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Public Health Emergency Medical Countermeasures Enterprise
"The Public Health Emergency Medical Countermeasures Enterprise (PHEMCE) coordinates Federal efforts to enhance chemical, biological, radiological and nuclear threats (CBRN) and emerging infectious diseases (EID) preparedness from a medical countermeasure (MCM) perspective. The PHEMCE is led by the HHS [Health & Human Services] Office of the Assistant Secretary for Preparedness and Response (ASPR) and includes three primary HHS internal agency partners: the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA) and the National Institutes of Health (NIH), as well as several interagency partners: the Department of Defense (DoD), the U.S. Department of Veterans Affairs (VA), the Department of Homeland Security (DHS) and the U.S. Department of Agriculture (USDA)."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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Healthcare and Public Health Cybersecurity Primer: Cybersecurity 101
"Understanding the evolving role of cybersecurity in healthcare and public health is a crucial first step to managing cyber risks to the HPH [Healthcare and Public Health] sector. The Healthcare and Public Health Cybersecurity Primer is a tool intended for use by sector members, owners and operators, as well as Federal, State and local partners who may not be cyber experts, but wish to improve the sector's level of understanding of cybersecurity. The scope of this document contains concepts and common practices of security as they pertain to the cyber component of healthcare and public health. This document will: [1] Provide a basic definition of cybersecurity; [2] Discuss qualities of a secure cyber environment; [3] Present a high level examination of cyber threats and consequences and vulnerabilities; and [4] Discuss preventative measures and recommended risk management activities."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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Post-Mass Shooting Programs and Resources Overview
"This 19-page document from TRACIE (Technical Resources, Assistance Center, Information Exchange) provides information on programs and resources available to the communities affected by the Orlando nightclub shooting. Information is organized by programs and resources, including Disaster Behavioral Health; Lesbian, Gay, Bisexual, and Transgender; Mass Violence; and Spanish Translated Disaster Behavioral Health Materials. An appendix from the American Red Cross provides information about Coping With Stress Reactions After a Mass Violence Event."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-06
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2017-2022 Health Care Preparedness and Response Capabilities
"The U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) leads the country in preparing for, responding to, and recovering from the adverse health effects of emergencies and disasters. This is accomplished by supporting the nation's ability to withstand adversity, strengthening health and emergency response systems, and enhancing national health security. ASPR's Hospital Preparedness Program (HPP) enables the health care delivery system to save lives during emergencies and disaster events that exceed the day-to-day capacity and capability of existing health and emergency response systems. HPP is the only source of federal funding for health care delivery system readiness, intended to improve patient outcomes, minimize the need for federal and supplemental state resources during emergencies, and enable rapid recovery. HPP prepares the health care delivery system to save lives through the development of health care coalitions (HCCs) that incentivize diverse and often competitive health care organizations with differing priorities and objectives to work together. ASPR developed the '2017-2022 Health Care Preparedness and Response Capabilities' guidance to describe what the health care delivery system, including HCCs, hospitals, and emergency medical services (EMS), have to do to effectively prepare for and respond to emergencies that impact the public's health. Each jurisdiction, including emergency management organizations and public health agencies, provides key support to the health care delivery system."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-11
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Solar Eclipses: Planning Resources
