This course provides physicians with the tactical tools and hands-on training for proper medical response in the event of a small/middle scale chemical/toxin related man-made incident. Physicians in a hospital setting will learn about classification and chemical properties of main military chemical agents, pathological effects of these chemicals on organs and tissues, as well as principles of treatment and physician strategy during medical exams of potentially contaminated patients. Hospital physicians will be trained in all aspects of ER secondary medical triage, clinical differential diagnostic techniques and emergency processing of casualties who are affected by a terrorist related chemical incident.

Hands on training will provide students with a clear understanding on safety and self-control during work inside potentially contaminated ER. They will also be taught donning and doffing techniques and proper use of personal protective equipment during decontamination of patients both inside and outside the hospital setting. The class will also explain how to organize the hot, warm and cold zones of the decontamination line, including necessary medical equipment, antidotes/antitoxins, and necessary pharmaceuticals drugs for first/second medical intervention.

Advanced strategies and tactics for practicing physicians during and after WMD chemical/toxin related incident showing internal/external hospital contamination control from contact with first to last victim. Mass casualty development and principles of processing large numbers of full/partially contaminated victims through the hospital setting. Hospital physicians will be trained in all aspects of in/out secondary medical triage and principles of effective diagnosis and patient’s condition. More in-dept information will be presented on intracellular effects of different types of military chemicals/toxins and the principles of medical treatment and prognosis for affected patients. Students will be able to differentiate patients based on early symptoms of single chemical agent intoxication as well as recognize symptoms of potential combinational (cocktail) release of the different classes of militarized chemicals.

Physicians will learn sampling techniques during decontamination of victims. They will also be trained how to deactivate agents in liquid, solid and gaseous forms inside the ER’s, and decontaminate surfaces such as medical equipment, skin, wounds and clothing. Hospital physicians will be instructed on how to organize casualty collection areas (CCA) close by their own hospital and how to work with mass casualties inside this CCA. They will learn about organization of necessary medical supplies and pharmaceuticals inside the hospital and CCA.

Hands–on drill will help students learn about proper survey techniques in the event they find the presence of external/internal chemical/toxin contamination on victims or themselves. Students will learn in detail principles of skin/wounds/burn decontamination as well as dealing with inhalation hazards from aerosol dispersion of different classes of militarized chemicals.This course will give physicians clear understanding about stockpiling of medications based on predictabilities of different incidents. Guidelines on proper treatment and hospital care for patients decreases mortality rate and cuts down on lengthy hospital stays.

This course provides hospital personnel proper strategies and tactics during quarantine and proper principles and practices of preventive/current and final deactivation of spore forming pathogens inside/outside hospital setting. Strategies and tactics are taught for hospital staff during indoor/outdoor deactivation/decontamination of contaminated patients after NBC events. Students will learn personal precautions/techniques and the removal process of weaponized chemicals/toxins, pathogenic microorganisms, as well as radioactive emitters in different chemical conditions and forms. The course will also show pre-hospital and hospital principles and practices of sample collections, hazardous waist control, and limitations.

Hospital physicians and practicing clinicians will be trained on all aspects of ER medical triage, clinical differential diagnostic techniques, and ER processing of mass casualties after WMD pathogen release incident. Physicians will learn about classification of potential biological agents, principles of dispersion and depositions of these agents, as well as environmental effects of main biological weapons. They will recognize characteristics and effects of biological release on communities and the concerns of the health sector in regarding WMD biological events inside urban areas. Principles of epidemiology and epidemiological control of infectious outbreaks and tactics of hospitals during quarantine will be explained. Students will learn about personal protection and hospital protection during contact work with contagious patients, as well as become skilled in biological monitoring and detection of different spectrums of pathogens.

Physicians will learn how to deal with victims/patients during non-contagious/contagious stages of infection disease. They will be able to understand universal and specific hospital precautions during work with low/high contagious patients. Main bacterial and viral pathogens will be described, including B. Anthracis, Variola Vera, Plague, Tularemia and other potential biological agents and their pathogenic properties. Students will learn organization of the hot, warm and cold zones of the decontamination line, including how to use medical equipment and supplies during decontamination, and how to use PPE levels for multiple internal quarantine zones. A hands–on drill will help students to understand donning and doffing procedures of PPE as well as principles of disinfection/deactivation of biological agents.

Advanced course for responsible hospital units: Strategy and tactics of medical personnel during quarantine, and principles and practices of preventive/current and final deactivation/disinfection of hospitals who are dealing with mass casualties after WMD anthrax/plague/smallpox release in the urban areas.

This course explains to the hospital physician additional in-depth information about main biological weaponized agents, their pathogenic properties and differential diagnosis of the developed diseases. Personal precaution techniques are explained during medical evaluation of contagious victims and the specifics of the medical exam for each infectious disease. Physicians will learn alternative isolation precautions for contagious mass casualties in the form of isolation casualty’s collection zones (CCZ) outside the hospital. They will also learn how to organize temporary/prominent settings inside the hospital for collection, isolation and treatment of the contagious patients. The class will describe principles of current deactivation regarding anthrax/plague microorganisms during full contact medical care of the patients in mass casualties situations.

Decontamination of rooms, disinfection of medical instruments and material, organization of multilevel internal hospital zones also will be presented in this course. Students will learn processing large-scale quarantine zones after bacteriological and or viral outbreaks in populated areas. Final hands on activities help physicians properly use PPE during contact work with bacterial pathogens, deactivation of skin, wounds, contaminated fluids as well as sampling principles.

Advanced WMD courses for hospital managers and public health organizations on principles and practices of medical management in the event of a large-scale NBC incident. Hospital management /administration and support personnel will be trained on all aspects of emergency management and processing of mass casualties after NBC related incident in hospital setting/casualty collection facilities. Students will be able to understand and work closely with medical staff on issues of control of the medical supplies/equipment necessary to provide proper help for primary care givers. They will learn hospital strategy and tactics during the establishing of ER/hospital rooms for mass numbers of contaminated/contagious patients from man-made outbreaks of bacterial/viral infections. Non-medical staff will be able to recognize and deal with the threat of hospital contamination from highly toxic weaponized chemicals as well as dealing with externally and internally contaminated victims of nuclear/radiological WMD events.