Development Of An Extended Framework For Emergency Response Criteria

Addresses actions based on facility conditions; preventing deterministic effects from intake; individual decontamination; immediate medical treatment; long term medical follow-up; medical consultation, especially for pregnant women following an exposure during an emergency; and implementation of protective actions under difficult conditions.

This publication proposes for widespread comment an extension of the existing emergency response guidance. It addresses actions based on facility conditions; preventing deterministic effects from intake; individual decontamination; immediate medical treatment; long term medical follow-up; medical consultation, especially for pregnant women following an exposure during an emergency; and implementation of protective actions under difficult conditions. This guidance also includes a plain language explanation designed to assist decision makers when making and communicating their final decision on.

Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise-including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication-to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

CPG 101 shows how emergency operations plans connect to planning efforts in all five mission areas. Version 3.0 of this guide emphasizes the importance of including the private and nonprofit sectors in planning activities and incorporates lessons learned as well as pertinent new doctrine, policy and laws.

In addition to the nuclear power industry, the nuclear field has extensive projects and activities in the areas of research reactors, medical isotope production, decommissioning, and remediation of contaminated sites. Managing nuclear projects focuses on the management aspects of nuclear projects in a wide range of areas with emphasis on process, requirements, and lessons learned. Part one provides a general overview of the nuclear industry including basic principles for managing nuclear projects, nuclear safety culture, management of worker risk, training, and management of complex projects. Part two focuses on managing reactor projects with discussion on a variety of topics including management of research reactor projects, medical radioisotope production, power reactor modifications, power uprates, outage management, and management of nuclear-related R&D. Chapters in part three highlight the areas of radioactive waste and spent fuel management, reactor decommissioning, and remediation of radioactively contaminated sites. Finally, part four explores regulation, guidance and emergency management in the nuclear industry. Chapters discuss quality assurance and auditing programs, licensing procedures for nuclear installations, emergency preparedness, management of nuclear crises, and international nuclear cooperation. With its distinguished editor and contributors, Managing Nuclear Projects is a valuable resource for project managers, plant managers, engineers, regulators, training professionals, consultants, and academics. Examines the basic principles of managing nuclear projects focussing on processes and requirements Discusses the management of reactor projects Explores regulation, guidance and emergency management in the nuclear industry

This guidance is an update of WHO global influenza preparedness plan: the role of WHO and recommendations for national measures before and during pandemics, published March 2005 (WHO/CDS/CSR/GIP/2005.5).