This course teaches the necessary medical tools in how to care for patients affected by weaponized chemical agents after a WMD chemical terrorist attack. They learn pathogenesis and development of the first symptoms and proper immediate response and treatment of intoxication. They will study necessary medical evaluation techniques and proper personal protection during medical exams of potentially contaminated patients at local private clinics, quick care facilities, and ER rooms both during and after a mass casualty situation. Physicians will also learn necessary planning treatment of the affected patient, delay effects of chemical intoxication and possible further chronic complications and treatment of the exposed patients. This course will also address private practicing physicians who will be treating and evaluating post-event patients after release from the hospital.

Practicing physicians will learn principles of medical evaluation and treatment of externally/internally contaminated victims during and after WMD nuclear/radiological incidents at private clinics, quick care facilities, and ER rooms.

Necessary medical tools for practicing physicians on self-protection, removal of radionuclides from surfaces and clothing as well as skin and wounds. The course will describe radiological hazard and medical evaluation/examination/treatment/differential diagnosis of acute radiation syndrome. The physician will be given the necessary information about acute and chronic complications of patients exposed to high/middle/low levels of ionizing radiation and/or patients with internal/external radioactive contamination. Physicians will also learn how to treat chronic radiation illness and patients with different secondary chronic diseases and post-radiation complications.

This course will also address private practicing physicians who will be treating and evaluating post event patients after their release from the hospital.

Strategies and tactics for practicing physicians during medical exams of contagious patients and differential diagnosis of main infectious diseases related to biological terrorism. Physicians will learn safety rules and procedures during medical exam of the contagious patient as well as necessary epidemiological actions for immediate control from spreading infection.

The students will learn principles and practices of preventive/current and final deactivation of biological agents inside private clinics and potentially contaminated rooms after dealing with large numbers of possibly contagious patients. Students are trained on proper use of PPE during contact work with bacterial and viral pathogens, deactivation of skin and contaminated fluids, and sampling principles as well as being trained on the principles and procedures of internal/external pathways of spreading spore forming pathogens inside facilities. They will also be instructed on the availability of casualty collection areas for the collection and treatment of victims infected with bacterial and or viral pathogens. The course will present current deactivation of anthrax/plague microorganisms during full contact medical care of the patients in mass casualties situations.

Organization of isolators in the form of casualty collection zones (CCZ) inside private practices or specially organized temporary/permanent CCZ outside the hospital system. The class will show the procedures and principles of deactivation of spore forming microorganisms and medical instruments/materials inside CCZ. It will also provide the physician necessary information about possible chronic complications for patients who were recovered from bacterial /viral diseases and it will address private practicing physicians who will be treating and evaluating post-event patients after their release from the hospital.

Pediatric care during and after Nuclear/chemical/biological WMD related incidents. This course will bring understanding and the necessary information to the practicing physician and pediatrician on the subject of proper evaluation, observation, and treatment of the children and infants in different age groups before, during and after WMD terrorist events. This includes medical exams and evaluation of the children affected and contaminated with weaponized chemicals, backterial/rickettsial and viral man-made infections. Students will learn the effects of ionizing radiation on embryo-genesis and in-utero and somatic effects. This class presents information on intracellular effects of ionizing radiation and pediatric care during nuclear/chemical/biological WMD related incidents.

Acute and chronic neurological and psychological effects on population and victims of WMD event are presented in this class, showing the psychological and neurological impact on victims and responders after a WMD event.

The course demonstrates the principles of proper psychiatric evaluation of affected population and emergency responders who are working long shifts inside the hot zones and exposed to various levels of ionizing radiation after a large radiological incident (Chernobyl Nuclear Plant incident response for instance). Students will analyze neurological effects of critical situations during WMD events. Physicians will understand Post-traumatic stress disorder development after long-term response on chemical biological events as well and fear factor development from medical professionals during contact work with contagious and contaminated patients.

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.

Practicing 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. Physicians will learn principles of epidemiology and epidemiological control of infectious outbreaks and tactics of hospitals during quarantine.

Physicians 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 be instructed on how to deal with victims/patients during non-contagious/contagious stages of infection disease and 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 present correct 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. Processing large-scale quarantine zones after bacteriological and or viral outbreaks in populated areas will also be discussed.

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.

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.