Here Is an Outline of What Will Be Presented Each Day

May 8, 9 & 10, 2007 Gulfport, MS

May 28, 29, 30, 2007 Madison, MS

June 11, 12, 13, 2007 Greenwood, MS

This exciting and fast paced 24-hour program is designed for EMSpersonnel who may be tasked to address the threat of contaminated patients presenting at the scene of a hazardous materials, explosive or disease outbreak event. This training has been developed pursuant to a Health Resources & Services Administration (HRSA) Bio-Terrorism Preparedness grant funding initiative to state health departments and is designed to meet the requirements of the U.S. EPA and OSHA 29 CFR.1910.120 (q) hazmat operations level responder regulations and NFPA 472 and 473 standards. Course participants will receive training emphasis on hazard recognition, personal protection, decontamination, triage and treatment. Those who successfully complete the training program will receive a certificate of completion and a complete Level “C” PPE kit. Lunch will be provided each day to each course participant. Registration is limited to 30 people per class. Instructors are all highly trained and experienced in the response and management of WMD/Hazardous materials events. Advance registration is required due to limited class size.

Here is an outline of what will be presented each day……

Module 1 – Introduction(8:00am to 8:50am)

Trainer course delivery concepts and logistical considerations will be presented. Other topics introduced include learning objectives pursuant to the Health Resources & Services Administration (HRSA) Bio-Terrorism Hospital Preparedness Program. The statewide “all hazards” response plan and the role of theMississippi Department of Health Office of Health Protection, Bureau of Emergency Medical Services and Bureau of Emergency Preparedness are presented during this module.

Module 2 – Laws & Regulations(9:00am to 9:50am)

During this module the hazardous materials threats facing today’s EMS responder will be presented . In addition, students will learn aboutFederal hazmat terminology, U.S. EPA Title 311, OSHA 29 CFR.1910.120 (q) hazmat operations level responder regulations along with NFPA 472 and 473 standards. The various hazmat responder levels and their training requirements are also presented.

Module 3 – Chemical Terms & Toxicology(10:00am to 10:50 am)

Chemical agent properties and terms are presented along with a discussion of the toxicology of Irritant gasses, asphyxiants, cholinergics, corrosives, and hydrocarbons as well asroutes of entry into the human body, systemic effects and sources to obtain toxicology information from.

Module 4 – Chemical Agents(11:00am to 11:50am)

In this module, chemical agents are discussed to include the toxic effects and human body reaction to organophosphate (nerve) liquid and vapor agent exposure along with blister agents. Also presented are the effects of phosgene, chlorine, anhydrous ammonia and irritant chemical agents as CS, CN and oleocapsium (OC).

Module 5 – Recognition & I.D.- I(1:00pm to 1:50pm)

This module will present the sources of illicit and legal chemical agent’srecognition as well as initial 911 information gathering, initial response considerations, hazmat signs, document and hazmat document locations and information. Students will also learn the ten-(10) U.S. Department of Transportation (Dot) hazmat classifications and placards. Students will use the DOT Emergency Response Guidebook (ERG) to properly identify emergency actions based on the 4-digit UN number, chemical spelling or placard color / classification.

Module 6 – Recognition & I.D.- II(2:00pm to 2:50pm)

In this module, which builds upon the information presented in Module 5, presents commercial carrier roadway tank classifications and storage capacities will be discussed, followed by a discussion of railroad tank cars along with tank identification requirements, other sources of railroad hazardous materials, bulk and non-bulk container recognition, Students will then exercise their ability to recognize storage tanks as well as properly identify and assess an NFPA 701 marking on a storage tank.

Module 7 – Biological Agents(3:00pm to 3:50pm)

Biological agents will be introduced to include effects and human body reaction to smallpox, anthrax, plague, viruses, viral hemorrhagic fever, biological toxins, ricin and H5N1.The basic principles of the H5N1 virus and its systemic effects on the human body will be made.

Module 8 – RAD & Nuclear Agents(4:00pm to 4:50pm)

In this module, radiological agents are presented to include the toxic effects and human body reaction alpha, beta, gamma and neutron radiation. Also presented are radiological and nuclear devices, ionization, radiation basics, radioactive materials, dosages, contamination and effects.

