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In Hospital Checklist for the initial medical management of terror
attack
√ Confirm information
√ Gather data: Type of event, location, estimated
number of casualties,
severity of injuries, estimated
time of patients’ arrival
√ Evacuate emergency department
√ Call for extra medical and paramedical staff
√ Notify operating rooms, imaging, blood-bank
√ Stop elective operations
√ Assign a triage officer
√ Decide whether decontamination will be needed
√ Decide whether to set up extra admission areas
√ Open control station
√ Open public information center
Checklist for
operations during Weapons of Mass Destruction
(WMD) terror attack
√
Detect the event
√
Identify the agent by: a. Clinical signs
b. Lab tests
√
Operate containment measures
√
Decontaminate
√
Use antidotes and supportive measures
Emergency Medical
Service (EMS) checklist for terror related Mass
Casualty Event (MCE)
Dispatch Center
√
Confirm the data
√
Gather information :What happened (nature of event), where,
estimated number of casualties, hazards
√
Send teams (Use: alarms. radio, pagers)
√
Report – police, fire brigades, headquarters, hospitals, regional
dispatch center
√
Keep dedicated radio channel for event management
√
Document resources and needs
Scene Commander (First Paramedic or Emergency Medical Technician-EMT)
√
Take command
√
Assess hazards
√
Report: What happened (nature of event), where, estimated
number of casualties, hazards
√
Assess needs and report
√
Report to police commander. Assign access and evacuation routes
√
Assign triage officer
√
Supervise medical treatment
√
Supervise evacuation, in accordance with dispatch center guidelines
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