Disaster Medicine,
Mass Casualties and Warfare
Topics A thru G

Nuclear, Biological, Chemical Agent Exposure

Medical aspects of warfare, terrorism and disasters. Injuries, death, disability, and emotional stress caused by a catastrophic event, such as a large-scale natural disaster or a terrorist attack. Information on biological and chemical toxins and other agents for military leaders and health-care providers. These are sites with information intended for healthcare provider and includes details about the disease, recommended treatments and specific issues relating to recognizing biological or chemical agent exposure in emergency departments.

Last Updated: 09 November 2004

A

Abrin Emergency Response Card (NIOSH)

Acute Radiation Syndrome (PDF) - For Physicians

Agency for Toxics Registry and Disease Registry

All the Virology Sites on the WWW - Resource for Virology related information. This comprehensive page lists servers for General Virology, Specific Viruses, Microbiology, AIDS, Emerging Viruses, Electronic Journals, Scientific Societies, Patent and Legal Information, Government Sites and much more. Updated frequently.

American Academy of Family Physicians (AAFP): Links to Bioterrorism Resources

American Association of Poison Control Centers

American Medical Association (AMA) Message to Physicians on Anthrax.

American Public Health Association (APHA)

American Red Cross

Anthrax - NY City Department of Health Sources

Anthrax (MEDLINEplus)

Anthrax (healthfinder)

Anthrax as a Biological Weapon: Medical and Public Health Management - JAMA. 1999

Anthrax, Centers for Disease Control (CDC) - This information is intended for the healthcare provider (private and public) and includes details about the disease, recommended treatment, and specific issues relating to recognizing Anthrax in emergency departments.

Anthrax Infection

Anthrax Vaccination Program

Army Corps of Engineers

Armed Forces Radiobiology Research Institute

Army Training Support Center

Assay Techniques for Detection of Exposure of Sulfur Mustard, Cholinesterase Inhibitors, Sarin, Soman, GF, and Cyanide -TB MED 296

Assoc for Professionals in Infection Control and Epidemiology (APIC)

Arsenicals, Arsine

Association for Infection Control Practitioners

Association of Public Health Laboratories

Association of State and Territorial Health Officials

Atmospheric Dispersion of Reaction Agents

B

Bad Bug Book - FDA "This handbook provides basic facts regarding food borne pathogenic microorganisms and natural toxins. Some technical terms have been linked to the National Library of Medicine's Entrez glossary." Currently includes: Pathogenic Bacteria, Parasitic Protozoa and Worms, Viruses, Natural Toxin and Appendices.

Basics of Chemical Safety (ILO)

Biological & Chemical Warfare and Terrorism Medical Issues and Response

Biological Agents (Centers for Disease Control and Prevention)

Biological Terrorism: Preparing to Meet the Threat, JAMA. 1997;278:428-430

Biological Warfare: A Historical Perspective, JAMA. 1997;278:412-417

Biological Warfare Agents

Biological Weapons Control: Prospects and Implications for the Future, JAMA. 1997;278:351-356

Biological Weapons and US Law JAMA. 1997;278:357-360

Biohazard News - a civilian initiative addressing the threat of biological terrorism.

Biomedical Research Institute of Milterek Systems Provide critical analyses and objective evaluations in toxicology and biomedical science. Includes hazard and risk assessment, as well as an internally funded research program in mechanistic toxicology and biology.

BioOnline: Biotechnology on the 'Net' Information and services related to biotechnology and pharmaceutical research, combining resources of biotechnology companies, biotechnology centers, research and academic institutions, industry, suppliers, government agencies, and non-profit special interest groups.

Biosafety in Microbiological and Biomedical Laboratories (BMBL)

Bioterrorism - NY City Department of Health Sources

Bioterrorism and Emergency Readiness: Competencies for all Public Health Workers - The results of two years of research from Columbia University School of Nursing's "Project Public Health Ready" funded by the Centers for Disease Control and Prevention. These competencies build on the core emergency preparedness competencies developed by the Center for Health Policy in 2000 and have been used by the Mailman School of Public Health Center for Public Health Preparedness and other preparedness centers in their training activities.

Bioterrorism Planning and Response - Agency for Healthcare Research and Quality (AHRQ)

Bioterrorism Preparedness and Response (CDC)

Bioterrorism Rapid Response Card - NYSDOH, EMS

Bioterrorism Readiness Plan: A Template for Healthcare Facilities The Association for Professionals in Infection Control and Epidemiology (APIC) recognizes the importance of awareness and preparation for bioterrorism on the part of healthcare facilities. In cooperation with the Centers for Disease Control and Prevention (CDC), APIC offers this Bioterrorism Readiness Plan to serve as a reference document and initial template to facilitate preparation of bioterrorism readiness plans for individual institutions.

