The number of people requiring immediate medical intervention will likely be in the hundreds to few thousand. Much of the triage will be done by medical history but some medical (blood, urine or tissue) analysis may be needed, likely requiring very specialized laboratories. As a result, the potential number of concerned persons could be exceedingly large and there may be a large requirement for triage and, in the long-term, epidemiological follow-up. Thus, a time Zero might never be known with certainty. If appropriate, HHS will deliver countermeasures from the SNS.Ī non-explosive RDD/Radiation Exposure Device NERDD/RED unlike an RDD/IED, which is identified by an explosion, may not be identified until epidemiological evidence is recognized as a covert radiological attack. Subsequently, HHS will determine the most appropriate public health and medical assets and their timing of deployment from among the USPHS Rapid Deployment Force, Commissioned Corps, NDMS assets and more. The number of victims needing immediate medical intervention could be in the hundreds to a few thousand while the number needing some evaluation, appropriate assurance, and possible long-term epidemiological follow-up may be in the tens of thousands. HHS will work with local/regional responders and healthcare systems to provide assets to help with surge capacity. HHS (Interagency A-Team) along with DOE (IMAAC and FRMAC),working with the Advisory Team (A-Team) will make recommendations to local and regional responders regarding radiation zones and advise on specific medical countermeasures. HHS will evaluate the numbers and types of victims and along with the local/state/regional/tribal officials determine the effect on local and regional healthcare. HHS with the assistance of DOD, DOE (FRMAC), IMAAC, and local government will evaluate the size of blast, radiological dispersal, type of radionuclide(s), number of injuries and categories of injuries. An RDD/IED will cause a surge in victims of blast injuries, burns and radiological exposure and/or contamination. In addition, civilian assets from the Medical Reserve Corps (MRC) may be requested to support the immediate and continuing staffing needs of providing health care to victims of the incident. Once the severity and scope of the Explosive RDD has been determined, HHS will deploy personnel including as appropriate from USPHS and, NDMS. This function includes the assessment of the public health care system/facility infrastructure. HHS, in collaboration with DHS, mobilizes and deploys ESF #8 personnel to support the ERT-A to assess public health and medical needs. *Non-boxed text is common to all scenarios.ĬONOPS for Explosive RDDs is in the red framed boxĬONOPS for non-explosive RDDs (NERDD) and Radiological Exposure Devices (RED) is in the blue framed boxĪs in the introduction, non-essential points are in the gray box ESF #8 Missions: Initial Actions and Continuing Actions Assessment of Public Health / Medical Needs *Tasks are organized as in the ESF#8 Section of the National Response Framework. To avoid excess duplication and to emphasize the commonality, the CONOPS uses the following organization: Resources marked with an asterisk (*) appear in more than one category.The CONOPS of an Explosive RDD, non-Explosive RDD and RED have much in common. Each resource in this Collection is placed into one or more of the following categories (click on the category name to be taken directly to that set of resources). This Topic Collection was refreshed in 2022. The following resources highlight lessons learned, guidelines, plans, tools, and templates, and promising practices that can help emergency medical practitioners accomplish this goal. Because of the significant draw on human and material resources associated with these incidents, it is critical for emergency medical professionals to develop hospital patient decontamination plans that can help them provide the best medical care possible to patients while ensuring that caregivers are protected. No matter the cause, patients will require emergent medical care delivered by a team of healthcare providers. The release of hazardous materials-whether accidental or intentional-has the potential to significantly harm the health of community members and first responders.
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