title: Medical response to a nuclear detonation: creating a playbook for state and local planners and responders.
abstract: For efficient and effective medical responses to mass casualty events, detailed advanced planning is required. For federal responders, this is an ongoing responsibility. The US Department of Health and Human Services (DHHS) prepares playbooks with formal, written plans that are reviewed, updated, and exercised regularly. Recognizing that state and local responders with fewer resources may be helped in creating their own event-specific response plans, subject matter experts from the range of sectors comprising the Scarce Resources for a Nuclear Detonation Project, provided for this first time a state and local planner's playbook template for responding to a nuclear detonation. The playbook elements are adapted from DHHS playbooks with appropriate modification for state and local planners. Individualization by venue is expected, reflecting specific assets, populations, geography, preferences, and expertise. This playbook template is designed to be a practical tool with sufficient background information and options for step-by-step individualized planning and response.
authors.affiliation: Office of the Assistant Secretary for Preparedness and Response, US Department of Health and Human Services, USA. Paula.Murrain-Hill@hhs.gov
authors.forename: Paula
authors.initials: P
authors.lastname: Murrain-Hill
authors.forename: C Norman
authors.initials: CN
authors.lastname: Coleman
authors.forename: John L
authors.initials: JL
authors.lastname: Hick
authors.forename: Irwin
authors.initials: I
authors.lastname: Redlener
authors.forename: David M
authors.initials: DM
authors.lastname: Weinstock
authors.forename: John F
authors.initials: JF
authors.lastname: Koerner
authors.forename: Delaine
authors.initials: D
authors.lastname: Black
authors.forename: Melissa
authors.initials: M
authors.lastname: Sanders
authors.forename: Judith L
authors.initials: JL
authors.lastname: Bader
authors.forename: Joseph
authors.initials: J
authors.lastname: Forsha
authors.forename: Ann R
authors.initials: AR
authors.lastname: Knebel
mesh_terms: D004189:Disaster Planning; D017408:Guidelines as Topic; D006285:Health Planning; D006801:Humans; D009111:Local Government; D054527:Mass Casualty Incidents; D054043:Nuclear Weapons; D011832:Radiation Injuries / Q000145:classification / Q000628:therapy; D018788:Radioactive Hazard Release / Q000145:classification; D059039:Standard of Care; D013219:State Government; D023481:Terrorism; D014218:Triage; D014481:United States; D014483:United States Dept. of Health and Human Services