Botulinum Toxin as a Biological Weapon JAMA. 2001

Botulism

Brain Injuries and Mass Trauma Events - Information for Clinicians. CDC, National Center for Injury Prevention and Control

Bromine Facts - Provides updated information from the CDC on bromine, including general facts, exposure details, signs and symptoms, long-term health effects, and how to protect against bromine contamination.

Bromine Poisoning Case Definition - Interim document from the CDC outlining case definition on bromine poisoning. Includes information clinical description, laboratory criteria for diagnosis, and case classification.

Brucellosis

Burns - Mass trauma and disasters such as explosions and fires can cause a variety of serious injuries, including burns. These can include thermal burns, which are caused by contact with flames, hot liquids, hot surfaces, and other sources of high heat as well as chemical burns and electrical burns. It is vital that people understand how to behave safely in mass trauma and fire situations, as well as comprehend basic principles of first aid for burn victims. For burns, immediate care can be lifesaving. CDC, National Center for Injury Prevention and Control

C

Case Definitions for Selected Infectious Diseases

Casualty Management After a Deliberate Release of Radioactive Material - For First Responders

Casualty Management After Detonation of a Nuclear Weapon In an Urban Area - For First Responders

Center for Civilian Biodefense Studies

Centers for Disease Control and Prevention (CDC) - CDC capabilities are epidemiologic surveillance, biological agent identification, and public health consultation and response.

Centers for Disease Control and Prevention (CDC) - Emergency Response Planning and Coordination

CDC Bioterrorism Preparedness and Response

CDC Clinician Registry for Terrorism Updates - CDC has set up a free registry to provide clinicians with real-time information to help prepare for (and possibly respond to) terrorism and other emergency events. Participants will receive regular e-mail updates on terrorism and other emergency issues and on training opportunities relevant to clinicians.

CDC Office of Communication

CDC Recommends: The Prevention Guidelines System

Center for Infectious Disease Research And Policy (CIDRAP) at the University of Minnesota Provides a wealth of bioterrorism information and is updated daily.

Center for Nonproliferation Studies

Chemical Accident Contamination Control

Chemical Agents (Centers for Disease Control and Prevention)

Chemical and Biological Arms Control Institute

Chemical and Biological Defense Command (CBDCOM)

Chemical and Biological Defense Information and Analysis Center (CBIAC)

Chemical and Biological Information Analysis Center The CBIAC, operated by Battelle Memorial Institute and supported by Horne Engineering Services, Inc., Innovative Emergency Management, Inc., MTS Technologies, Inc., QuickSilver Analytics, Inc., and SciTech, Inc., is a full service Department of Defense (DoD) Information Analysis Center (IAC) under contract to the Office of the Secretary of Defense and administratively managed by the Defense Technical Information Center (DTIC) under the DoD IAC Program Office (Contract No. SPO700-00-D-3180). Established in 1986, the CBIAC serves as the DoD focal point for information related to Chemical and Biological Defense (CBD) technology.

Chemical and Biological Warfare - Health and Safety

Chemical and Biological Weapons Information Page

Chemical Decontamination

Chemical Detection Equipment

Chemical Emergency Preparedness and Prevention Office/EPA

Chemical Safety and Hazard Investigation Board

Chemical Stockpile Emergency Preparedness Program (CSEPP): Training Courses (Oak Ridge National Laboratory)

Chemical Terrorism Preparedness and Response Card - Pocket-size card (New York State Department of Health)

Chemical Terrorism Preparedness and Response Card - Large format version of pocket-size card (New York State Department of Health)

Chemical Terrorism Preparedness and Response Card - Text of pocket-size card (New York State Department of Health)

Chemical Transportation Emergency Center (CHEMTREC)

Chemical Warfare Agents

Chemical Warfare Agents - Awareness Information (New York City Poison Control Center)

Chemical Warfare Mass Casualty Management

Chemical Weapons: History, Identification, and Management Chemical weapons pose a significant risk to unprepared medical providers. Emergency physicians must be able to recognize the signs and symptoms associated with causative agents, the need for rapid and thorough patient decontamination, and the appropriate medical management procedures.

ChemID (CHEMical IDnetification) is a chemical dictionary file for over 339,000 compounds of biomedical and regulatory interest.

Clinical Recognition and Management of Patients Exposed to Biological Warfare Agents JAMA. 1997;278:399-411

Communicable Disease Surveillance Centre The Communicable Disease Surveillance Centre is the major national resource for communicable disease epidemiology in England and Wales. This site includes links to outside resources.

