Chemical weapon functional exercise - Cincinnati: Observations and lessons learned from a "typical medium-sized" city's response to simulated terrorism utilizing Weapons of Mass Destruction

Public Health Reports

Volumn 118, Issue 3, 2003, Pages 205-214

  Fitzgerald, Denis J ^a,d   Sztajnkrycer, Matthew D ^b   Crocco, Todd J ^c  

^a UNIVERSITY OF CINCINNATI MEDICAL CENTER   (United States)

^b MAYO CLINIC   (United States)

^c WEST VIRGINIA UNIVERSITY   (United States)

^d UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHEMICAL WARFARE AGENT;

ARTICLE; CHEMICAL WARFARE; DISASTER PLANNING; EMERGENCY HEALTH SERVICE; HEALTH CARE DELIVERY; HOSPITAL; HUMAN; MAJOR CLINICAL STUDY; PATIENT TRANSPORT; PRIORITY JOURNAL; PUBLIC HEALTH SERVICE; TERRORISM; TRAINING; UNITED STATES;

EID: 0037865382     PISSN: 00333549     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0033-3549(04)50241-8     Document Type: Article

References (27)

1. Okumura T, Takasu N, Ishimatsu S, Miyanoki S, Mitsuhashi A, Kumada K, et al. Report on 640 victims of the Tokyo subway sarin attack. Ann Emerg Med 1996; 28: 129-35.
2. Obu S. Japanese Medical Team Briefing. In: United States Public Health Service. Proceedings of the Seminar on Responding to the Consequences of Chemical and Biological Terrorism, 2-21-2-26. Washington: US Government Printing Office; 1996.
3. Torok TJ, Tauxe RV, Wise RP, Livengood JR, Sokolow R, Mauvais S, et al. A large community outbreak of salmonellosis caused by intentional contamination of restaurant salad bars. JAMA 1997;278:389-95.
4. Defense Protective Service. 10-90 gold NBC response plan. Washington: Department of Defense (US); 1996.
5. Burnham RM. Threatened use and possession of biological agents [cited 1999 May 19]. Available from: URL: http://www.fbi.gov/pressrm/congress/bio.htm
6. Bioterrorism alleging use of anthrax and interim guidelines for management - United States, 1998. MMWR 1999;48 (4):69-74.
7. Inglesby TV, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, Friedlander AM, et al. Anthrax as a biological weapon: medical and public health management. Working group on civilian biodefense. JAMA 1999;281:1735-45.
8. Census Bureau (US). Population estimates 1998 [cited 1999 Jan]. Available from: URL: http://www.census.gov /population/estimates/metro-city/ma98-04.txt
9. Census Bureau (US). Population and household characteristics for census tracts and block numbering areas, 1990. Washington: Dept of Commerce (US), Economics and Statistics Administration, Bureau of the Census; 1993.
10. Clinics receive anthrax threats. The Cincinnati Post 1998 Oct 31.
11. Bricking T, Bonfield T. Anthrax threat mailed to local clinic. The Cincinnati Enquirer 1999 Feb 19.
12. Vise DA. Drill shows Cincinnati unready for terror. The Washington Post 2000 Apr 28;Sect. A:2.
13. Streger MR. Prehospital Triage. Emerg Med Serv 1998; 27:21, 23-7, 48.
14. Super G. START: a triage training module. Newport Beach (CA): Hoag Memorial Hospital, Presbyterian; 1984. Available from: URL: http://www.start-triage.com
15. Committee on R & D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents, Health Sciences Policy Program, Institute of Medicine and Board on Environmental Studies and Toxicology, commission on Life Sciences, National Research Council. Chemical and biological terrorism: research and development to improve civilian medical response. Washington: National Academies Press; 1999. p. 97-109.
16. Streger MR. EMS Hazardous Materials Operations. Emerg Med Serv 1999;28:64-8
17. Cox R. Hazmat. In: Adler J, Brenner B, Dronen S, et al., editors. Emedicine: emergency medicine, an on-line medical reference [cited 2001 Jan]. Available from: URL: http://www.emedcine.com
18. Cox RD. Decontamination and management of hazardous materials exposure victims in the emergency department. Ann Emerg Med 1994;23:761-70.
19. Okumura T, Suzuki K, Fukuda A, Kohama A, Takasu N, Ishimatsu S, Hinohara. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 1998;5:613-17.
20. Okumura T, Suzuki K, Fukuda A, Kohama A, Takasu N, Ishimatsu S, Hinohara. The Tokyo subway sarin attack: disaster management, part 2: hospital response. Acad Emerg Med 1998;5:618-24.
21. Nozaki H, Hori S, Shinozawa Y, Fujishima S, Takuma K, Sagoh M, et al. Secondary exposure of medical staff to sarin vapor in the emergency room. Intensive Care Med 1995;21:1032-35.
22. Gong EJ, Dauber W. Policewomen win settlement. Seattle Times 1986 Jul 11; Sect. B:1.
23. Auf der Heide E. Disaster responses: principles of preparation and coordination. St Louis: Mosby; 1989.
24. Berkenstadt H, Arad M, Nahtomi O, Atsmon J. The effect of a chemical protective ensemble on intravenous line insertion by emergency medical technicians. Mil Med 1999;164:737-9.
25. Chemical Casualty Care Office. Medical management of chemical casualties handbook. 2nd ed. Aberdeen (MD): Army Medical Research Institute of Chemical Defense (US); 1995.
26. Heightman AJ. 20 tips for MCI management. Emerg Med Serv JEMS 2000;25:30-40.
27. Mack D. Team EMS. Clarifying EMS roles at mass casualty incidents. Emerg Med Serv JEMS 1999;24:36-43.