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Chemical
USAMRICD | Training | Presentations
- Field Management of Chemical Casualties | pdf | pdf (Navy CD)
- Medical Management of Chemical Casualties, 3rd ed | pdf
- Notes from May 2003 MCBC Course
NBC-MED: TMM: Medical Aspects of Chemical and Biological Warfare &
USACHPPM: TMM: Medical Aspects of Chemical And Biological Warfare &
USACHPPM: Detailed Chemical Facts Sheets 23 Jul 98 (Navy CD) | KX | html
USA MRMC: Biological and Chemical Warfare and Terrorism &
JAMA Lee EC. Clinical Manifestations of Sarin Nerve Gas Exposure. JAMA. 2003 Aug 6;290(5):659-662. | 4pg pdf | CME
Archives of Neurology | Newmark J. Therapy for Nerve Agent Poisoning. Arch Neurol May 04;61(5):649-652. | pdf
Emergency Medicine | Cyanide Toxins (Jul 02) | Vesicants (Sep 02) | Nerve Agents (Nov 02)
CDC: Agent List
ATSDR Medical Management Guidelines (MMGs) for Nerve Agents: Tabun (GA); Sarin (GB); Soman (GD); and VX
US Chemical Weapons Convention Web Site Treaty (htm) | Chemical Weapons Convention (prior to 20 Jan 01)
eMedicine Nerve Agents, G-series: Tabun, Sarin, Soman (last updated: 9 Jan 03)
Prevention and treatment of injury from chemical warfare agents. Med Lett Drugs Ther. 2002 Jan 7;44(1121):1-4.
Swank Health (CME)
Nerve Agents
Cyanide
Pulmonary Agents
Riot Control Agents
Incapacitating Agents
Biological
Notes from May 2003 MCBC Course
Field Manual Treatment of Biological Warfare Agent Casualties, AFMAN 44-156, 17 Jul 00
NBC-MED: Medical Management of Biological Casualties Handbook USAMRIID, 4ed, Feb 01
USAMRIID: “Blue Book” Medical Management Of Biological Casualties Handbook | pdf | doc | doc with links | Palm | pdf (Navy) | 3rd ed (Navy)
USAMRIID: Defense Against Toxin Weapons | pdf | doc | Defense Against Toxin Weapons | pdf (Navy)
Textbook of Military Medicine: Medical Aspects of Chemical and Biological Warfare &
TMM: Medical Aspects of Chemical And Biological Warfare &
USA MRMC: Biological and Chemical Warfare and Terrorism &
USA SG Management of Patients with Potential Exposure to Anthrax Spores 28 pg pdf
AFIP Smallpox
US Air Force: Treatment of Biological Warfare Agent Casualties - Field Manual (AFMAN(I) 44-156) (pdf) | pdf (Navy)
CDC Agent List: Anthrax | Botulism | Plague | Smallpox | Tularemia | VHF | Brucellosis
CDC: Adverse Events From Anthrax Prophylaxis, Update: Adverse Events Associated with Anthrax Prophylaxis Among Postal Employees – New Jersey, New York City, and the District of Columbia Metropolitan Area, 2001 | CDC Inhalational Anthrax Investigation, CDC Investigation of Bioterrorism-Related Inhalational Anthrax – Connecticut, 2001
AHRQ Addressing the Smallpox Threat: Issues, Strategies, and Tools | pdf
MMWR (Smallpox): Smallpox Vaccination and Adverse Reactions: Guidance for Clinicians 21 Feb 03;52(RR04):1-28 pdf | Vaccinia (Smallpox) Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2001 22 Jun 01;50(RR10) pdf | Recommendation of the Immunization Practices Advisory Committee Smallpox Vaccine 14 Jun 85;34(23);341-2
MMWR (Anthrax): Use of Anthrax Vaccine in Response to Terrorism: Supplemental Recommendations of the Advisory Committee on Immunization Practices 15 Nov 02;51(45);1024-1026 pdf | Interim Recommendations for Antimicrobial Prophylaxis for Children and Breastfeeding Mothers and Treatment of Children with Anthrax 16 Nov 01;50(45);1014-6 pdf | Considerations for Distinguishing Influenza-Like Illness from Inhalational Anthrax 9 Nov 01;50(44);984-6 pdf | Interim Guidelines for Investigation of and Response to Bacillus Anthracis Exposures 9 Nov 01;50(44);987-90 pdf | Investigation of Bioterrorism-Related Anthrax and Interim Guidelines for Clinical Evaluation of Persons with Possible Anthrax 2 Nov 