Community-Based Mass Prophylaxis: A Planning Guide for Public Health Preparedness (PDF 690 KB) - Developed by researchers at Weill Medical College of Cornell University. Sections of the planning guide focus on planning and conducting dispensing operations using specially-designated dispensing centers, and on describing the implementation of a comprehensive operational structure for Dispensing/Vaccination Centers (DVCs) based on the National Incident Management System (NIMS). (Word 2.8 MB)

Computer Staffing Model for Bioterrorism Response - Computerized staffing model that is downloadable as a spreadsheet or accessible as a Web-based version. It can be used to calculate the specific needs of local health care systems based on the number of staff they have and the number of patients they would need to treat quickly in a bioterrorism event. Agency for Healthcare Research and Quality (AHRQ)

Coping with a Traumatic Event - Information for Health Professionals. CDC, National Center for Injury Prevention and Control

Cyanide Fact Sheet - CDC

Cyanides, Cyanogen Chloride - EMedicine

Cyanides, Hydrogen - EMedicine

Cyanogen Chloride Emergency Response Card (NIOSH)

D

Defense Against Toxin Weapons - US Army Medical Research Institute of Chemical Defense

Defense Against Toxin Weapons - D.R. Franz, Veterinary Corps, U.S. Army and hosted by the Nuclear Biological and Chemical Medical (NBC-Med) Information Server, Designed & Maintained for the DOD by the Camber Corporation "The purpose of this manual is to provide basic information on biological toxins to military leaders and health-care providers at all levels to help them make informed decisions..."

Department of Health and Human Services (DHHS) and Office of Emergency Preparedness (OEP)

Department of Homeland Security

Department of Veteran's Affair - Hazard vulnerability assessment and contingency planning for problems that could disrupt health care facility operation.

Diagnosis And Treatment Of Acute Poisoning  EGORA, France Telecom, France Multimedia Databases (Text and Images). French and English.

Disaster Assistance and Rescue Team/NASA/Ames Research Center

Disaster Handbook - University of Florida

Disaster / Humanitarian Assistance - Technical Guidelines (PAHO)

Disaster Management Central  Wilford Hall Medical Center, 59th Medical Wing, Lackland Air Force Base, USAF Includes: Triage of Mass Casualty Situations, Interactive Triage Cases, Medicine and Terrorism and much more

• Interactive Triage Cases (Terrorist Explosions)
• Terrorism Injuries
• Triage of Mass Casualty Situations

Disaster Mental Health

Disaster Preparedness and Emergency Response Association, International (DERA)

Disaster Recovery Institute International

Disaster Relief

Disaster Resources - University of Illinois Extension

Disaster Resource Guide

DLC-ME Home Page Digital Learning Center for Microbial Ecology includes the Microbe Zoo, Microbes in the News and other resources.

E

Emergency Department Preparedness in the Event of Bioterrorism - All health care providers involved in the early management of bioterrorism must have a good understanding of clinical presentation, treatment options, and preventive measures to stop further contamination of healthy individuals. Early identification of epidemiologic factors suggesting a biological attack can be critical in identifying such an attack. American College of Emergency Physicians (ACEP)

Emergency Management Center/Oak Ridge National Laboratory

Emergency Management Institute - FEMA

Emergency Preparedness and Response Branch - Centers for Disease Control and Prevention

Emergency Response Guidebooks (NIOSH)

Emergency Response to Chemical/Biological Terrorism Incidents

Emergency Room Procedures in Chemical Hazard Emergencies: A Job Aid - Covers preparations, victim arrival, initial treatment, and identification of chemical agent, and protocols. From National Center for Environmental Health.

ER Decontamination and Personal Protective Equipment Web Video

Evaluation of Hospital Disaster Drills: A Module-Based Approach - Agency for Healthcare Research and Quality (AHRQ)

Evaluation Of A Biological Warfare Victim

Evaluation Of A Chemical Warfare Victim

Explosions and Blast Injuries: A Primer for Clinicians - As the risk of terrorist attacks increases in the U.S., disaster response personnel must understand the unique pathophysiology of injuries associated with explosions and must be prepared to assess and treat the people injured by them. CDC, National Center for Injury Prevention and Control

F

Federal Bureau of Investigations (FBI)

Federal Emergency Management Agency (FEMA)

Federal Emergency Management Agency - An Orientation to Community Disaster Exercises

Field Hygiene And Sanitation

Field Management Of Chemical Casualties Handbook

First Aid for Soldiers - Toxic Environments

Food and Drug Administration (FDA) Statement About Anthrax Vaccine

G

General Medical Effects of Nuclear Weapons Diagnosis, Treatment and Prognosis

Glanders and Melioidosis

GMO Manual: Anthrax

GMO Manual: Anthrax Vaccine Immunization Program

Guidance for Protecting Building Environments from Airborne Chemical, Biological, or Radiological Attacks This document identifies actions that a building owner or manager can implement without undue delay to enhance occupant protection from an airborne chemical, biological, or radiological (CBR) attack. (DHHS (NIOSH) Pub No. 2002-139, May, 2002)