DPRO believes that first responders and first receivers should be afforded tools that are functional and adaptable to a variety of institutions tasked with responding to disaster medicine. These tools are best developed by those who actually do the work of patient care and are intimately familiar with the nuances associated with providing such care.
The following tools have been field tested and found to be adaptable and applicable and are provided to you for your review and use. Feedback on the tools is always welcomed and appreciated. Your input will help to develop a more robust tool over time and further testing.
1. Casualty Care Coordinator (CCC)
3. Triage Evaluation Tool
While hospitals have been tasked with providing mass casualty care, there has been very little feedback on their ability to provide such care. Over-triage and Under-triage have been widely described in EMS (Emergency Medical Services) and Hospital literature, but very little help has been offered to assist with accurate feedback. The concept of the triage tool has been developed and applied to the Dynamic Patient Scenario card sets in order to demonstrate the effectiveness of triage.
4. Radiation Assessment Tool
In the event of a radiation incident, it is highly unlikely that hospitals or other responders will know the degree of radiation exposure. Therefore the signs and symptoms at the onset of presentation for healthcare are essential. ARHQ has developed a functional tool that assists with an estimate of the amount of radiation exposure based upon signs symptoms in relationship to time of exposure. The tool is intuitive and applicable and can be found at website:
AHRQ: Agency For Healthcare Research and Quality
http://remm.nlm.gov/adultorderform.htm(adult hospitalization information)
http://remm.nlm.gov/ars_wbd.htm (dosimeter tool)
5. Just in Time Training Manuals (In Development)
DPRO is aware that clinical time is valuable and that exercises provide the perfect training opportunity to teach the highlights of injury or illness patterns and treatment techniques associated with specific disasters. These manuals assume that the clinicians providing patient care have fundamental knowledge in the areas of advanced trauma (ATLS), burn (ABLS), Pediatric care (PALS) and cardiac life support (ACLS). The information contained in each manual is based upon the most recent literature review and is specific to the event. The manuals are designed to be a thirty minute teaching module that provides an opportunity for a pre- and post test assessment of knowledge and skills.
A. Blast Injury Just in Time Training Manual
B. Radiation Injury/Illness Just in Time Training Manual