10. 2. Discuss strategies to keep self, family, and clients safe
during disasters. 2 (Slide #12) - Personal preparedness
1. Disaster kits for home, workplace, and car
2. American Red Cross
3. Federal Emergency
Management Agency (FEMA)
1. Professional preparedness
National Disaster Medical System (NDMS)
- Disaster Medical Assistance Team (DMAT)
- Medical Reserve Corps (MRC)
-Community Emergency Response Team (CERT)
Community preparedness
1. Office of Emergency Management (OEM)
2. Public Health Security and Bioterrorism Preparedness and
Response Act of 2002
-FEMA
3. Disaster and mass casualty exercises
10. 3. Evaluate the effects of disasters on people and their
communities. Review chemical agents. 2 - How Disasters Affect
Communities
1. Wide range of emotional and physical responses depending
on:
- age
- cultural background
- health status
,- social support structure
- general ability to adapt to crisis.
2. Symptoms of stress may include manifestations of:
- physical
- cognitive
- emotional
- behavioral
10. 3. Evaluate the effects of disasters on people and their
communities. Review chemical agents. 2 CONT - Chemical
Terrorism is a Haz-Mat Event:
Chemical Terrorism has been used around the world on
numerous occasions in the past two centuries.
10. 3. Evaluate the effects of disasters on people and their
communities. Review chemical agents. 2 CONT 1 - Vapor
exposure
1. Nerve agent symptoms develop suddenly, mustard and
phosgene symptoms are delayed
2. Most ambulatory victims require minimal intervention
,3. Risk of secondary contamination
4. Requires airway management; antidotes for nerve agents and
Lewisite
CHEMICAL AGENT SUMMARY
Volatile nerve agents (such as sarin) are non-persistent
chemicals that pose primarily an inhalation hazard. Their
symptoms of exposure develop within seconds, but tend not to
worsen if the victim is able to be evacuated into a fresh air
environment.. Those individuals who either inhale a toxic dose,
are unable to be evacuated from the release site, or have
underlying lung disease, will experience the highest morbidity
and mortality rates. Victims who are able to leave the release
area quickly or who are exposed to low levels of the agent will
typically experience the least amount of symptoms and will
require minimal medical intervention (the "walking wounded").
Since these agents are highly vo
10. 3. Evaluate the effects of disasters on people and their
communities. Review chemical agents. 2 CONT 2 - Liquid
Exposure:
-Symptoms delayed minutes to hours
-Greater need for decontamination
-Risk of secondary contamination, victims require clothing
removal & decontamination
-Requires immediate access to antidotes
VX and blistering agents are persistent chemicals that do not
readily vaporize, and pose primarily a liquid threat. The
, symptoms from such a contamination may be delayed for
several minutes to hours depending on the concentration, dose,
and location of the contaminant on the skin (absorption occurs
more readily on moist areas of the skin). Because victims of
these types of attacks are contaminated with a liquid,
decontamination takes on a higher priority to limit the amount of
agent absorption and to minimize the risk of spreading the
contamination. Decontamination should ideally be provided
simultaneously with antidote administration and airway
management, when necessary.
PROBABILITY OF RADIOLOGICAL OR NUCLEAR
AGENTS VS. POTENTIAL IMPACT
Terrorist weapons can i
10. 3. Evaluate the effects of disasters on people and their
communities. Review chemical agents. 2-1 - How Disasters
Affect Communities:
- Stress reactions in individuals
Box 14-4 and Box 14-5 Page 258, lists symptoms that may
require assistance
-Exacerbation of a chronic disease
-Older adult's reactions dependent on health, strength, mobility,
independence, and income
-Regressive behaviors (e.g., return to bedwetting)
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