mitigation, and response for and recovery from a terrorist attack or
mass casualty event related to the use of Weapons of Mass Destruction.
CME is offered.

Currently, 127 cities are scheduled to receive training.  A section of
the training program is dedicated to educating hospital administrators,
nurses, physicians, hospital security, and affiliated staff.  Another
section is devoted to EMS first responders.  The information is taught
in a train-the-trainer manner.  Topics include:

Hazardous Materials Awareness
Terrorism Awareness
Nuclear Weapons
Biologic Weapons
Chemical Weapons ? Personal Protective Equipment
Crush Syndrome
Planning for Mass Casualties
Hospital Decontamination Systems
Hospital Disaster Planning

Training will take place in Los Angeles, California at the following

Hospital Training
Emergency Medical Services Agency
555 Ferguson Drive
Suite 220
Commerce, California 90022

EMS Training
LA City Fire Academy
1700 Stadium Way
Los Angeles, California 90012

Contact number for reservations or directions:  713-974-1120

For most cities, the local emergency management agency will have
information regarding location, times, and registration (free).

Other training:

Dec. 1-4 - San Antonio
Dec. 8-11 – Phoenix
Jan 5-8 - Wash DC
Jan 12-15 -Memphis;
Jan 20-23 - Kansas City
Jan 26-30 - San Jose'
Feb. 2-5 - Honolulu
Feb 9-12 – Indy
Feb 23-26 – Seattle
March 9-12- Miami
March 23-26 – Atlanta
March 30-April 2 - San Fran
April 6-9 – Jacksonville
April 20-23 San Diego

One of the highlights of the training elucidates the federally mandated
preparations necessary to protect hospital staff from cross
contamination while managing patients exposed to hazardous materials.  A
hazardous material is any substance that is potentially toxic to a
biological system.  This definition not only includes chemicals, but
also biologic and disease-causing agents.  The Occupational Safety and
Health Administration (OSHA) has developed specific regulations which
require employers to implement safety policies and to provide training
and personal protective equipment to all employees potentially exposed
to any of these substances. These regulations apply directly to
hospitals and are supported by the Joint Commission for the
Accreditation of Hospital Organizations.

The Agency for Toxic Substances Disease Registry noted in a study of 11
states that only 18% of patients exposed to hazardous chemicals received
care or attention from fire services or EMS prior to presentation for
medical care at local hospitals.  Thus, the vast majority of patients
exposed to hazardous materials will present to hospitals in a
contaminated state.

Every hospital should have the capacity to safely assess, decontaminate,
and treat at least one patient exposed to a biologic, chemical, or
radioactive substance.  Massive quantities of hazardous materials are
stored and transported through our communities daily.  In addition,
terrorists have shown the willingness and the capacity to use weapons of
mass destruction when attacking civilians.  Hospitals must be prepared
to offer care to these victims.


Hospitals are a valuable disaster resource.  Systems must be developed
that will enable the medical system to offer a safe response to a
terrorist attack.  Every hospital must have the capacity to safely
assess and treat at least one patient exposed to a hazardous material.
It is essential that emergency physicians and nurses attend appropriate
training courses to become more familiar with the medical consequences
of and response to a terrorist attack.