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Triage for Civil Support

Author: Gary Cecchine

Publisher: Rand Corporation

Published: 2004-12-02

Total Pages: 203

ISBN-13: 0833040618

Even before September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States. The authors focus on key questions, including under what circumstances military medical assets could be requested and what assets are likely to be requested.

Triage for Civil Support

Author:

Publisher:

Published: 2004

Total Pages: 0

ISBN-13: 9781598754568

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Even before the events of September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States. In conducting this study, the authors focused on the following questions: Under what circumstances could military medical assets be requested? What sort of asset is likely to be requested? Are appropriate assets and related planning processes in place for civil support? What are the legal (and other) barriers to military support to civil authorities, and how can they be overcome, if necessary? In addition to a discussion of the applicable literature and laws, this monograph also includes historical case studies focusing on instances in which military medical assets were requested to assist civil authorities following natural disasters. It also includes a review of two exercises, based on postulated attacks, involving senior officials from local, state, and federal agencies-one involving a smallpox attack in Georgia and another involving a "dirty bomb" attack in California.

DSCA Handbook

Author: United States. Department of Defense

Publisher: United States Department of Defense

Published: 2010

Total Pages: 584

ISBN-13:

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This two-in one resource includes the Tactical Commanders and Staff Toolkit plus the Liaison Officer Toolkit. Defense Support of Civil Authorities (DSCA)) enables tactical level Commanders and their Staffs to properly plan and execute assigned DSCA missions for all hazard operations, excluding Chemical, Biological, Radiological, Nuclear, high yield Explosives (CBRNE) or acts of terrorism. Applies to all United States military forces, including Department of Defense (DOD) components (Active and Reserve forces and National Guard when in Federal Status). This hand-on resource also may be useful information for local and state first responders. Chapter 1 contains background information relative to Defense Support of Civil Authorities (DSCA) including legal, doctinal, and policy issues. Chapter 2 provides an overview of the incident management processes including National Response Framework (NRF), National Incident Management Systems (NIMS), and Incident Command System (ICS) as well as Department of Homeland Security (DHS). Chapter 3 discuses the civilian and military responses to natural disaster. Chapter 4 provides a brief overview of Joint Operation Planning Process and mission analyis. Chapter 5 covers Defense Support of Civilian Authorities (DSCA) planning factors for response to all hazard events. Chapter 6 is review of safety and operational composite risk management processes Chapters 7-11 contain Concepts of Operation (CONOPS) and details five natrual hazards/disasters and the pertinent planning factors for each within the scope of DSCA.

A National Trauma Care System

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-10-12

Total Pages: 531

ISBN-13: 0309442850

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Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Introduction to Homeland Defense and Defense Support of Civil Authorities (DSCA)

Author: Bert B. Tussing

Publisher: CRC Press

Published: 2014-11-24

Total Pages: 218

ISBN-13: 1466595698

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The application of our Armed Forces within the states and territories of the United States is far from intuitive. The challenges of defending the country against assaults within the homeland are much more complex than engaging our enemies on foreign soil. Likewise, the introduction of the military‘s appreciable capabilities in response to disasters

Defense Civil Support

Author: Joseph W. Kirschbaum

Publisher:

Published: 2016-07-30

Total Pages: 50

ISBN-13: 9781457864162

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The Department of Defense (DOD) plays a prominent role supporting civil authorities in a chemical, biological, radiological, or nuclear (CBRN) incident. DOD established the Homeland Response Force (HRF), comprising 10 geographically dispersed National Guard forces. Each of the 10 HRFs consists of 583 authorized Army National Guard and Air National Guard personnel who, as part of the HRF, are to respond within 6-12 hours of a request for assistance. The HRF is to provide command and control, search and extraction, medical triage, decontamination, fatality search and recovery, and assistance and support capabilities. This report (1) describes the current status of HRF capabilities and readiness; and (2) assesses DOD's progress incorporating the HRF into the CBRN Response Enterprise. Tables and figures. This is a print on demand report.

Commission on the National Guard and Reserves: Transforming the National Guard and Reserves Into a 21st-Century Operational Force

Author: Arnold L. Punaro

Publisher: DIANE Publishing

Published: 2008-10

Total Pages: 448

ISBN-13: 1437901174

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The Commission was chartered by Congress to assess the reserve component of the U.S. military and to recommend changes to ensure that the National Guard and other reserve components are organized, trained, equipped, compensated, and supported to best meet the needs of U.S. nat. security. Contents: Creating a Sustainable Operational Reserve; Enhancing the DoD¿s Role in the Homeland; Creating a Continuum of Service: Personnel Mgmt. for an Integrated Total Force; Developing a Ready, Capable, and Available Operational Reserve; Supporting Service Members, Families, and Employers; Reforming the Organizations and Institutions That Support an Operational Reserve; and Commission for the Total Operational Force. Illus.

Disaster Medicine

Author: David E. Hogan

Publisher: Lippincott Williams & Wilkins

Published: 2007

Total Pages: 512

ISBN-13: 9780781762625

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Written by more than 30 emergency physicians with first-hand experience handling medical care during disasters, this volume is the only single comprehensive reference on disaster medicine. It provides the information that every emergency department needs to prepare for and handle the challenges of natural and manmade disasters. The contributors present guidelines for assessing the affected population's health care needs, establishing priorities, allocating resources, and treating individuals. Coverage encompasses a wide range of natural, industrial, technologic, transportation-related, and conflict-related disasters, with examples from around the world. This edition has more illustrations and more information on weapons of mass destruction and explosions.

Tactical Combat Casualty Care Handbook

Author: United States Army

Publisher:

Published: 2017-05-17

Total Pages: 132

ISBN-13: 9781074840136

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Tactical Combat Casualty Care (TCCC) has saved hundreds of lives during our nation's conflicts in Iraq and Afghanistan. Nearly 90 percent of combat fatalities occur before a casualty reaches a medical treatment facility. Therefore, the prehospital phase of care is needed to focus on reducing the number of combat deaths. However, few military physicians have had training in this area and, at the onset of hostilities, most combat medics, corpsmen, and pararescue personnel in the U.S. military have been trained to perform battlefield trauma care through civilian-based trauma courses. These courses are not designed for the prehospital combat environment and do not reflect current practices in the area of prehospital care. TCCC was created to train Soldiers and medical personnel on current best practices for medical treatment from the point of injury to evacuation to Role 3 facilities

Crisis Standards of Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2013-10-27

Total Pages: 217

ISBN-13: 0309285526

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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.