Education and Training

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? Now Where Do We Go?
Education and Training
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Medical Response
Seamless Transition of Care for Standard to
Sufficiency Team Work is Key
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WE
Means military-civilian cooperation
And
Civilian- civilian cooperation
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Medical Reserve Corp
P (people) MRC E (equipment) MRC T
(training) MRC O (organization) - MRC
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Preparation for the NationMaking the Pieces
Fit
First Preparers General Population City
Planners Disaster Planners National Planners
First Receivers Hospitals Academic Health
Units Clinics Health Facilities
Aerovac Critical Infectious Diseases
FP
WE
FR

• DLS
• ATLS
• ACLS
• ABLS
• APLS

• Hosp Focused Response to Bio and Toxins
• Forensic Science and Intl Law

First Responders Police Fire EMS City and County
Health Officials
FRd
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Definitions Are Needed! What is Preparedness?
What do we mean by prepared?
the right place on the continuum between
mindless complacency and all consuming paranoia
Mindless Complacency
All Consuming Paranoia
Dr. Irwin Redlener, Associate Dean Director
The National Center for Disaster
Preparedness
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PREPARED
Training
Goal in 2 Years
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PREPARED
Training
95 1ST Responders
75 1st Receivers
50 1st Preparers
Goal in 5 Years
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Preparation for the NationMaking the Pieces
Fit
First Preparers
First Receivers
Trauma Critical Care Pararescue Course
Public Health Course
Bio-Terrorism Course
Trauma Disaster Course
Mental Health Aspects Course
Mental Health Aspects Course
Trauma Critical Care Pararescue Course
DLS
Trauma Disaster Course
Mental Health Aspects Course
Public Health Course
Eye Trauma Course
Critical Infectious Diseases Course
Bio-Terrorism Course
Critical Care Transport
First Responders
Public Health Course
Bio-Terrorism Course
Trauma Dusaster Course
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Disaster Life Support

• Product of
• University of Georgia
• Louisiana State University
• University of Texas Southwest
• University of Texas Scott Lillibridge

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Education Training Cardiac Life
Support
Education
In Hospital Care
ACLS
More Advanced
More Specialized
Pre-hospital life support
CPR
Training
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Education Training
Advanced Trauma Life Support ATLS
Education
In Hospital Care
ATLS
More Advanced
More Specialized
PHTLS
First Aid
Training
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Disaster Life Support Courses
Education
Instructor
Advanced
Basic
More Advanced
More Specialized
Core
Introduction
Training
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Disaster Life Support
A Advanced Life Support 2 day
First Receivers B Basic Life Support 8 hours
First Responders C Core 4 hours
Community/First
Preparers D Intro hour
Community awareness AMA
meeting December 2003 1st full course
New Product modeled after ACLS/ATLS
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FP
FR
FRd
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Strategic National Stockpile
Must teach how to use it! WE ARE! Two days 19-20
CME/CNE/CEU
Done 26-27 April 2005
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SCCM Fundamentals of Disaster Management
Fundamentals of Critical Care Support
Fundamentals of Disaster Management

• 2 day course
• lectures teaching stations
• targets non-intensivists
• world-wide teaching experience
• Textbook 4th ed.
• 6 languages
• 30 countries

• 6 lecture course
• lectures teaching stations
• targets all physicians
• international authorship
• Textbook 2nd ed.

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Strategic National Stockpile Training Program
for Clinicians

• Tailoring a Program for the hospital piece of
  the puzzle
• Disaster medical response continues beyond the
  backdoor of the ED!
• Modified FDM FCCS over 2 days
• Teaching stations in FCCS utilize the medical
  devices (e.g., mechanical ventilator) found in
  the stockpile pallets)
• Targets all clinicians who are part of the
  hospital response system
• Recognizes that critical care will be provided by
  non-intensivists

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New Course Offered in April 2005
Slots Open to You
Combines the FCCS and FDM Into One Course That
will also teach Our Professionals in Hospital
How to Use Our Strategic National Stockpile
25-27 April Austin, TX 23-24 Sept Bismarck, ND
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SCCM Course 27 April Teaching the Impact 754
Vent With METI mannequin
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23-24 September, Bismarck, ND
The Guard is invited to send representatives to
the North Dakota Course in September to evaluate
its applicability to you!
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Other Courses are Available
B 461 Course Anniston, Ala. 4.5 days 3.1 CEUs
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Education Training
Our job is to fill in the Educational pyramid!
Our job fill in the blanks for this menu
Education
?
400
?
Advanced Disaster Life Support Course
300
Harvard Course
More Advanced
More Specialized
Basic Disaster Life Support Course
?
?
?
200
Core Disaster Life
Complex Disasters
PHLS
CPR
100
Training
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Education Training Disaster Life Support
FCC
Response to Radiological Terrorism
Hospital DLS
Education
Advanced Disaster Life Support Course
SNS Training Program for Clinicians
Harvard Course
More Specialized
Basic Disaster Life Support Course
Who will review? Who will certify? Who will
teach? What is the reward?
Mayo course
FDM
DIMO
Core Disaster Life Support Course
Hopkins Course
Nerrtc
CERT
Training
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Public Education
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BW/CW Wallet Card

