1. Bioterrorism Drill Case 2 Nerve Agent: MD Roles

2. You are working in the hospital when an all hospital alert is called. Upon reporting to the Emergency Department, you learn that attendees from a Bulls game are arriving complaining of breathing problems, nausea, vomiting and diarrhea. You notice a garlic-like odor on many of the patients. You are to work as part of the decontamination team. Your responsibilities are to work with your team to: Use appropriate personal protective equipment Decontaminate patients prior to entering the Emergency Department Prevent contaminated patients from entering the treatment area, securing all entrances Control patient flow into the triage area Coordinate and communicate with the triage and treatment teams You are working in the hospital when an all hospital alert is called. Upon reporting to the Emergency Department, you learn that attendees from a Bulls game are arriving complaining of breathing problems, nausea, vomiting and diarrhea. You notice a garlic-like odor on many of the patients. You are to work as part of the decontamination team. Your responsibilities are to work with your team to: Use appropriate personal protective equipment Decontaminate patients prior to entering the Emergency Department Prevent contaminated patients from entering the treatment area, securing all entrances Control patient flow into the triage area Coordinate and communicate with the triage and treatment teams 2D

3. You are working in the hospital when an all hospital alert is called. Upon reporting to the Emergency Department, you learn that attendees from a Bulls game are arriving complaining of breathing problems, nausea, vomiting and diarrhea. You notice a garlic-like odor on many of the patients. You are to work as part of the triage team. Your responsibilities are to work with your team to: Use appropriate personal protective equipment Rapidly assess and prioritize patients into groups based on the severity of their presentation Appropriately utilize the START triage system to tag patients Coordinate and communicate with the decontamination and treatment teams You are working in the hospital when an all hospital alert is called. Upon reporting to the Emergency Department, you learn that attendees from a Bulls game are arriving complaining of breathing problems, nausea, vomiting and diarrhea. You notice a garlic-like odor on many of the patients. You are to work as part of the triage team. Your responsibilities are to work with your team to: Use appropriate personal protective equipment Rapidly assess and prioritize patients into groups based on the severity of their presentation Appropriately utilize the START triage system to tag patients Coordinate and communicate with the decontamination and treatment teams 2T

4. You are working as in the hospital when an all hospital alert is called. Upon reporting to the Emergency Department, you learn that attendees from a Bulls game are arriving complaining of breathing problems, nausea, vomiting and diarrhea. You notice a garlic-like odor on many of the patients. You are to work as part of the treatment team. Your responsibilities are to work with your team to: Use appropriate personal protective equipment Determine which agent was most likely used based on the presentation and findings of the patients Implement the appropriate therapy, including antidote administration, if indicated Contact the appropriate authorities Coordinate and communicate with the triage and decontamination teams Keep in mind that there is a limited supply of the following antidotes available in the hospital: Sodium nitrite / sodium thiosulfate kits Mark I Atropine/Pralidoximine autoinjectors Potassium Iodide Botulism antitoxin Naloxone Ciprofloxacin It will take approximately 30 minutes to obtain additional antidotes from other hospitals, if necessary. You are working in the hospital when an all hospital alert is called. Upon reporting to the Emergency Department, you learn that attendees from a Bulls game are arriving complaining of breathing problems, nausea, vomiting and diarrhea. You notice a garlic-like odor on many of the patients. You are to work as part of the treatment team. Your responsibilities are to work with your team to: Use appropriate personal protective equipment Determine which agent was most likely used based on the presentation and findings of the patients Implement the appropriate therapy, including antidote administration, if indicated Contact the appropriate authorities Coordinate and communicate with the triage and decontamination teams Keep in mind that there is a limited supply of the following antidotes available in the hospital: Sodium nitrite / sodium thiosulfate kits Mark I Atropine/Pralidoximine autoinjectors Potassium Iodide Botulism antitoxin Naloxone Ciprofloxacin It will take approximately 30 minutes to obtain additional antidotes from other hospitals, if necessary. 2M