DEMONSTRATION:(4:50pm to 5:00pm)

Alpha/beta/gamma radiation detector are exhibited using an actual radiation source to illustrate the use of this device in detecting radiation on the human body.

Module 9 – Explosive Agents(8:00am to 8:50am)

In this module, explosive agents are presented to include the various types of explosive devices used in past terrorist bombings, blast mechanism of injury, Pathophysiology, bomb injury statistics, victim prediction and other bomb scene considerations..

Module 10 – Personal Protection Equipment (9:00am to 9:50am)

Federal OSHA and EPA laws and NIOSH standards are taught that affect the use of personal protective equipment (PPE) by hospital “first receivers” during emergency response to contaminated patient threats.

Also presented will be the levels of PPE, proper selection, testing requirements and other parameters.

Module 11 – Threat Assessment(10:00am to 10:50am)

The concepts, challenges and considerations to be to be used by EMS hazmat operations level responders involving the assessment of hazardous materials incidents and other threats are presented as well as assessments of industrial and hazmat sites and incident scenes. Students will then perform a downwind hazard analysis of a presented chemical release scenario.

Module 12 – I.M.S. & N.I.M.S.(11:00am to 11:50am)

The general concepts of incident command and unified command will be presented during a 30 minute video. The student will be exposed to the management structure that is used at emergency scenes by first responders. Then, the Incident Command System (ICS) will be presented in terms of the major operational components of command, logistics, operations, planning, finance and decon team structure within a medical emergency response setting.

Module 13 – P.P.E. Practical (1:00pm to 1:50pm)

The proper donning and doffing of the Level “C” Powered Air Purifying Respirator (PAPR), Tyvek-F suit, nitrile inner gloves, butyl rubber outer gloves, chemical booties and chemical tape will be demonstrated with participant involvement. Emergency pre-suit donning medical vital signs considerations, emergency signals, suit personal identification and other essential considerations will be covered as well.

Module 14 – Decon Principals(2:00pm to 2:50pm)

The concepts, challenges and considerations to be instituted by “first receivers” during an EMS response to potential or actual contaminated patients presenting at the scene of an event for emergency care. Also discussed will be decontamination systems and support equipment requirements. The concepts, challenges and considerations for organizing a “first receiver” decontamination team including challenges and considerations for addressing the unexpected biological or chemical contaminated patient who has already presented for medical care will be covered. Outside decontamination and isolation issues will be presented in terms of advantages and disadvantages for decon, triage and treatment.

Module 15 – Medical Surveillance(3:00pm to 3:50pm)

The role of medical surveillance of EMS personnel during response to, and medical support of, a hazardous materials incident where PPE is required to be used will be presented including topics on the role of the rehabilitation officer, heat effects and injury, cold effects and injury, work cycles and hydration guidelines, pre-entry and post-exit vital signs.Personnel accountability system (PAS) and on-going monitoring requirements for all personnel will be discussed as well..

Module 16 – C.I.S.M. & Isolation(4:00pm to 5:00pm)

The concepts, challenges and considerations for the need for critical Incident Stress De-briefing (CISM) and other mental health issues that will face the hospital 1st receiver as they triage, decon and treat disaster victims will be covered.

Module 17 – Medical Sector Command(8:00am to 8:50am)

The role of the medical sector supervisor along with responsibilities for local emergency response plan integration, EMS personnel PPE need, need for triage and treatment during decon process, fallen hazmat team member medical intervention, support to other special team members, initial medical scene arrival and assessment will be discussed. Also presented is the role of the EMS safety officer, logistics officer, triage officer, treatment officer, treatment zone establishment, transport officer, hospital coordination, hospital/EMS satellite communications and other topics.