01;50(43);941-8 pdf | Updated Recommendations for Antimicrobial Prophylaxis Among Asymptomatic Pregnant Women After Exposure to Bacillus anthracis 2 Nov 01;50(43);960 pdf | Investigation of Bioterrorism-Related Anthrax and Interim Guidelines for Exposure Management and Antimicrobial Therapy, October 2001 26 Oct 01;50(42);909-919 pdf erratum | Investigation of Anthrax Associated with Intentional Exposure and Interim Public Health Guidelines, October 2001 19 Oct 01;50(41);889-893 pdf | Use of Anthrax Vaccine in the United States 15 Dec 00;49(RR15);1-20 pdf | Surveillance for Adverse Events Associated with Anthrax Vaccination--U.S. Department of Defense, 1998-2000 28 Apr 00;49(16);341-5 pdf | Bioterrorism Alleging Use of Anthrax and Interim Guidelines for Management--United States, 1998 5 Feb 99;48(04);69-74 pdf
MMWR (General): Recognition of Illness Associated with the Intentional Release of a Biologic Agent 19 Oct 01;50(41);893-7 pdf | Biological and Chemical Terrorism:Strategic Plan for Preparedness and Response Recommendations of the CDC Strategic Planning Workgroup 21 Apr 00;49(RR04);1-14 pdf
Control of Communicable Diseases in Man | Anthrax {CD txt} | Smallpox {CD txt}
Emerging Infectious Disease
- Jul-Aug 99;5(4) Special issue on Bioterrorism
- Oct 02;8(1) Bioterrorism-Related Anthrax
FDA: National Center for Food Safety and Technology: "Bad Bug Book" (on food pathogens) | Blue Book (no longer published)
FDA Food Security | FDA Report: Ensuring the Safety and Security of the Nation's Food Supply & | Backgrounder
AMA Center for Disaster Preparedness and Emergency Response
AMA BT Quick Reference Guide
JAMA Consensus Statements: Anthrax pdf | Botulism pdf | Plague pdf | Smallpox | Tularemia pdf | VHF pdf | Mycotoxins pdf
JAMA Articles: Death Due to Bioterrorism-Related Inhalational Anthrax: Report of 2 Patients JAMA Express, 28 Nov 01 | Clinical Presentation of Inhalational Anthrax Following Bioterrorism Exposure: Report of 2 Surviving Patients, JAMA Express, 28 Nov 01
NEJM: Recognition and Management of Anthrax: An Update | Medical Progress: Anthrax | Cutaneous Anthrax Infection
Emergency Medicine | Anthrax (Dec 01) | Smallpox (Jan 02) | Plague (Feb 02) | Botulinum Toxin (Apr02) | Viral Hemorrhagic Fever (May 02)
AHRQ/UAB Provides resource information and continuing education about rare infections and potential bioterrorist agents | Anthrax more pdf | Smallpox more pdf | Syndromes | CME
AAFP | Article list | AAFP article: Maurer DM, Harrington B, Lane JM. M. Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions 1 Sep 03:68(5):889-96 pdf &
AAFP Home Study CME | Booklet 7 pg pdf | Audio ReadAudio | Test
American Academy of Pediatrics
American Academy of Dermatology
American College of Physicians-American Society of Internal Medicine
American College of Emergency Physicians Bioterrorism/Anthrax Links
Association of American Medical Colleges Training Future Physicians About Weapons of Mass Destruction: Report of the Expert Panel on Bioterrorism Education for Medical Students (20 pg, pdf)
NIH: National Institute of Allergy and Infectious Diseases
Joint Program Office for Biological Defense (JPO-BD)
USA MRMC: Biological and Chemical Warfare and Terrorism
Navy: WMD & Terrorist Threat
Center for Civilian Biodefense Strategies - Bioterrorism & Public Health Preparedness (Johns Hopkins): Anthrax | Botulism | Plague | Smallpox | Tularemia | VHF | Biodefense Quarterly
UCLA Bioterrorism Site
Center for Infectious Disease Research and Policy (Univ Minn): Anthrax | Botulism | Plague | Smallpox | Tularemia | VHF
WHO: Health Aspects of Biological & Chemical Weapons
