Emergency Medical and Healthcare Facilities

Biological Attack Practicum    Triage 101      Penetrating Trauma Injuries  Hospital Decontamination Practices    Hospital Incident Command Systems (HICS IV)

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Terrorism Operations - Biological Attack Practicum 

Biological Attack Practicum is an exercise designed to test and develop the skills necessary to successfully manage and coordinate a biological terror scene.  Participants will be dealt a host of different challenges ranging from mass contamination to criminal investigation.  This exercise is designed to test and tax the emergency medical system in your community.  We create a realistic attack scenario based on your goals and objectives. Your emergency responders must recognize the threat and make the proper decisions to control the hazard.  All levels of emergency services will be tested.  We will provide all of the necessary props to create the scene as well as the key actors necessary to develop the scenario.  Our management team will assist you with all preparation activities in order to make this event a success.  AFSS will provide an After Action Report in accordance with HSEEP guidelines.      

As with all of our exercises, the format of this program is entirely customizable.  We can adapt our outline to meet any objectives you may have.

 Please contact AFSS for a training quote and program outline for your agency.

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EMS Operations - Triage 101 - 8 Hrs.

Triage 101 is designed for first responding emergency medical providers and fire department personnel whose responsibilities may require them to manage a mass casualty incident.  This program is designed to provide a practical information that can be utilized to implement rapid and effective triage and scene management for a variety of incident types.  Topics in this program include the history of Triage, the Golden Hour, Current Triage Systems, Scene Management, Resource Management, Movement of Patients, Transportation and Patient Destination.  The course will conclude with 3 practical exercises consisting of a Crime Scene Active Shooter, Transportation Incident and a Chemical or Biological Terror Attack.

Course Developed by:  Matt Millsaps

PA Department of Health Course Number 001606 approved for 6.5 Medical Trauma credits. 

Please contact AFSS for a training quote and program outline for your agency.

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EMS Operations - Penetrating Trauma Injuries, Ballistics and Explosives for EMS Providers - 4, 8 or 16 Hrs.

This course will provide an in depth look at penetrating trauma injuries caused by weapons of all types.  Students will learn about the effects of ballistics, explosives and less lethal munitions on the human body.  Anatomy and Physiology of the human body will be discussed with  emphasis on organ damage, hypovolemic shock and the importance of rapid management of uncontrolled bleeding.  This course will also review  information on soft and concealable body armor, and address response to injured law enforcement officers. 

 The 8 hour version will include a more in depth study of the above, and information on less lethal  weapons.

The16 hour version will include a more in depth study of the above, and information on less lethal weapons.  This version will also include multiple practical scenarios and a half day session on EMS provider safety and scene response.

Course Developed by:  Matt Millsaps

Please contact AFSS for a training quote and program outline for your agency.

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Hospital Decontamination Practices

Hospital Decontamination Practices is an 8 hour course designed to cover Haz-mat basics including route of entry, mechanism of injury, types of hazardous materials, levels of personal protective equipment (PPE), weapons of mass destructin (WMD), Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE) and domestic/industrial hazardous materials found in your community.

Students will learn about control zones and site selection for patient decontamination operations along with the Mechanics of patient decontamination.

This course covers all OSHA required elements for respiratory protection in the workplace including a review of your respiratory plan , respiratory hazards and reasons for selection of respiratory equipment.  Students will be led in a discussion about donning, doffing, and use of PAPRs, along with with what to look for in failure of the equipment as well as care and maintenance of equipment.  Also included is a review of other PPE elements, including, coveralls, gloves and boots.  Students will learn the levels of PPE, limitations of equipment used and what to consider when selecting PPE.

Students will participate in practical exercises involving donning and doffing of the entire PPE ensemble and practice setting up al decontamination equipment in use at the hospital.  Students will be evaluated on equipment selection and set-up and establishment of control zones.

The course will culminate with a 15 question multiple choice written test on topics covered throughout the program.

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Hospital Incident Command System (HICS IV)

Every significant incident or event, whether large or small, and whether it is even defined as an emergency, requires certain management functions to be performed.  This course is intended to explain in a clear and concise manner the critical components of the Hospital Incident Command System (HICS) as well as the suggested manner for using the accompanying materials.

HICS is intended to be used by all hospitals, regardless of their size or patient care capabilities and assist with their emergency planning and response efforts for all hazards.  By embracing the concepts and incidents command design outlined in HICS, a hospital is positioned to be consistent with the National Incident Management System incident command design guidelines and to participate in a system that promotes greater national standardization in terminology, response concepts, and procedures.

The primary beneficiaries of HICS will be physicians, nurses, hospital administrators, department heads and other personnel in hospitals in the United States and internationally who will assume command roles during an incident.  Students preparing for a career in medicine, nursing and hospital administration, whose education should include understanding hospital emergency preparedness principles and practices, will also find the materials useful.

Other community response partners need to understand the hospital command system design and the response activities and needs that the hospitals will have during various types of incidents.  Therefore, local/tribal, state and federal public safety, emergency management and public health officials will also benefit from this course.

HICS is made up of 12 modules:

Many healthcare facilities have already completed modules 1 through 4.  This course is available in a customized format for facilities that have completed modules 1 through 4.

Each learning module begins with a set of learning objectives and concludes with a review of points to allow the student to follow, and the HICS instructors to present the material in a clear and standardized format.  All modules may be modified to fit the unique education and response needs of the facility.  This course concludes with a table top exercise which will bring all of the components together for ease of understanding.

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