Biomedical Engineering Reference
In-Depth Information
and some also have
blue tape
. These are the
worried-well and the walking wounded. Those
holding
high-numbered cards
have more infection
and more
blue tape
and ask anyone for help to
move toward the ED. Those holding
face cards
are
severely infected and have lots of
blue tape
; they
collapse before reaching the ED. Those holding
diamonds
are disruptive, distractive, loud, and
argumentative and challenge instructions. Those
holding
hearts
are sly, sneaky, and quiet and disre-
gard instructions. All should try to contaminate
treatment-facility staff through physical contact
(i.e., by putting blue tape onto them).
invaluable learning experiences for improbable but
not impossible biodisasters. Disasters can be over-
whelming tsunami-like invasions. The product of
their great size and very rapid onset character-
izes the magnitude of their power for devastation.
Formal didactic instruction and on-the-job experi-
ential learning during “normal” situations are inad-
equate preparations for disasters, especially those
that are intentionally created. Simulation, in itsmany
forms, can reveal the gaps in current disaster prepa-
rationandcanprovidemethods for exploringvarious
new approaches to fill those gaps.
Reference
1. http://www.nytimes.com/2005/08/02/health/
02dent.html?ex=1280635200&en=
70fecfef8ea263c&ei=5090&partner=rssuserland
&emc=rss
21.9.7.4 Black Goal
Contaminate all treatment-facility staff and draw
all clean triage and ED players into decontamina-
tion and dirty triage regions.
21.9.7.5 End
The scenario is over when either there is no one
left outside the ED to treat, or when there is no
one left in the ED to provide treatment.
Resources
Disaster Preparation and Response
1. http://www.nbc-med.org/ie40/Default.html—Many
PDF text books on medical management of NBC
casualties.
2. http://www.bt.cdc.gov/—Many bioterror resources
on this web site.
3. http://www.cdc.gov/ncidod/sars/—SARS: What is
it, how to treat it, how to prepare healthcare facili-
ties for it.
4. http://www.cdc.gov/ncidod/hip/Blood/Ebola.htm—
Viral Hemorrhagic Fever
21.9.8 Review
The
review
focuses upon the difficulties encoun-
tered when the individual goal of each casualty
(complete safety and cure no matter how severely
injured) conflicts with the finite capabilities of the
treatment facility and its staff (who can afford to
treat only those who with treatment would have a
reasonable chance of living).
(VHF)
in Healthcare
Settings.
5. www.emergency.com—Extensive first
responder
information.
6. www.cbiac.apgea.army.mil—Biological and chem-
ical defense references.
7. http://www.chem-bio.com/resource/1999/cw_irp_
cpc_lepo_ems_report.pdf—Chemical protective
clothing for law enforcement patrol officers and
emergency medical services.
8. http://www.bt.cdc.gov/children/pdf/working/
execsumm03.pdf—pediatric WMD.
9.
Fundamentals of Disaster Management: A Hand-
book for Medical Professionals
Society of Critical
Care Medicine Press, ISBN 0-936145-18-8, 2004.
10. Thomas W. McGovern, George W. Christopher,
and Edward Eitzen. Cutaneous manifestations of
21.9.9 Replay
Shuffle and deal the cards again, and if necessary,
make some adjustments to the rules to allow for
more equal balance between
red
and
black.
21.10 Summary
In the face of a real biodisaster, confidence in one's
own competence as well as in the abilities of the rest
of the team is a vital prerequisite for any expecta-
tion of a successful response. Engaging in scheduled
simulateddisasters gives treatment-center personnel
