A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH
Introduction: In 2022, the Harvard/Beth Israel Deaconess Disaster Medicine Fellowship conducted a full-scale exercise (FSX) with the dual mission of 1) training Disaster Medicine Fellows (DMFs) in exercise design, planning, and execution, and 2) expanding local first responder experience with pe...
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Cambridge University Press
2023
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my.iium.irep.1077052023-10-27T07:38:03Z http://irep.iium.edu.my/107705/ A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH Kane, Ashley Cahan, Lea Ohana Sarna Abelanes, Sally-Mae Adnan, Mohd Syafwan Woodward, Christina Tin, Derrick Labib, Ibrahim Issa, Fadi Voskanyan, Amalia Weiner, Debra RJ Pediatrics Introduction: In 2022, the Harvard/Beth Israel Deaconess Disaster Medicine Fellowship conducted a full-scale exercise (FSX) with the dual mission of 1) training Disaster Medicine Fellows (DMFs) in exercise design, planning, and execution, and 2) expanding local first responder experience with pediatric casualties in a mixed-method terrorist attack. Method: Project PUNCH (Preparedness for Uncertain and Novel Chemical Hazards) was planned in two stages. A tabletop exercise in the form of a facilitated discussion was conducted in March 2022 with stakeholders from Fire, Emergency Medical Services (EMS), and the Massachusetts HazMat Team.AFSX simulating a combined blast and chemical attack on a family gathering was held in June 2022 at Anna Maria College in Paxton, MA. Results: Fire, EMS, HazMat, LifeFlight, local Police, MA State Police, a local Medical Reserve Corps, and over 40 volunteer victims including 16 pediatric volunteers participated in the FSX. The FSX was a two-hour exercise with a simulated explosion and a secondary drone-deployed dummy-opioid aerosol release. This was the first FSX for the Paxton Region since the coronavirus pandemic began. Planning was conducted by the DMFs between January and June 2022 with the aid of Fellowship faculty and local stakeholders following Homeland Security Exercise and Evaluation Program guidelines. Local and Fellowship leadership with Pediatric expertise were engaged to plan pediatric specific considerations, precautions and safety measures. COVID precaution guidelines were followed. These efforts are detailed in the forthcoming field report. Educational guides for toxidromes and triage and resuscitation of pediatric victims were distributed to first responders. Conclusion: The end outcome was a FSX that trained DMFs in exercise design, planning, and execution, and increased experience of local first responders with the concepts of asymmetric terrorist attacks and comfort with pediatric disaster victims. Multi-agency disaster drills remain an important training tool for preparedness and response to mass casualty events. Cambridge University Press 2023-07-13 Article PeerReviewed application/pdf en http://irep.iium.edu.my/107705/1/107705_A%20full-scale%20exercise.pdf Kane, Ashley and Cahan, Lea Ohana Sarna and Abelanes, Sally-Mae and Adnan, Mohd Syafwan and Woodward, Christina and Tin, Derrick and Labib, Ibrahim and Issa, Fadi and Voskanyan, Amalia and Weiner, Debra (2023) A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH. Prehospital and Disaster Medicine, 38 (Suppl. S1). s99-s99. ISSN 1049-023X E-ISSN 1945-1938 https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/fullscale-exercise-for-preparedness-for-uncertain-and-novel-chemical-hazards-with-pediatric-casualties-project-punch/1B8AA9B79DD3CA7F5F178384A2807B8C 10.1017/S1049023X23002753 |
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RJ Pediatrics Kane, Ashley Cahan, Lea Ohana Sarna Abelanes, Sally-Mae Adnan, Mohd Syafwan Woodward, Christina Tin, Derrick Labib, Ibrahim Issa, Fadi Voskanyan, Amalia Weiner, Debra A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH |
| description |
Introduction: In 2022, the Harvard/Beth Israel Deaconess
Disaster Medicine Fellowship conducted a full-scale exercise
(FSX) with the dual mission of 1) training Disaster Medicine
Fellows (DMFs) in exercise design, planning, and execution,
and 2) expanding local first responder experience with pediatric
casualties in a mixed-method terrorist attack.
Method: Project PUNCH (Preparedness for Uncertain and
Novel Chemical Hazards) was planned in two stages. A tabletop
exercise in the form of a facilitated discussion was conducted
in March 2022 with stakeholders from Fire,
Emergency Medical Services (EMS), and the Massachusetts
HazMat Team.AFSX simulating a combined blast and chemical
attack on a family gathering was held in June 2022 at Anna
Maria College in Paxton, MA.
Results: Fire, EMS, HazMat, LifeFlight, local Police, MA
State Police, a local Medical Reserve Corps, and over 40 volunteer
victims including 16 pediatric volunteers participated in the
FSX. The FSX was a two-hour exercise with a simulated explosion
and a secondary drone-deployed dummy-opioid aerosol
release. This was the first FSX for the Paxton Region since
the coronavirus pandemic began. Planning was conducted by
the DMFs between January and June 2022 with the aid of
Fellowship faculty and local stakeholders following
Homeland Security Exercise and Evaluation Program guidelines.
Local and Fellowship leadership with Pediatric expertise
were engaged to plan pediatric specific considerations, precautions
and safety measures. COVID precaution guidelines were
followed. These efforts are detailed in the forthcoming field
report. Educational guides for toxidromes and triage and resuscitation
of pediatric victims were distributed to first responders.
Conclusion: The end outcome was a FSX that trained DMFs
in exercise design, planning, and execution, and increased experience
of local first responders with the concepts of asymmetric
terrorist attacks and comfort with pediatric disaster victims.
Multi-agency disaster drills remain an important training tool
for preparedness and response to mass casualty events. |
| format |
Article |
| author |
Kane, Ashley Cahan, Lea Ohana Sarna Abelanes, Sally-Mae Adnan, Mohd Syafwan Woodward, Christina Tin, Derrick Labib, Ibrahim Issa, Fadi Voskanyan, Amalia Weiner, Debra |
| author_facet |
Kane, Ashley Cahan, Lea Ohana Sarna Abelanes, Sally-Mae Adnan, Mohd Syafwan Woodward, Christina Tin, Derrick Labib, Ibrahim Issa, Fadi Voskanyan, Amalia Weiner, Debra |
| author_sort |
Kane, Ashley |
| title |
A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH |
| title_short |
A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH |
| title_full |
A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH |
| title_fullStr |
A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH |
| title_full_unstemmed |
A full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project PUNCH |
| title_sort |
full-scale exercise for preparedness for uncertain and novel chemical hazards with pediatric casualties: project punch |
| publisher |
Cambridge University Press |
| publishDate |
2023 |
| url |
http://irep.iium.edu.my/107705/1/107705_A%20full-scale%20exercise.pdf http://irep.iium.edu.my/107705/ https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/fullscale-exercise-for-preparedness-for-uncertain-and-novel-chemical-hazards-with-pediatric-casualties-project-punch/1B8AA9B79DD3CA7F5F178384A2807B8C |
| _version_ |
1781777395175391232 |
| score |
13.211869 |