04608nam 22006374a 450 991022010820332120200520144314.00-8330-4061-81-59875-456-4(CKB)1000000000345772(EBL)236920(OCoLC)475945372(SSID)ssj0000285003(PQKBManifestationID)11247203(PQKBTitleCode)TC0000285003(PQKBWorkID)10278679(PQKB)10403922(Au-PeEL)EBL236920(CaPaEBR)ebr10152627(OCoLC)936907324(MiAaPQ)EBC236920(EXLCZ)99100000000034577220040804d2004 uy 0engur|n|---|||||txtccrTriage for civil support using military medical assets to respond to terrorist attacks /Gary Cecchine ... [et al.] ; prepared for the Office of the Secretary of Defense1st ed.Santa Monica, CA National Defense Research Institute and RAND Health20041 online resource (xxiii, 178 pages) illustrations"MG-217-OSD"--Cover."Approved for public release, distribution unlimited."0-8330-3661-0 Includes bibliographical references.Preface; Contents; Figures; Tables; Summary; Acronyms; CHAPTER ONE- Introduction; Background; Research Objectives and the Influence of September 11; Research Methods; Terminology; How This Report Is Organized; CHAPTER TWO- The Military Health System and Military Support to Civil Authorities; The Two Primary Missions of the Military Health System; DoD Organization, Guidance, and Planning; Limitations to Consider When Planning for Military Assistance; CHAPTER THREE- The Evolution of Structures, Systems, and Processes for Domestic Preparedness; Recommendations from National CommissionsNew Players and New Roles in Homeland Security The Role of DoD in Civil Response: An Overview; CHAPTER FOUR- Legal and Other Barriers to Military Support to Civil Authorities; Constitutional and Historical Bases for Use of the Military Domestically; Statutory and Regulatory Authorities Enabling the Use of Military Assets to Support Civil Authorities; Legal Liabilities Implicated by the Use of Military Medical Assets to Support Civil Authorities; Distinguishing Between Homeland Defense and Civil Support; Nonlegal Constraints on the Use of the MilitaryCHAPTER FIVE- Military Medical Support to Civil Authorities: Historical Case Studies DoD's Role in Medical Response; Research Methods for Case Studies; Hurricane Andrew Background; Government and Military Response to Hurricane Andrew; Hurricane Marilyn Background; Government and Military Response to Hurricane Marilyn; Tropical Storm Allison Background; Government and Military Response to Tropical Storm Allison; What Lessons Can Be Learned from These Case Studies?; A Conceptual Framework for Response; CHAPTER SIX- Exercise-Based Studies of Potential Military Medical Support to Civil AuthoritiesObjective Exercise Methods; The Georgia Exercise: Smallpox Attack; The California Exercise: Radiological Dispersion Device Attack; Conclusions; CHAPTER SEVEN- Conclusions and Recommendations; Conclusions; Recommendations; APPENDIX A- Interview Protocol; APPENDIX B- Organizations Interviewed and Exercise Participants; APPENDIX C- DoD Directives Related to Civil Support; APPENDIX D- Materials Used in Georgia Exercise; APPENDIX E- Smallpox Outbreak Model Used in the Georgia Exercise; APPENDIX F- Excerpt of Quadrennial Defense Review; BibliographyEven before September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States.Civil defenseUnited StatesTerrorismUnited StatesUnited StatesArmed ForcesMedical careUnited StatesArmed ForcesCivic actionCivil defenseTerrorism363.34/97Cecchine Gary863714MiAaPQMiAaPQMiAaPQBOOK9910220108203321Triage for civil support2192373UNINA