Checklist 6: Specialized medical and toxicological resources to inform a response to hazmat incidents

Checklist 6: Specialized medical and toxicological resources to inform a response to hazmat incidents

Medical management

 Poison Control Centres [http://www.capcc.ca/en] for regional number.  Chemical Hazards Emergency Medical Management (CHEMM) — Enable first responders, first receivers, other healthcare providers, and planners to plan for, respond to, recover from, and mitigate the effects of mass-casualty incidents involving chemicals [https://chemm.nlm.nih.gov/index.html]  Medical Management Guidelines for Acute Exposures [https://www.atsdr.cdc.gov/MMG/index.asp]

Human Decontamination

 U.S. Department of Health and Human Services (DHHS) Chemical Hazards Emergency

Medical Management CHEMM Decontamination Procedures [https://chemm.nlm.nih.gov/decontamination.htm]  U.S. Department of Health and Human Services (DHHS /U.S. Department of Homeland

Security (DHS) Patient Decontamination in a Mass Chemical Exposure Incident: National

Planning Guidance for Communities

[https://www.dhs.gov/sites/default/files/publications/Patient%20Decon%20National%20Pla nning%20Guidance_Final_December%202014.pdf]

Air quality  U. S. Environmental Protection Agency (EPA): Acute Exposure Guideline Levels (AEGLs) for airborne chemicals [https://www.epa.gov/aegl].  U.S. Department of Energy (DOE) Protective Action Criteria (PAC) with AEGLs, ERPGs, and TEELs: Rev. 29 for Chemicals of Concern — [https://energy.gov/ehss/protective-actioncriteria-pac-aegls-erpgs-teels-rev-29-chemicals-concern-may-2016]

Drinking water quality

 Guidance for Issuing and Rescinding Drinking Water Avoidance Advisories in Emergency

Situations [https://www.canada.ca/en/health-canada/services/publications/healthyliving/guidance-issuing-rescinding-drinking-water-avoidance-advisories-emergencysituations.html]

Toxicology and hazardous material properties

Epidemiogical toolkits

 US NIH – NLM Toxnet [https://toxnet.nlm.nih.gov/] includes the Hazardous Substances Data

Bank (HSDB) which provides information on human exposure, industrial hygiene, emergency handling procedures, and environmental fate. [http://toxnet.nlm.nih.gov/cgibin/sis/htmlgen?HSDB].  CDC Emergency Preparedness and Response — information on specific chemical agents, case definitions, toxic syndrome description, toxicological profiles, emergency response cards [https://emergency.cdc.gov/chemical/]  Agency for Toxic Substances and Disease Registry (ATSDR), Toxicological Profiles — detailed information about contaminants found at hazardous waste sites [https://www.atsdr.cdc.gov/toxprofiles/index.asp)

 Assessment of Chemical Exposure (ACE) Toolkit — surveys, consent forms, training materials, and Epi Info ™ 7 databases [https://www.atsdr.cdc.gov/ntsip/ace_toolkit.html]  Community Assessment for Public Health Emergency Response (CASPER) — epidemiologic technique designed to provide quickly and at low-cost household based information about a community [https://www.cdc.gov/nceh/hsb/disaster/casper/default.htm]  Rapid Acquisition of Pre- and Post-Incident Disaster Data Study (RAPIDD Study) — prepositioned protocol intended to minimize the time needed to begin collecting health data and biological samples from disaster response workers who may be exposed to environmental contaminants. RAPIDD includes all the documents and procedures needed to create a registry of workers. [https://dr2.nlm.nih.gov/protocols#rapidd]