"On August 21, 2017, a total solar eclipse will be visible in a path across the U.S. from Oregon to South Carolina, from early morning through the afternoon. It is expected that millions will travel to locations across the country to view this rare event. […] Many of these locations are rural with limited healthcare infrastructure, and since these sites are not (yet) officially sponsored, the typical augmentation of resources that accompanies planned mass gatherings will not take place. To address planning and response concerns and help local emergency healthcare providers plan for these gatherings, the ASPR TRACIE [Assistant Secretary for Preparedness and Response; Technical Resources, Assistance Center, and Information Exchange] team collected the following fact sheets, checklists, locally-developed guidance documents, and news articles on eye safety, injury treatment, and planned mass gatherings in rural and urban areas. Resources in sections I through V are specific to the eclipse event; the rest of the sections include resources related to planned mass gatherings."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-07
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Hospital Surge Capacity and Immediate Bed Availability: Topic Collection
"Hospitals and healthcare coalitions are faced with challenges that multiply after natural or human-caused events or disasters. Surge planning-and immediate bed availability in particular-are critical components of every healthcare facility's emergency plan and response ability. These resources highlight recent case studies, lessons learned, tools, and promising practices for planning and improving capabilities for a surge event."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-11-09
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Hospital Preparedness Program (HPP) Healthcare Preparedness Capability Review National Call Capability 10: Medical Surge and Immediate Bed Availability (IBA) Meeting Summary
From the document: "…welcome everyone to the HPP Medical Surge/IBA [Immediate Bed Availability] call to discuss HPP's[Hospital Preparedness Program] innovative approach to implementing HPP Healthcare Preparedness Capability 10. HPP welcomes representatives from the Hospital Associations, State and territorial HPP directors, Hospitals/Healthcare Organizations (HCOs), Healthcare Coalition Executive Working Group (HCEWG) members, State/ territorial public health representatives, and CDC [Center for Disease Control and Prevention] Public Health Emergency Preparedness (PHEP) colleagues to the call. The intent of this call is to share information about Capability 10: Medical Surge across a wide spectrum and to operationalize that capability by discussing IBA."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2013-05-30
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Ebola Response Improvement Plan: Progress Report
"In response to the 2014-2016 Ebola Epidemic, the Secretary of the U.S. Department of Health and Human Services (HHS) asked a contractor to convene an outside expert panel to review the HHS Ebola response and provide recommendations on improving the Department's preparedness and response efforts. The expert panel released its findings in a report titled, 'Report of the Independent Panel on the U.S. Department of Health and Human Services (HHS) Ebola Response', in June 2016. Shortly thereafter, the Department released the 'U.S. Department of Health and Human Services Ebola Response Improvement Plan (ERIP)', outlining how the expert panel's findings and recommendations from the aforementioned report would be addressed. HHS Operating and Staff Divisions (Op/StaffDiv) have invested effort and made progress on each of the distinct corrective actions as described below. Responsible Op/StaffDivs are in brackets at the end of each corrective action, with the designated lead marked with bold font. Each corrective action is followed by a description of the HHS response to date. In addition, lessons learned from the Ebola virus outbreak response implemented in the HHS response to the 2016 Zika virus outbreak are highlighted in the appropriate sections. The Assistant Secretary for Preparedness and Response is pleased to provide this status report, outlining the progress toward addressing key recommendations made by the expert panel. In addition, the report provides a pathway for strengthening the planning and response to future outbreaks of Ebola virus and other emerging infectious diseases."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-01
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Responder Safety and Health Topic Collection
"Protecting the safety and health of disaster responders is critical for obvious reasons, but a safe and healthy workforce is better able to provide the community with an effective, comprehensive response and recovery. The resources in this Topic Collection focus on safety strategies (e.g., preventing fatigue, ensuring the availability and correct use of personal protective equipment) and maintaining behavioral health (e.g., working through stress and preventing/addressing compassion fatigue). Each resource in this Topic Collection is placed into one or more of the following categories in alphabetical order by author (click on the category name to be taken directly to that set of resources). Resources marked with an asterisk (*) appear in more than one category."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-01-08
