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Chapter 1: Introduction | Chemical and Biological Terrorism: Research and Development to Improve Civilian Medical Response | Committee on R&D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents | Health Science Policy Program | Institute of Medicine and | Board on Environmental Studies and Toxicology | Commission on Life Sciences | National Research Council
TABLE 1-1 Relative Capabilities for Response to
Civilian Chemical
and Biological Incidents at Four Levels of Medical
Care
| |
Local Responders |
Initial
Treatment Facilities |
State |
Federal |
| Capability |
Chemical |
Biological |
Chemical |
Biological |
Chemical |
Biological |
Chemical |
Biological |
| Receipt of pre-incident intelligence |
L |
L |
L |
L |
S |
S |
S |
S |
| Detection, identification, and quantification of agents in the
environment |
S |
L |
L |
L |
S |
S |
H |
S |
| Personal protective equipment |
S |
S |
L |
S |
L |
S |
S |
S |
| Safe and effective patient extraction |
S |
S |
N/A |
N/A |
N/A |
N/A |
S |
S |
| Methods for recognizing symptoms and signs in patients |
S |
S |
S |
S |
L |
L |
S |
S |
| Detection and measurement of agent exposure in clinical
samples |
L |
L |
L |
S |
L |
S |
H |
H |
| Methods for recognizing covert exposure in populations |
N/A |
N/A |
S |
S |
S |
S |
S |
S |
| Mass-casualty triage techniques and procedures |
S |
S |
S |
S |
L |
L |
S |
S |
| Methods/procedures for decontamination of exposed
individuals |
S |
S |
L |
L |
L |
L |
S |
S |
| Availability, safety, and efficacy of drugs and other
therapies |
L |
L |
S |
S |
L |
L |
S |
S |
| Prevention, assessment, and treatment of psychological
effects |
S |
S |
S |
S |
S |
S |
S |
S |
NOTE: H = highly capable; S = some capability; L =
little or no capability; and N/A = not applicable.
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