Introduction to CHEMPACK El Dorado County. El Dorado Hills, CA December 2 & 3, 2015

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Samuel Harmon
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1 Introduction to CHEMPACK El Dorado County El Dorado Hills, CA December 2 & 3, 2015

2 Overview Purpose Background CHEMPACK Cache Partner Responsibilities Review Next Steps Questions

3 Purpose This introductory training is to familiarize the participant with the CHEMPACK. A CHEMPACK is a cache of antidotes for the suspected release of a chemical nerve agent.

4 Background The use of chemical nerve agents to carry out an act of terrorism is rare, but not unknown. On March 20, 1995, Japanese terrorists released Sarin gas into Tokyo s subway, killing 12 people and injuring thousands. The ability to respond rapidly with antidotes for these nerve agents is essential to reduce deaths and injuries that may result from these rare but deadly attacks.

5 Background (cont.) As part of its Strategic National Stockpile (SNS) program, the Centers for Disease Control and Prevention (CDC) has made caches of specific nerve agent antidotes available to local jurisdictions. Known as CHEMPACK, several of these caches have been delivered to secure locations in El Dorado County and neighboring counties.

6 Background (cont.) The El Dorado County Health and Human Services Agency (HHSA), in cooperation with other local agencies, has developed a CHEMPACK Deployment Protocol for the El Dorado County Operational Area.

7 CHEMPACK Cache

8 More about CHEMPACK Two types of CHEMPACK (Hospital and EMS). The EMS CHEMPACK is designed for use at the scene and contains antidotes to treat up to 454 patients. Antidotes available in the EMS CHEMPACK include: Atropine Sulfate Diazepam (Valium) Pralidoxime (2-PAM)

9 More about CHEMPACK CHEMPACK caches can be broken down and transported to an incident (Recommended). It is important to note that the supplies needed to administer CHEMPACK injectable medications are not included in the cache.

10 More about CHEMPACK The CDC conditions for using the CHEMPACK drugs are: Threatens the medical security of the community; and Places multiple lives at risk; and Is beyond local emergency response capabilities; and The materiel is medically necessary to save human life.

11 Responsibilities Any delays in the delivery of these antidotes to the incident scene may result in additional deaths or disability. All authorized managers and supervisors are encouraged to take actions deemed appropriate to avoid such delays.

12 First Responder Actions & Responsibilities

13 Dispatch Agency Responsibilities

14 CHEMPACK Host Agency Responsibilities

15 Each EMS CHEMPACK Contains: EMS CHEMPACK Container for 450 Casualties Mark 1 auto-injector OR Duodote auto-injector Cases 5 Color Yellow 6 Atropine Sulfate 0.4mg/ml 20ml 1 Blue Pralidoxime 1gm inj 20ml 1 Red Atropen 0.5 mg 1 Purple Atropen 1.0 mg 1 Grey Diazepam 5mg/ml autoinjector 2 Green Diazepam 5mg/ml vial, 10ml 2 Orange Sterile water for injection (SWFI) 20cc Vials 2 White *Break down of contents exists for 450, 250 or 125 casualties

16 Review Questions

17 Each CHEMPACK contains antidotes for: 1. Lead poisoning 2. Cyanide poisoning 3. Chemical nerve agents 4. Carbon monoxide poisoning 7

18 CHEMPACK is part of the Centers for Disease Control: 1. Strategic Anti-Terrorism Program 2. Strategic WMD Response Program 3. Strategic National Security Program 4. Strategic National Stockpile Program 7

19 In El Dorado County, primary authorization to deploy the CHEMPACK should be received from: 1. Any base hospital physician 2. MHOAC 3. Dispatch Center Supervisor 4. On-scene Incident Commander 7

20 A local agency responsible for storage and security of the CHEMPACK is called: 1. CHEMPACK Host Agency 2. EMS Agency 3. Dispatch Agency 4. First Responder Agency 7

21 The primary responsibility of the Dispatch Center for CHEMPACK deployment is: 1. Notify the EMS Agency 2. Assign to a single dispatcher 3. Request mutual aid resources 4. Request authorization 7

22 Which of the following drugs is not included in the CHEMPACK? 1. Morphine Sulfate 2. Atropine Sulfate 3. Valium 4. 2-PAM 7

23 If unable to contact the MHOAC, a dispatch agency should request authorization to deploy CHEMPACK from the: 1. Incident Commander 2. On-call Public Health Nurse 3. Nearest hospital 4. State OES 7

24 Arranging for transport of CHEMPACK to the incident staging area is the responsibility of the: 1. Dispatch Agency 2. Health Officer 3. Local law enforcement 4. Host Agency 7

25 Training Complete! For additional information, please contact: El Dorado County Medical Health Operational Area Coordinator Program 2900 Fairlane Court Placerville, CA (530)

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