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Learning More About the 2017-2022 Health Care Preparedness and Response Capabilities
From the web annotation: "This 59-minute webinar from TRACIE (Technical Resources, Assistance Center, Information Exchange) discusses the background and intent of the 2017-2022 Health Care Preparedness and Response Capabilities, a guidance to describe what the health care delivery system has to do to effectively prepare for and respond to emergencies that impact the public's health. Speakers provide an overview of the evolution of the capabilities, each capability, and what each means to participants; and discuss challenges and next steps."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-01-11
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Utility Failures Topic Collection
"Losing power or potable water after a critical incident can have serious and significant effects on both healthcare facilities and patients. Either situation could lead to facility evacuation, as the utilities are significantly interdependent within healthcare facilities. [...] The resources in this Topic Collection include lessons learned from recent disasters, case studies, and toolkits designed to help healthcare planners prepare to respond to, continue functioning during, and recover from post-disaster utility failures."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-02-06
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United States Government Zika Virus Disease Contingency Response Plan
"This plan outlines the operational response activities for the U.S. Government (USG) if confirmed local transmission or widespread transmission of Zika virus disease occurs in the United States (including the tribal areas, territories and affiliated Pacific Islands) and the President determines enhanced Federal government unity of effort is required. Planning is based on the HHS Zika Virus Disease Domestic Preparedness and Response Goals and Objectives, the CDC Zika Virus Action Plan, the CDC Interim Response Plan and the (Draft) Biological Incident Annex to the Response and Recovery Federal Interagency Operational Plans. This document is designed to complement and not repeat the actions already outlined in these foundational documents."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-09
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2017-2022 Hospital Preparedness Program: Performance Measures Implementation Guidance
"ASPR [Office of the Assistant Secretary for Preparedness and Response] developed the '2017-2022 Health Care Preparedness and Response Capabilities' to describe the high-level objectives that the health care delivery system, including HCCs [health care coalitions], hospitals, and emergency medical services (EMS), should undertake to prepare for, respond to, and recover from emergencies."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017?
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U.S. Department of Health and Human Services Ebola Response Improvement Plan: Based on Lessons Learned from the 2014 -2016 Ebola Epidemic
"In December 2013, the Ebola virus emerged in Guinea and then spread rapidly across West Africa. The resulting epidemic caused an estimated total of 28,000 suspected and confirmed cases, and claimed over 11,000 lives. The global community responded - though slowly at first, and ultimately worked effectively together to end the epidemic. As a partner in this international effort, the U.S. Department of Health and Human Services (HHS) made significant contributions to the response, both in controlling the international epidemic abroad and safeguarding the United States from further spread of the disease. In an effort to learn from this unprecedented response effort, the Secretary of HHS asked a nonprofit research organization to review the Department's international and domestic responses to the Ebola outbreak. It convened an independent panel of subject matter experts to identify strengths and opportunities to improve the Department's preparedness and response efforts. The resulting document, 'Report of the Independent Panel on the HHS Ebola Response', was published in June 2016. To guide its work in improving preparedness for subsequent public health crises, HHS developed an Improvement Plan. This plan, developed in response to the Panel's report, describes steps the Department will take or has already taken to address issues identified by the Independent Panel."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-06
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Delivering Gender-Informed Health Services in Emergencies [2017]
"In emergencies, the physical and mental health of girls, women, boys, and men can be affected in a variety of ways. Differences are correlated to gender in terms of exposure to and perceptions of risk, preparedness, response, and physical and psychological impact, as well as capacity to recover. Gender groups may also experience trauma in different ways."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017?