Public health response to biological and chemical weapons: WHO guidance. 2nd edition, 2001 | First edition | Annex 1: Biological Agents | Annex 2: Toxins | Annex 3: Chemical Agents | Annex 5: Mathematical Theories of Epidemics
Physician's Online Bioterrorism > No original resources: links to CDC, Johns Hopkins, AMA resources; other online agencies; discussion forum; Reuter's Health news; MedCases CME, message center
ACEP Bioterrorism Links to the usual CDC, NEJM | Nuclear Biological Chemical Preparedness Final Report, 23 Apr 01, 166pg pdf (with DHHS) | Positioning America's Emergency Health Care System to Respond to Acts of Terrorism, Oct 02, 26pg pdf | Smallpox vaccine guidelines
ER One Federally funded project in Washington DC. Good list of Emedicine CBRNE links; news; recent relevant literature abstracts (some of site not compete, 4 Jul 03)
ERWorld.com San Diego County Medical Society's "Primer on Bioterrorism" (12 pages, 11 Oct 01, html, doc, zip) and ppt (64 slides, zip)
SDCMS: Protocol for Response to Possible Anthrax Exposures
SDCMS: Terrorism: A guide to Domestic Preparedness (pdf, 2 pages) | Bioterrorism Poster (pdf, 1 page)
Patient Care Bioterrorism: A primary care perspective, 15 Apr 02:33-48.
UpToDate Smallpox
WedMD Smallpox CME
Swank Health {CME}
Biological Weapons Convention
AFIP Dept of Radiologic Pathology Inhalational Anthrax Information about the pathogenesis and imaging of inhalational anthrax.
The Medical Letter BW: 15 Oct 01;43(1115):87-89 &
Emerging Infections Diseases
- Fauci AS, Touchette NA, Folkers GK. Emerging infectious diseases: a 10-year perspective from the National Institute of Allergy and Infectious Diseases. Emerg Infect Dis. 2005 Apr;11(4):519-25. | pdf
HIV/AIDS
Malaria
TB
Influenza: avian H9N2, H5N1
West Nile Virus
SARS
Radiological
AFRRI | Training | MEIR Course
Medical Management of Radiological Casualties Handbook, Second Edition [pdf] | pdf, 1st ed (Navy)
Medical Management of Radiological Casualties Handbook [pdf] | VNH [html] | {CD pdf}
Medical Effects of Ionizing Radiation/Biodosimetry Assessment Tool Pocket CD | Request copy | BAT Tool
TMM Pt1, Vol 2: Textbook of Military Medicine: Medical Consequences of Nuclear Warfare (1989, pdf) | Table of Contents | {CD pdf}
Proceedings: Triage of Irradiated Personnel AFRRI Workshop 25–27 Sep 96 | {CD pdf}
Pocket Guide for Responders to Ionizing Radiation Terrorism (VA pocket card) | {CD pdf}
DoE: REAC/TS | Training | Resources
- Guidance for Prehospital Emergency Services
- Guidance for Hospital Medical Management
CDC: Radiation Emergencies Information for public, first responder, and clinicians
- CDC's Roles in the Event of a Radiological Terrorist Event 3 pg pdf
- Casualty Management After a Deliberate Release of Radioactive Material 2 pg pKdf
- Acute Radiation Syndrome 6 pg pdf
- Prenatal Radiation Exposure 10 pg pdf
- Interim Guidelines for Hospital Response to Mass Casualties from a Radiological Incident 98 pg pdf
- Roundtable on Hospital Communications: Participants’ Comments, Ideas, & Recommendations - A Summary Report 25 pg pdf
NCEH Non-emergency Radiation Studies
FEMA: Federal Response Plan (Office of Homeland Security)
- Federal Radiological Emergency Response Plan
American College of Radiology Disaster Planning Task Force
FDA
- Center for Devices and Radiological Health (CDRH) [HTML] [PDF]
VA Emergency Management Strategic Healthcare Group (EMSHG)
Department of Homeland Security Working Group on Radiological Dispersal Device (RDD) Preparedness 74 pg pdf
Medical Treatment of Radiological Casualties (pdf 334 KB/78 pages)
National Health Physics Society Ad Hoc Committee on Homeland Security Emergency Department Management of Radiation Casualties (ppt 812 KB/40 slides)
Medical management of the acute radiation syndrome, Ann Intern Med 2004 Jun 15;140(12):1037-51.
