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Currently, NLM is not updating the Disaster Information Management Research Center (DIMRC) website, and is limiting updates to the Disaster Lit database to COVID-19 related data collection tools found in the DR2. We are no longer adding links to other new disaster-related information. The content of select resources from Disaster Lit will be digitized and made available through Digital Collections and Bookshelf.

The original sources for disaster-related information from Disaster Lit can be found at:
• CDC Emergency Preparedness and Response website
• ASPR Public Health Emergency website
• ASPR Technical Resources, Assistance Center, and Information Exchange (TRACIE) website

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Select item Administration for Children and Families [U.S. Department of Health and Human Services] (ACF) [1]

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Search URL: https://disasterinfo.nlm.nih.gov/search/?q=%28chemical+AND+%28warfare+OR+terrorism+OR+agents+OR+weapons%29%29+AND+%28countermeasures+OR+treatment%29

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1. Select item 20626 Healthcare Challenges in Chemical Incidents

Source: Office of the Assistant Secretary for Preparedness and Response [U.S. Department of Health and Human Services] (HHS ASPR)

Date Published: 1/14/2020

Format: Video or Multimedia

Annotation: This one-hour, 30-minute webinar from TRACIE (Technical Resources, Assistance Center, and Information Exchange) features speakers who discuss the potential effects of a chemical incident, and share recent guidance and lessons learned in assessing, triaging, and treating patients, including considerations for novel nerve agent treatment. Topics include fourth generation agents, and a case study of a train derailment chlorine disaster....[See more] [See less]

URL: https://register.gotowebinar.com/recording/8381465392583456769

Authors: Caneva, Duane; Hick, John L.; Cibulsky, Susan; Kirk, Mark; Evans, Bruce; et al.

Type: Instructional/Training Material

Access Notes: Site requires free registration.
Link to presentation slides: https://files.asprtracie.hhs.gov/documents/aspr-tracie-healthcare-challenges-in-chemical-incidents-webinar-ppt--final.pdf
This training can be found in the Public Health Foundation TRAIN Learning Network at: https://www.train.org/main/course/1089111.

ID: 20626. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

2. Select item 19822 Sodium Hypochlorite: Health Effects, Incident Management and Toxicology

Source: United Kingdom Department of Health (DH)

Date Published: 8/14/2019

Format: PDF

Annotation: This Web page provides information on the health effects of exposure to sodium hypochlorite, a common bleaching agent; the chemical’s toxicity; and material for responding to a chemical incident. Sodium hypochlorite is used as a disinfectant for swimming pools, and can be used to disinfect drinking water, in some medical treatments, and in the manufacture of paper and pulp....[See more] [See less]

URL: https://www.gov.uk/government/publications/sodium-hypochlorite-properties-incident-management-and-toxicology

Type: Guideline/Assessment Tool

Access Notes: Link to Incident Management: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/825309/Sodium_hypochlorite_incident_management_PHE_2019.pdf
Link to General Information: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/561017/sodium_hypochlorite_general_information.pdf
Link to Toxicological Overview: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/427651/Sodium_hypochlorite_TO_PHE__130515.pdf

ID: 19822. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

3. Select item 19730 Chemical, Biological, Radiological and Nuclear (CBRN) Injury Response: Part 2: Medical Management of Chemical Agent Exposure

Source: U.S. Army Medical Department, Medical Research and Materiel Command, U.S. Army Institute of Surgical Research (USAISR)

Date Published: 1/23/2019

Format: PDF

Annotation: This 36-page Clinical Practice Guideline is intended for use in conjunction with Tactical Combat Casualty Care (TCCC) Guidelines as an organized approach to the care of chemical, biological, radiological, and nuclear (CBRN) casualties. Chapter topics include Cyanide, Nerve Agent, and Pulmonary Agent Exposure; Vesicant or Blister Agents; and Incapacitating Agents. Appendices provide treatment protocols....[See more] [See less]

URL: https://jts.amedd.army.mil/assets/docs/cpgs/JTS_Clinical_Practice_Guidelines_(CPGs)/Chemical_Biological,_Radiological_Nuclear_Injury_Response_Part_2_Medical_Management_23_Jan_2019_ID69.pdf

Type: Guideline/Assessment Tool

ID: 19730. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

4. Select item 17406 Topic Collection: Chemical Hazards

Source: Office of the Assistant Secretary for Preparedness and Response [U.S. Department of Health and Human Services] (HHS ASPR)

Date Published: 5/29/2018

Format: Text

Annotation: The resources in this Topic Collection from TRACIE (Technical Resources, Assistance Center, and Information Exchange) are specific to chemical agent patient evaluation and treatment, and can help emergency responders and healthcare workers identify chemical hazards and prepare for, respond to, and treat survivors of related incidents. Resource categories are Must Reads; Chemical Countermeasures; Considerations for Special Populations; Education and Training; Guidance and Guidelines; Lessons Learned; Medical Response to Chemical Hazards; Plans, Tools, and Templates; and Agencies and Organizations....[See more] [See less]

