LEADER 04608nam 22006374a 450 001 9910220108203321 005 20200520144314.0 010 $a0-8330-4061-8 010 $a1-59875-456-4 035 $a(CKB)1000000000345772 035 $a(EBL)236920 035 $a(OCoLC)475945372 035 $a(SSID)ssj0000285003 035 $a(PQKBManifestationID)11247203 035 $a(PQKBTitleCode)TC0000285003 035 $a(PQKBWorkID)10278679 035 $a(PQKB)10403922 035 $a(Au-PeEL)EBL236920 035 $a(CaPaEBR)ebr10152627 035 $a(OCoLC)936907324 035 $a(MiAaPQ)EBC236920 035 $a(EXLCZ)991000000000345772 100 $a20040804d2004 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aTriage for civil support $eusing military medical assets to respond to terrorist attacks /$fGary Cecchine ... [et al.] ; prepared for the Office of the Secretary of Defense 205 $a1st ed. 210 $aSanta Monica, CA $cNational Defense Research Institute and RAND Health$d2004 215 $a1 online resource (xxiii, 178 pages) $cillustrations 300 $a"MG-217-OSD"--Cover. 300 $a"Approved for public release, distribution unlimited." 311 1 $a0-8330-3661-0 320 $aIncludes bibliographical references. 327 $aPreface; 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 Commissions 327 $aNew 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 Military 327 $aCHAPTER 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 Authorities 327 $aObjective 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; Bibliography 330 $aEven 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. 606 $aCivil defense$zUnited States 606 $aTerrorism$zUnited States 607 $aUnited States$xArmed Forces$xMedical care 607 $aUnited States$xArmed Forces$xCivic action 615 0$aCivil defense 615 0$aTerrorism 676 $a363.34/97 701 $aCecchine$b Gary$0863714 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910220108203321 996 $aTriage for civil support$92192373 997 $aUNINA