IOM NAP
- Biological Threats and Terrorism: Assessing the Science and Response Capabilities: Workshop Summary 2002, 317 pg pdf
Chemical/Biological/Radiological
CBR Quick Reference chart
Chart of CW & BW agents
NBC Triage cards
Navy NBC Guide pdf (links to many of the following)
The Medical NBC Battle Book - USACHPPM Tech Guide 244
NBC Medical Defense Information Server
NATO Handbook on the Medical Aspects of NBC Defensive Operations (AFJMAN 44-151)Defense Threat Reduction Agency (DTRA)
DoD: Nuclear, Biological and Chemical (NBC) Defense Board
- Joint Service Integration Group (JSIG)
- Joint Service Materiel Group (JSMG)
- Joint Doctrine for Operations in NBC Environments
Chemical and Biological Arms Control Institute
eMedicine Multiple CBRNE topics
Nuclear
CDC: Radiation Emergencies
- Casualty Management After Detonation of a Nuclear Weapon In an Urban Area 2 pg pdf
Conventional/Blast
FM 4-25.11 (FM 21-11) NTRP 4-02.1 AFMAN 44-163(I) First Aid, Dec 02
Tactical Combat Casualty Care: Prehospital Care in the Tactical Environment The Committee on Tactical Combat Casualty Care 221 Fed 03 (For Chapter 17: Military Medicine, in The Prehospital Trauma Life Support Manual, Fifth Edition)
Emergency War Surgery, 1988
Gawande A. Casualties of War — Military Care for the Wounded from Iraq and Afghanistan. NEJM 04 Dec 9;351(24):2471-5.
People GE, Jezior JR, Shriver CD. Caring for the Wounded in Iraq — A Photo Essay. NEJM 04 Dec 9;351(24):2476-80
Scott SG, Vanderploeg RD, Belander HG Scholten JD. Blast Injuries: Evaluating and Treating the Postacute Sequelae. Federal Practitioner 05 Jany;22(1):67-75.
Wightman JM, Gladish SL. Explosions and blast injuries Ann Emerg Med 2001 Jun;37(6): 664-678.
TMM
War Psychiatry -TMM 95
Ophthalmic Care of the Combat Casualty -TMM 03
Medical Aspects of Harsh Environments Vol 2 -TMM 02
Laser/DirectedEnergy
Laser Injury Guidebook, AFMSA/SGP
Other HAZMAT
ERG2000
Emergency Response Guidebook (ERG2000) | pdf | PC | Palm | Spanish
Material Index | Number Index
SBCCOM MSDS
Terrorism Response
Terrorism: A Guide to Domestic Preparedness, San Diego County Medical Society
FEMA: Emergency Response to Terrorism: Self-Study
CDC Emergency Preparedness and Response
DHS National Response Base Plan and Appendices (PDF, 114 pages, 2MB)
- Full Version (PDF, 426 pages, 4MB) including all annexes, "Emergency Support Function Annexes", "Support Annexes", and "Incident Annexes."
CDC: Interim Guidelines for Hospital Response to Mass Casualties from a Radiological Incident (pDF 1.12 MB/98 pages)
DHHS Office of Emergency Preparedness (OEP) National Disaster Medical System (NDMS)
VA: Emergency Management Strategic Healthcare Group (EMSHG)
- Technical Advisory Committee (TAC) Surveillance Task Force Biological Threat Interrogatories | Proposed Biologic Threat Agent Plan | Sample Biologic Threat Agent Plan | Patient Management Grid
Terrorism Readiness Plan; Personal Emergency Preparedness Brochure 2 pg pdf
- Occupational Safety and Health Issues detailed list of resources
- Emergency Management Program Guidebook Feb 02, html help text
Navy: Responding to a Biological or Chemical Threat: A Practical Guide
Patient Care: Dealing with bioterrorism scares, April 2002
ER Management / Laboratory Management
ER One Triage Flow Diagram 1 pg pdf
Anthrax protocol of Washington Hospital Center
CDC Laboratory Information | Packaging Protocols 5 pg pdf | Shipping Instructions 2 pg pdf 2 pg doc
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This page © copyright 1997-2007 by CAPT Bob Marshall MD MPH MISM, Faculty, Puget Sound Family Medicine Residency/NavMedWest AHLTA Regional Champion/Consultant, Naval Hospital, Bremerton, WA. 
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