•  
• EMERGENCY ACTIONS
• TO TAKE FOR
• SELF PROTECTION
• AGAINST POTENTIAL
• BIOLOGICAL AND
• CHEMICAL AGENT
• EXPOSURE
•  
•  
•  
•  
•  
•  
•  
•  

• After any BW/CW incident
• LISTEN keep calm and listen to the radio/TV for
  official news updates. Stay indoors and maintain
  protective measures until notified by the media
  or public safety officials that the area is safe
• DECON
• - Minimize contact with all outside surfaces
  Avoid droplets and residues
• - Remove contaminated clothing as soon as
  possible/place in a sealed plastic bag
• - Wash exposed skin with soap and water and
  shampoo hair
• SEEK CARE if exposure is known or suspected,
  report to the nearest medical facility as
  directed by public health officials for
  evaluation and treatment. Inform the staff you
  may be contaminated 
•  

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BW/CW Wallet Card

• Indoors
•  MASK put on breathing protection
• (Gas or escape mask) or cover mouth and nose with
  a cloth
• MOVE to the highest and most interior room of
  the house or building
• Shelter
• - Turn off all electrical appliances, fans, air
  conditioners, furnaces, etc
• - Close and lock all windows, vents, doors,
  fireplaces, etc
• - Seal room windows and door seals with duct or
  masking tape
• - Seal door thresholds with wet towel
• - Sit adjacent to an inner wall and away from
  outer walls and windows do not smoke, light
  candles, or use any sources of open flame

• Outdoors
• MASK put on breathing protection (gas or escape
  mask) or cover mouth and nose with a cloth
• MOVE laterally and upwind, away from any smoke
  or aerosol cloud
• SHELTER seek shelter in a building or covered
  structure (see above).
• If caught in a vehicle - pull over, shut off the
  engine, air conditioner, heater and vents, and
  roll up windows

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Bring the Future into Reality Today!
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• Targeted Students
• Warfighter Out of Uniform

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Military Warfighter
30 Years To Accomplish We do not have 30 years
for civilian warfighters WE MUST ACCELERATE!
Progressive Sequential Education
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Elected Public Officials Military Warfighters
ANALOGY
1/2 day education plus tabletop training
Progressive Sequential Education
Governors/CINC
2 day education plus tabletop training
Intermediate Warfighter Course
City Council School Board
Basic Warfighter Course
2 day course BDLS
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National Guard focus on State and Federal war
fighter role Compliments Governors staff
Broad overview for Governor and Staff
Progressive Sequential Education
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Continuous Education Program
Table top - Conventional
Core Disaster Life Support
Leadership Program and Disaster Management
Basic Disaster Life Support
NERRTC
2 year plan
Table top Radiological/ Nuclear
Table top - Biological
Texas Training Initiative for Emergency Response
T-TIER
Advanced Disaster Life Support
Statewide Triage SACCO training
Ventilator Training
Table top - Chemical
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Sample Courses Through 2 year cycle
DLS Courses
NERRTC
Air Force
BDLS Basic Disaster Life Support BCLS
Basic Cardiac Life Support BPLS
Basic Pediatric Life Support
WMD/Terrorism - Awareness for Emergency Responders
Leadership Course in Disaster Public Health and
Public Health System Management
Threat Risk Assessment (TRA)
Preparation, Response and Consequence Management
in Disaster
EMS WMD Planning Operations
Hospital Focused Response to Biological Weapons
and Toxins Course
ADLS Advanced Disaster Life Support ACLS
Advanced Cardiac Life Support
USAF Emergency Responder/Installation WMD
Training Exercise Program
Aeromedical Evacuation and Critical Care
Transport Course
We have more than enough courses we need to
certify and integrate them !
Pararescue Critical Care
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Must Consider All

• Mass Casualty Events Terrorism
  Natural
• Cost containment
• Working together military/civilian

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Disaster ManagementSystem

• Amerinet healthcare group replacing paper binders
  with new Web-based disaster management system
• Hospital Incident Response System provides
  updated data during disaster situations
• Effectively handles pre, during, and post
  incident scenarios
• Before assesses hospital preparedness and
  trains staff
• During identifies attack agent and develops
  job-action sheets
• Post lessons learned and services performed for
  reimbursement

Information Week, May 05
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5 Ps

• Prior
• Planning
• Prevents
• Poor
• Performance

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Preparation for the NationMaking the Pieces
Fit
First Preparers
First Receivers
Trauma Critical Care Pararescue Course
Public Health Course
Bio-Terrorism Course
Trauma Disaster Course
Mental Health Aspects Course
Mental Health Aspects Course
Trauma Critical Care Pararescue Course
WE
Trauma Disaster Course
Mental Health Aspects Course
Public Health Course
Eye Trauma Course
Critical Infectious Diseases Course
Bio-Terrorism Course
Critical Care Transport
First Responders
Public Health Course
Bio-Terrorism Course
Trauma Dusaster Course