Module 10 – Response Operations (9:00am to 9:50am)

Presentation of the scene operational concepts, challenges and considerations to be instituted by EMS response to potential or actual CBRNE incidents. Chemical incident control zones, defensive actions, hazmat incident levels, will be presented. Also presented are the initial scene assessment, phases of rescue, ignition sources and other safety and security considerations in response to explosions, bombings and collapsed structure incidents

Module 11 – CBRNE Triage & Treatment(10:00am to 10:50am)

The concepts, challenges and considerations for CBRNE triage of organophosphate. Blister and other agents using the START triage system will be covered. Also presented are treatment considerations for organophosphate, anthrax, smallpox, botulism, ricin, chlorine and cyanide poisonings and airway management issues.

Module 12 – H5N1 Triage & Treatment (11:00am to 11:50am)

Students will be exposed to the concepts, challenges and considerations for the need for critical Incident Stress De-briefing (CISM) and other mental health issues that will face the 1st receiver as they triage, decon and treat disaster victims. This is only an introduction designed to raise the student awareness and identify the need for a specialized behavioral mental health team. The second portion of the module will address the need for effective and secure radio communications during a public health emergency and review satellite communications capabilities by the department of health, hospitals and EMS.

Module 13 – P.P.E. Practical (1:00pm to 1:50pm)

Students will practice properly donning and doffing their issued Level “C” Powered Air Purifying Respirator (PAPR), Tyvek-F suit, nitrile inner gloves, butyl rubber outer gloves, chemical booties and chemical tape. They will then go outside and assemble, or observe assembly of the decon shower system and will then demonstrate the decontamination of an ambulatory and non-ambulatory patient and will then experience the technical decontamination process. Students who cannot, or do not have a Level “C” PPE kit will assist other students with the donning and removal of PPE, erect the shower system, play the role of a victim, or conduct medical surveillance and safety.

Module 14 – Decon Practical (2:00pm to 2:50pm)

Students willdemonstrate their ability to properly assemble the decon shower system and identify the steps and considerations that they would take to decontaminate ambulatory, non-ambulatory patients as well as technical decontamination of team members. Students will perform these functions while wearing am issued Level “C” PPE. All students will then return back to the classroom and shall assist other students will the removal of their PPE.

Module 15 – Scenario Exercise (3:00pm to 3:50pm)

A pandemic scenario event will be presented using PowerPoint interactive insertion updates. Participants will be tasked to rapidly come together as a group, assess the threat conditions, effectively institute an Incident Command System and discuss challenges that would face their EMS system as the scenario progresses. At the end of the module, a U.S. EPA video will be shown to emphasize the need for students and their medical care facility to immediately become a member of the Local Emergency Planning Council (LEPC) in their region.

Module 16 – Written Exam / Summary / Critiques (4:00pm to 5:00pm)

Thethree-day course will be summarized, participants will be given a twenty-five question written examination to test their knowledge of significant teaching points during the course, complete written critique forms and receive their graduation certifications.

3-DAY EMS HAZMAT OPERATIONS COURSE

Registration is required and classes will be filled based on date and time order that the completed registration form is received at MS Hospital Association.

You must attend all three days to receive course credit and PPE.I plan to attend: (Check only one location.)

______May 8, 9 & 10, 2007

American Medical Response- Education Classroom

12020 Intraplex Pkwy
Gulfport, MS39503

______May 28, 29, 30, 2007

MS Hospital Association

116 Woodgreen Crossing

Madison, MS39110

The MS Hospital Association in Madison, MS is a No SmokingBuilding and Campus.

______June 11, 12, 13, 2007

LefloreCounty Civic Center

200 Hwy 7 S

GreenwoodMS 38930

Course costs are funded for you through a grant from Health Resources and Services Administration (HRSA) in collaboration with the MS Department of Health Office of Emergency Planning and Response and the MS Hospital Association Emergency Preparedness Program.

If your schedule changes after you have registered and you cannot attend, NOTIFY Joyce Pearson at the MS Hospital Association so that we may offer your seat to persons who may be on waiting lists.

Name:______

Address:______

City:______State: ______Zip:______

E-mail address: ______

Daytime telephone number: ______

Employer:______

Complete the above registration form and return it to Joyce Pearson at MS Hospital Association (MHA), Madison, MS at e-mail: or fax: 601-368-3200 attn: J Pearson. You will receive confirmation advising whether you are admitted to the class or have been placed on a waiting list pending cancellations.