Terrorism: Reducing Vulnerabilities and Improving Responses U.S.-Russian Workshop Proceedings (2004) / Chapter Skim
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G Proposal for a Chem-Bio Attack Response Center (CBARC) for Chicago, Illinois, U.S., 2003
G Proposal for a Chem-Bio Attack Response Center (CBARC) for Chicago, Illinois, U.S., 2003
Pages 229-240
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From page 229... ...
The center is configured as a virtual institute, including several organizations involved in the technical and clinical aspects of advanced emergency medicine and chem-bio environments. Functions performed by the center include information and research services and an advanced emergency medicine test bed to 229
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From page 230... ...
FUNCTIONS CBARC will provide advanced emergency medical expertise, software development and engineering services, and equipment in the following categories: · Information Services -- These services are focused on the collection, analysis, processing, and dissemination of telecommunication and clinical data relevant to emergency telemedicine and medical informatics in a chem-bio environment. Information will include results of efficacy studies, telemedicine hardware configurations, chem-bio protection and isolation equipment, cost-benefit analysis, and other data compiled in databases that are available for access and search via the Internet.
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From page 231... ...
, a teaching hospital, community hospitals, and managed care offices that serve Chicago-area communities of diverse socioeconomic and cultural backgrounds. A major component of RUSH comprises a system of 49 advanced life support ambulances covering 240 sq mi.
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From page 232... ...
It is the largest fire department in the Midwest, serving a population of 3 million, with response procedures for hazardous materials and emergency medical services, including those for a chem-bio attack. The CFD would notify the Illinois National Guard of a possible emergency and would be the primary city service directly in contact with the victims.
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From page 233... ...
includes a network of community hospitals affiliated with a tertiary care institution and a mobile paramedic system and first responder unit linked to a level-1 trauma unit. In this environment, physicians caring for victims of a chem-bio attack can transmit information and communicate with physicians in a tertiary care hospital without being exposed to chemical or biological agents.
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From page 234... ...
Networks of sensors will need to be deployed soon for chem-bio defense and will need to be assembled in civilian and military areas where there is a potential threat, such as subway stations, airports, office buildings, and convention centers. These sensor networks will transmit alarms following the detection of a chem-bio agent and will need to be networked into an emergency telemedicine infrastructure in order to disseminate this information to appropriate emergency response authorities and trauma centers.
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From page 235... ...
An error-tolerant representation can be achieved by means of channel coding; privacy of data, using public key encryption; integrity of data, using message digest calculation; and authentication, via digital signatures. Current clinical information systems are mostly text based, with image and other signal data relegated to separate archives, for example, Medical Diagnostic Image Support System, or MDIS.
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From page 236... ...
This device will hold the patient medical record, including images, lab tests, and audio up to 80 MB on a dog tag-like device that can be worn on a chain around the neck or on the wrist or carried with the patient on a key chain. The device, called a Medi-Tag, will interface with the CPR system, and patient record data will be able to be downloaded onto the storage device or uploaded into the CPR.
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From page 237... ...
A surveillance network capable of real-time detection of disease patterns suggesting unrecognized exposure to chemical or biological agents would address all these threats. The victims of exposure to biological agents with delayed effects frequently suffer symptoms that are first mistaken for unusual variants of such common diseases as influenza.
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From page 238... ...
By combining the simultaneous experience of many health care providers, this system will be capable of rapidly detecting significant but small increases in patients treated for medical problems consistent with biological or chemical weapons exposure in a defined geographic area. ATLS-Compatible Chem-Bio Protection and Isolation Equipment Equipment must be designed and created that can be used for evacuation of chemically and biologically contaminated victims and provide isolation of victims and allow for trauma care to be administered.
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From page 239... ...
This relieves pressure on rescue and hospital departments who must release personnel simultaneously for traditional course presentation. This ensures that all target trainees can receive instruction without disrupting important department functions.
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