Resuscitation
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Exposures to released hazardous materials (HAZMAT) pose an increasing threat to individual and public health, particularly in high population density. Any incident causing casualties on a scale which threaten or causes overload of the available resources of the emergency medical services (EMS) or associated systems (EMSS), constitutes a major incident (MI). Emergency services, including the EMSS, have a statutory duty to develop a comprehensive, integrated and flexible all-risk Major Incident Plan (MIP) for such an event. ⋯ In addition organisational aspects of the safe management and protection of the EMSS and personnel at the incident site, during transportation and at the receiving hospitals are considered. Safe and effective management of casualties requires adequate protection from further exposure, triage and synchronous decontamination and life support. Finally, the implications of conventional and unconventional conflict including terrorism and current unsolved problems are discussed.
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In response to a possible terrorist threat using nuclear, biological or chemical (NBC) weapons, the US government has set up a special Domestic Preparedness Program which includes a training section for paramedical and other responders to bridge the gap between a conventional HAZMAT incident and one involving NBC agents. The program, which is a partnership between six federal agencies, covers aspects of recognition and management of incidents which may not be within the normal experience of emergency medical services personnel, and builds upon their existing knowledge and training.