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Table of ContentsDedication 11Preface 12-16Introduction 17-19Author Biography 20-21Chapter 1 Mass Casualty 22Mass Casualty Incident 22Declaration 22Initial Size Up 23Scene Size Up 23M.E.T.H.A.N.E. 24Agencies & Responders 24Emergency Medical Services 24Fire & Rescue 25Public Safety 25Specialized Teams 26Public Services 26Hospitals 27-28Mass Casualty Decontamination Line Flow 29Triage 30-32Treatment 32-33On-Site Morgue 33Transport 33-34Definitive Care 34Interim-Care Center 34-35Mass Casualty Event 35Demobilization 35-36Activating a Mass Casualty Response 36Size-Up 1 36-37Size-Up 2 37-38Pre-Response Element Set-up 38-39Functional Areas 40-41Functional Roles 42-44Mass Casualty Demobilization 45Summary 46　　　　Chapter 2 Decontamination for Mass Casualty/Mass Fatality Event 47Decontamination 47Methods 47Mass Decontamination 48Mass Hysteria & Security Aspects 48-49Mass Decontamination Equipment 50Contamination Run-Off Control 50Functions of a Decontamination Activities 50Usage 51Types of Contamination 52-53The Effects of Contamination 53-54Human Decontamination of Injured Victims 54-55Hospital Decontamination of Injured Victims 56Decontamination Exercises 56-60Internal Human Contamination 61Summary 61Chapter 3 Civil Support Team Decontamination Operations 62Decontamination Planning 63What is the Terrain? 64-65Decontamination of personal Protective Equipment 65-67Decontamination Process 67-70Casualty Decontamination 70-71Casualty Decontamination Considerations 71Site Layout 71-72Mass Casualty Decontamination 72Decontamination Procedures for Ambulatory Casualties 72-73Prepare Hypochlorite Solution 73-76Decontamination Site Clean-up 76Summary 77Chapter 4 Template Instructions for Mass Casualty Incident 78Acknowledgement 79Table of Contents 80Overview 81Purpose 81Scope 82Assumptions 82Pre-Incident Training & Exercise Schedule 83Supplies & Equipment 84Activation 85Authorization 85Authorization to Activate 85Notification 86Coordinate Staffing & Prepare Staff for Activation 87-88Deploy Supplies & Equipment 89Hospital Command Center 89Operations 89Triage 89-92Treatment 93-94Security 94Traffic Control 95Internal Security 95Law Enforcement 96Patient Processing 96-97Communications 98-99At Risk Population 99-100Family Information Center (FIC) 101FIC Activation 101Sample FIC Checklist 102Mental & Behavioral Health 103-104Staff Support Services 104Transition 104Authority to Transition 105Notify Stakeholders 106Transition of Operations 107Appendices 108Chapter 5 Triage 110Triage 110-111Triage Types 111Simple Triage 111-112Triage Tags 112Advance Triage 112-114Continuous integrated Triage 114-115Reverse Triage 115Under Triage & Over Triage 115Outcomes 116Palliative Care 116Evacuation 116Alternative Care Facilities 116Secondary (In-Hospital) Triage 117Specific System 117Practical Applied Triage 117-118Scoring System 118S.T.A.R.T. Model 119-120Hospital Systems 120-121Conventional Classification from Different Countries 121Australia & New Zealand 122Canada 122-123Japan 124Spain 124United Kingdom 125United States 125-127United States Military 127-128Limitations of Current Practices 129-131Ethical Implications 132SummaryChapter 6 Guidelines for First Responders to a Mass Casualty CBRN Incident EURO-Atlantic Partnership Council (EAPC) 134Introduction 134-135Information Gathering Assessment & Dissemination 135Scene Management 136Saving & Protecting Life 136Additional Specialist Support 136-137Chart 6.1 Information Gathering 137-138Chart 6.2 Scene Management 138-139Chart 6.3 Saving & Protecting Life 140Chart 6.4 Additional Specialist Support 141-143Summary 143-144Chapter 7 Mass Fatality 145Mass Fatalities Main Categories 145Significant Mass Fatality Incidents 146Response Functions 147Mass Fatality Management Resources 148-149Disaster Mortuary Operations Response Teams (DMORT) 150DMORT Organizations 150-151Identification of Remains 151-152Disaster Mortuary Operational Response Team (DMORT) 152-153Disaster Medical Assistance Teams (DMAT) 153-154Disaster Portable Morgue Units (DPMU) 154-155National Nurse Response Team (NNRT) 155-156National Pharmacy Response Teams (NPRT) 157-158Veterinary Medical Assistance Teams (VMAT) 158-159Critical Infrastructure Protection 159-160Sector Vision Statement 160Healthcare & Public Health Sector Specific Plan 160-161Logistics 161Operations 162Secretary’s Operation Center 162Response Operations 163Training Exercise & lessons Learned (TELL) 164Preparedness Planning 164-165Manmade Disasters 165-166Natural Disasters 166-169Summary 170Chapter 8 Mass Fatality Planning 171Mass Fatality Management 171Mass Fatality Checklist 171Mass Fatality Management Plan Template 172Overview 172Plan Maintenance 173Activation 174-175Operations 175-176Demobilization 176Public Information 177Liaison Officer 177Operations Section 177Planning Section 177Logistics Section 178Chart 8.1 Example Complex Mass Fatality Operation 178Mass Fatality management