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U.S. Government Zika Vaccine Strategy
From the introduction: "To address the Zika virus public health threat, the Departments of Health and Human Services and Defense are coordinating efforts to help accelerate the development of Zika virus vaccines. Given the need for a vaccine to prevent disease caused by Zika notably including Congenital Zika Syndrome (CZS), these departments and their respective agencies (hereafter referred to as U.S. Government or USG) developed this Strategy in support of the following Goal and vaccine development Aims."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-09-07
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Avian Influenza (Including Asian H7N9): Resources at Your Fingertips
"This document provides healthcare system and public health preparedness professionals, emergency managers, and other stakeholders with resources and information to consider when improving their readiness for potential human infections with avian influenza A viruses. Significant concern exists about some avian influenza A viruses, including Asian lineage A(H5N1) and A(H7N9) viruses, that have caused sporadic human infections with high mortality, but no confirmed sustained human-to-human spread. These situations highlight possible issues for providers and planners, including: [1] Sporadic cases in the US among travelers returning from affected areas; [2] The possibility of an influenza pandemic resulting from a change in one of these viruses that would allow it to infect and transmit efficiently among people."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-10-06
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2017 California Wildfires
"Wildfires are burning across much of northern California counties, threatening the lives of tens of thousands of people. The resources below can help individuals, families, communities and professionals stay safe in the face of the wildfires."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017
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Step Care for Ebola/Viral Hemorrhagic Fever Patients: Guidance for International Field Hospitals
"This document is intended to help organizations who want to provide care for Ebola virus disease (EVD)/viral hemorrhagic fever (VHF) patients determine an appropriate level of medical care that they can provide and anticipate the supplies that may be needed. This guidance may be applicable to other diseases where dehydration and electrolyte imbalance are key contributors to mortality. [...] This guidance provides suggested levels of medical care, as well as potential necessary supplies for patient care using a tiered approach. It is not designed to be comprehensive, and the resources available in the affected country, as well as supply chain integrity, will affect supply decisions. It does not account for the resources needed to support team members and suspect or convalescent isolated patients, nor does it consider the communications, command, and coordination elements that are critical to a successful mission. This guidance also does not cover infection control; training; site layout, including intake/assessment, suspect case testing, patient care (which may be organized by levels), feeding areas, convalescent care, and visiting areas; behavioral health; or other issues necessary for a safe and successful mission. The care of specialized populations, such as pediatric or obstetric patients, may require different expertise and resources, as well as specific changes to clinical care."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-06
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The Exchange, Issue 5, 2017
"In this issue of the ASPR TRACIE [Assistant Secretary for Preparedness & Response Technical Resources, Assistance Center, and Information Exchange] newsletter, The Exchange, we celebrate our second anniversary by looking back at how the emergency health care field has changed and looking forward at what is facing our field from the federal, state, and local perspectives. We feature input from stakeholders (including health care coalition members) who have used our products to plan for and respond to a variety of incidents, and we highlight tools we have prepared that can make your jobs easier. We hope that these real-life experiences shared by subject matter experts help you learn more about what ASPR TRACIE can do for you."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017
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Training Community Members to Respond
From the Overview: "Engaging the whole community in emergency preparedness and response efforts is key to our nation's security. Individuals and communities that are knowledgeable and trained on the skills necessary to prepare for and respond to emergencies are not only more inclined to act when needed, but also are often better able to withstand and recover from disasters - and help their neighbors do so, too. Local Medical Reserve Corps (MRC) units across the country play a critical role in increasing access to information and training community members so that they feel educated and empowered to act before, during, and after an emergency. This 'Training Community Members to Respond Guide' provides examples of training programs and resources that MRC units can incorporate into their community-based outreach programming. Units are encouraged to train volunteers as instructors, teach the programs in their local communities, and work with community partners to spread the word."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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Healthcare Challenges After Radiological Incidents Q&A
"On July 11, 2018, ASPR TRACIE [Office of the Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] held a webinar discussing the impact of radiological incidents on health and healthcare, and planning strategies related to different incidents. The speakers also shared guidance and lessons learned from recent exercises and research in assessing, triaging, treating, and following-up on casualties of radiological and nuclear emergencies. The presentation and recording from this webinar are now available. The link to the recording is on the title page of the presentation; you will need to enter you email address prior to viewing. Due to time constraints, speakers were not able to respond to all of the questions received during the Question and Answer (Q&A) portion of the webinar. ASPR TRACIE sent remaining questions to panelists and their answers are provided below."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