URL: https://asprtracie.hhs.gov/technical-resources/29/chemical-hazards/27

Type: Bibliography/Resource List

ID: 17406. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

5. Select item 17464 ACMT (American College of Medical Toxicology) Position Statement: Alternative or Contingency Countermeasures for Acetylcholinesterase Inhibiting Agents

Source: American College of Medical Toxicology (ACMT)

Date Published: 11/2017

Format: PDF

Annotation: This three-page position paper is a statement on alternative or contingency medical countermeasures for first responders and health care providers, who must prepare to provide care for patients poisoned by acetylcholinesterase (AchE) inhibitor chemical warfare agents or pesticides. It provides recommendations to augment supplies of community-based and forward-deployed nerve agent countermeasures, and a table detailing selected alternative countermeasures....[See more] [See less]

URL: https://www.acmt.net/_Library/Positions/ACMT_Position_Acet.pdf

Type: Guideline/Assessment Tool

ID: 17464. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

6. Select item 15023 2017 Annual Report to Congress

Source: U.S. Department of Defense (DOD)

Date Published: 5/25/2017

Format: PDF

Annotation: This 38-page document is the 2017 Annual Report of the Department of Defense Chemical and Biological Defense Program. Section topics include Response to ISIS and Other State/Non-State Actors; Activities Related to Synthetic Biology; Advances in Medical Countermeasures; Advances in Non-Traditional Chemical Agent Defense; Chemical Weapons Convention (CWC) Implementation Activities; and Advances in Science and Technology Research....[See more] [See less]

URL: https://www.hsdl.org/?view&did=801431

Type: Report

ID: 15023. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

7. Select item 6953 Environmental Health in Emergencies: Deliberate Chemical Release

Source: World Health Organization (WHO)

Date Published: 5/9/2017

Format: Text

Annotation: These frequently asked questions, updated in May 2017, provide general information about the possible health effects of toxic chemicals that may be deliberately released with the intention of causing injury, panic, and death in the target population. Topics include the types of chemical weapons, treatment, and actions that people can take to protect themselves. Much of this information is equally applicable to the accidental release of toxic chemicals....[See more] [See less]

URL: https://www.who.int/environmental_health_emergencies/deliberate_events/chemical_release/en/

Type: Fact Sheet

Access Notes: This page is available in Arabic at https://www.who.int/environmental_health_emergencies/deliberate_events/faqs_chemical_weapons_ar.pdf.

ID: 6953. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

8. Select item 6970 Emergency Preparedness and Medical Countermeasures: FDA Emergency Use Authorization and Related Authorities Guidance Updates

Source: Network for Public Health Law

Date Published: 2/2017

Format: Text

Annotation: This web page, updated in February 2017, provides information about Emergency Use Authorizations (EUAs), which allow the Food and Drug Administration (FDA) to authorize emergency use of unapproved medical countermeasures during emergency circumstances to combat threats that involve chemical, biological, radiological, or nuclear agents. It also provides guidance updates and links to EUAs....[See more] [See less]

URL: https://www.networkforphl.org/news-insights/emergency-preparedness-and-medical-countermeasures-fda-emergency-use-authorization-and-related-authorities-guidance-updates/

Type: Web Page

ID: 6970. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

9. Select item 15959 Field Management of Chemical and Biological Casualties Handbook: Fifth Edition

Source: U.S. Army Borden Institute

Date Published: 9/2016

Format: PDF

Annotation: This handbook provides information relative to specific U.S. Army tactics, techniques, procedures, and tasks associated with health service support for field management of chemical and biological casualties. It is written from the point of view of a conventional forward-deployed, ground-based medical element performing patient operational decontamination and thorough patient decontamination operations while providing medical treatment. Chapter topics include nerve agents, biological agents, and toxins....[See more] [See less]

URL: https://www.cs.amedd.army.mil/borden/bookDetail.aspx?ID=d5d5a800-066c-441c-a827-c10cfb53159d

Authors: Garr, John

Type: Guideline/Assessment Tool

Access Notes: Chapters are available individually for download.

ID: 15959. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

10. Select item 13716 Multi-Service Tactics, Techniques, and Procedures for Treatment of Chemical Warfare Agent Casualties and Conventional Military Chemical Injuries

Source: U.S. Army

Date Published: 8/2016

Format: PDF

Annotation: This 180-page document, co-published with the U.S. Marine Corps, Navy, and Air Force, is designed for use as a reference for trained members of the Armed Forces Medical Services and other medically qualified personnel on the recognition and treatment of chemical warfare (CW) agent casualties and conventional military chemical injuries. It classifies and describes CW agents and other hazardous chemicals associated with military operations, such as riot control agents, obscurants, incendiary agents, and other toxic industrial chemicals, and describes how to diagnose and treat conventional military chemical injuries....[See more] [See less]

URL: https://www.hsdl.org/?view&did=796395

Type: Guideline/Assessment Tool

ID: 13716. From: Disaster Lit^®a database of the U.S. National Library of Medicine.

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