Understand primary medical and psychological considerations in relation to Industrial/HazMat/CBRN incidents

By Roland Lici Categories: GROWTH-14
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About Course

The term CBRN stands for ‘chemical, biological, radiological and nuclear’, and relates to specific hazards that may be encountered during an incident. The term CBRN is generally reserved for the deliberate release of a hazardous material such as in a terrorist attack, whereas the term Hazmat is used for accidental release or exposure to toxic industrial material. Chemical, biological, radiological and nuclear (CBRN) incidents have a disproportionate effect on all aspects of efficient management of casualties. The immediate risks to rescue and healthcare staff, along with damage and threats to existing infrastructure, make CBRN incidents an important consideration to plan and train for, even if the likelihood of encountering them is remote. In addition to the generic ‘all hazards’ approach shared with all major incident planning, CBRN incident management has a number of specific treatments and interventions which require early identification of the agent involved, and thus a high degree of specialist knowledge among responders.

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Course Content

Introduction

  • Introduction

Hazards

Generic incident management
Initial care of the CBRN casualty should be approached in the same manner as other casualties. Life threats require prompt recognition and intervention, and non-life-threatening sequelae can be addressed when clinically appropriate. Early recognition and categorization of CBRN-exposed patients is the foundation for further management, and is key not only for initiating patient treatment but also for preventing contamination of medical personnel, equipment, and facilities. Thorough and appropriate decontamination is a core skill that requires planning and practice. Attention to details such as preventing hypothermia in patients undergoing decontamination and clinical reassessment at each stage of the process will reduce unnecessary morbidity. Basic life saving measures such as airway management and resuscitation are fundamental concepts that must be mastered at the appropriate level for each practitioner in the CBRN care chain. Furthermore, easy access to reference materiel to guide advanced therapy should be a part of every provider’s armamentarium. These basic principles will be discussed in more detail in the sections that follow.

Infection Control

Decontamination options in a HAZMAT / CBRN incident

The psychological effects of Industrial/HazMat/CBRN incidents

Conclusions

QUIZ

MODULE MATERIAL

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