Adherence 179-180Local Agencies/Jurisdictional Support 180Summary 181Chapter 9 Mortuary Logistic Challenges of a Mass Fatality Incidents 182The Complex Problem 182-184Decedent Remains Planning & Educational Resources 184-185Table 9.1 Possible Options for Mortuary Operations 185Summary 186Chapter 10 Defense Support to Civil Authorities (DSCA) 187Defense Support to Civil Authorities (DSCA) 187Military Aid to Civil Power 187-188DSCA Authority 188DSCA Activation 189FEMA 190DSCA History 190-191Summary 191Chapter 11 General Guidelines for Hospital Mass Casualty/Mass Fatality Decontamination 192 Procedures 193General Procedures 5 steps process 193Step 1 Set up Decontamination & Support Areas 193Decontamination Corridors 194Decontamination System Design 195Safe Refuge/Observation Area 195-196Medical Triage 196Step 2 Conduct Decontamination Triage 196-197Step 3 Decontaminate Victims 197Steps to take while Victims are waiting 197-198If contamination is involved 198-199Step 4 Segregate Victims for Observation/Treatment 199-200Step 5 Release Victims 200Cold Weather Observation 200-201First Responder Considerations 201Exiting the Hot Zone 202Infant/Children & Adolescent (Pediatrics) Considerations 202-203Elderly, Pregnant Women & People with Chronic Conditions 203Recent Planning Guidance 203-204Summary 204Chapter 12 Animal Decontamination: Natural and ManmadeAnimals & DisastersAnimals & Disasters ConcernsOwners Concerns for AnimalsAnimal Care & Incident Management 1Animal Care & Incident Management 2Emergency Operation Plans & AnimalsESF#11 Agriculture & Natural ResourcesSafety & Well-Being of Household PetsResponse PoliciesDisaster ReadinessFarms & Natural DisastersProtection: Veterinary CareResponse: DiseaseResponse: Hazardous MaterialsSummaryAnimal Decontamination Flow ChartCase Study 1 Mass Casualty Management (RANA Plaza Tragedy) 205-207Case Presentation 207Case Study 1 Table 1 Patient Matrix Emergency Room 207Hospital Resources/Execution of Services 208-209Case Study 1 Table 2 Surgical Operative Procedures 210Case Study 1 Figure 1 Patterns of Anesthetic Procedures 210Discussion & Evaluation 211-214Summary 214Case Study 2 Mass Fatality Tsunami Disaster on 26 December 2004, Thailand, Indonesia 215Methods & Findings 215-216Background Information 216Purpose of this study 217-218Case Study 2 Table 1 Estimated Casualty/Fatality 218Body Recovery & Storage 219Case Study 2 Table 2 Number of Bodies Buried 219-220Identification of Victims 220Coordination & Preparedness 221Discussion of Actions 221Storage, Identification & Burials 222Coordination & Preparedness 222Summary 223Case Study 3 Mass Casualty Event Involving CBRN Incidents 224-225CBRN Challenges 225-226Decontamination Considerations 226The Principles of Decontamination 227Responding to a CBRN Event 227Scene Management 227-228CBRN Casualty Management Zones 228-229Personal Protective Equipment 229-230Hazard Monitoring Strategies 230Mass Casualty Triage 231Triage Zones 232Onsite Triage Zones (Level 1) 232-233Medical Triage Cold Zone (Level 2) 233Evacuation Triage & Loading Zone (Level 3) 234Triage Tagging 234-235Example Triage Tags 235Summary 236Lessons Learned 1 Challenges of the Management of a Mass Casualty Event 237Introduction of the Event 238Methodology of the Event 239Results of the Event 239Mechanisms of the Injuries Table 1 240Body parts Injured Table 2 241Challenges Encounter Table 3 242-244Lesson Learned & Discussion of the Event 244-250Summary 251Lesson Learned 2 International Lessons to Improve Mass Casualty/Fatality Management 2008 252Table of Contents 252International Lessons to Improve Mass Casualty Management 252Pandemic Influenza Event December 2008 252Abstract of the Event 253Introduction 254-255Methodology 255Specific Objectives & Analysis 255-257Analysis review of the Mass Casualty/Fatality Events 257Lesson Learned 2 Table 1 Largest Mass Fatality Events 258-259Major Events Selected & Key Reviews 259Lesson Learned 2 table 2 Major Events Examined 260-261Lesson Learned 2 Table 3 Successes & Failures 261-263Lesson Learned 2 Table 4 Lesson Identified 264-265Review of Benchmark Countries 266Lesson Learned 2 Table 5 Mass Fatality Management (MFM) Operation 266-268Lesson Learned 2 Table 6 National MFM Documents Accessible on the Internet 269MFM Planning in the Unites States 270Lesson Learned 2 Table 7 State & Territory Mass Fatality Management 270Summary 271-272Lesson Learned 2 table 8 Mass Fatality management Planning 272Appendices 1 Acronyms 273Appendices 2 Questionnaires 273-274Mass Casualty Challenge Scenarios Questions 277-283Answers to Scenario Questions 284-288Glossary 289-324Bibliography 325-336

Drawing together three Shakespearean plays, &#34;The Regal Phantasm&#34; explores the relationship between theatre and power in the English Renaissance. Pye explores theatre&#39;s role in forming a distinct theory of sovereignty and political subjectivity.

The regal phantasm : Shakespeare and the politics of spectacle