DeAtley, Craig A.; Buddemeier, Brooke R.; Case, Cullen
2018-07-11
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Partnering with the Healthcare Supply Chain During Disasters
From the Purpose: "This document is intended to provide an overview of the emergency planning and response considerations of healthcare supply chain owners, operators, and end users, as well as insights for healthcare coalitions (HCCs) working with healthcare supply chain partners on preparedness, response, and recovery. It is not intended to be a comprehensive listing but aims to capture 'key changes' during serious or catastrophic events, compared to normal supply chain operations, as well as planning and response contingencies."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-08
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No-Notice Incidents: Community Response and Media Management
From the Document, "ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] has developed a series of tip sheets for hospitals and other healthcare facilities planning for no-notice incident response. Our traditional concepts and approaches have not kept pace with real-world incidents in the U.S. and other countries or the challenges the healthcare system faces in managing the resulting extraordinarily large number of casualties. The tip sheets are based on discussions ASPR NHPP [National Health Physics Program] and ASPR TRACIE had with healthcare personnel who were involved in the October 2017 mass shooting response in Las Vegas and supplemented with information from other recent no-notice incidents. While there is great variance in the scope and healthcare needs resulting from no-notice incidents, these tip sheets focus on some of the identified challenges."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2018-04
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No-Notice Incidents: Emergency Medical Systems Considerations
"ASPR TRACIE [Assistant Secretary for Preparedness & Response Technical Resources, Assistance Center, and Information Exchange's] has developed a series of tip sheets for hospitals and other healthcare providers planning for no-notice incident response. Our traditional concepts and approaches have not kept pace with real-world incidents in the U.S. and other countries or the challenges the healthcare system faces in managing extremely large numbers of casualties. The tip sheets are based on discussions ASPR NHPP [National Health Physics Program] and ASPR TRACIE had with healthcare personnel who were involved in the October 2017 mass shooting response in Las Vegas and supplemented with information from other recent no-notice incidents. While there is great variance in the scope and healthcare needs resulting from no-notice incidents, these tip sheets focus on some of the identified challenges."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2018-07
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Mass Shooting/ No-Notice Incident After-Action Interview Guide: Medical Resource Requirements
From the Document, "This list of questions was used to help ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] staff interview various Las Vegas hospital personnel to collect and synthesize information from their mass shooting response. Results were used to develop a suite of No-Notice Incident Tip Sheets."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-11
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No-Notice Incidents: Hospital Triage, Intake, and Throughput
This Tip Sheet focuses on the preparations and intake of victims of a mass casualty incident. From the Document, "ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] has developed a series of tip sheets for hospitals and other healthcare facilities planning for no-notice incident response. Our traditional concepts and approaches have not kept pace with real-world incidents in the U.S. and other countries or the challenges the healthcare system faces in managing the resulting extraordinarily large number of casualties. The tip sheets are based on discussions ASPR NHPP [National Health Physics Program] and ASPR TRACIE had with healthcare personnel who were involved in the October 2017 mass shooting response in Las Vegas and supplemented with information from other recent no-notice incidents. While there is great variance in the scope and healthcare needs resulting from no-notice incidents, these tip sheets focus on some of the identified challenges."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2018-04
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No-Notice Incidents: Family Assistance
This Tip Sheet focuses on managing family assistance during the emergency response. From the Document, "ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] has developed a series of tip sheets for hospitals and other healthcare facilities planning for no-notice incident response. Our traditional concepts and approaches have not kept pace with real-world incidents in the U.S. and other countries or the challenges the healthcare system faces in managing the resulting extraordinarily large number of casualties. The tip sheets are based on discussions ASPR NHPP [National Health Physics Program] and ASPR TRACIE had with healthcare personnel who were involved in the October 2017 mass shooting response in Las Vegas and supplemented with information from other recent no-notice incidents. While there is great variance in the scope and healthcare needs resulting from no-notice incidents, these tip sheets focus on some of the identified challenges."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2018-04
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No-Notice Incidents: Trauma Surgery Adaptations and Lessons
From the Document, "When a no-notice incident occurs in your community, expect a large number of non-triaged patients to arrive in a short period of time via law enforcement, private vehicles, ride share services, or taxi. Healthcare facilities should be prepared to conduct initial triage of patients at their door and continue to assess and reprioritize patients as the incident evolves."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2018-04
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No-Notice Incidents: Non-Trauma Hospital Considerations
This Tip Sheet focuses on management of mass casualty victims procedures at non-trauma hospitals. From the Document, "During the initial response to a large-scale, no-notice incident, all healthcare facilities should be prepared for unusual patient distribution patterns, misinformation, and challenging communications."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2018-04