CBRN—Managing the Threat Efforts Have Been Made Under the Responsibility of CESU (Emergency Teaching Centre)

s94 Abstracts-NATO 2009

CBRN—Managing the Threat efforts have been made under the responsibility of CESU (emergency teaching centre). First, voluntary health profes- CBRN Medical Support of the French Groupe sionals who also are medically fit are chosen to run a D'Intervention De La Gendarmerie Nationale decontamination area at the entrance to their hospitals. 1 1 These people are trained for nine hours and receive a diplo- Patrick Hertgen; Se'bastien Peyrefitte; Virgile Apparu? 1 1 1 ma that is valid for two years. Second, anybody working in Yann Le Vaillant; Fabrice Caste/; Erwan Legonidec; 1 hospitals has to be trained in emergency procedures every Benoit Houze' 1. Centre Medical de Satory, Groupe d'Intervention de la four years including general information on CBRN risks. Gendarmerie National, France These subjects must be taught in a hands-on manner with 2. Groupe d'Intervention de la Gendarmerie National, France the objective of changing traditional health professionals' perceptions. Finally, training is a continuing learning and Introduction: The French Groupe d'Intervention de la adapting process. Gendarmerie Nationale (GIGN) is a police special force Keywords: chemical, biological, radiological, or nuclear; decontamination; hospital personnel; training unit from the military. Its main missions are counter-terror- Prthosp Disast MeJ 2010;25(5):s94 ism, fight organized crime, and also protection and security of vital keypoints of the nation and state, in France and Human Factors and Medicine Panel Activites— overseas as well. The GIGN is trained to work under chem- Human Protection Against CBRN ical, biological, radiological, or nuclear (CBRN) conditions. John Frazier Glenn The aim of this study is to improve CBRN medical support. NATO Human Factors and Medicine Panel Methods: An in-depth literature analysis was conducted to the great expertise of the GIGN medical unit and of the Introduction: NATO nations continue to be concerned French Service de Sante des Armees. regarding the impact of chemical, biological, radiological, Results: Before a mission, the physicians of the military are or nuclear (CBRN) attacks, both in terms of conventional key actors to train soldiers to face CBRN conditions. They force deployments, as well as the ever-increasing threat of define medical counter-measures including personal pro- terrorist attacks using CBRN materials against civilian tective equipment (PPE) and antidote kits including populations. The Human Protection Area recently has Ineurope® auto-injecting syringes that contain atropine, examined, or is currently examining, Radiation Bio-effects, pralidoxim, and diazepam. Risk management of exposure to chemicals under operational During the mission, the medical units, including the conditions, Chemical Agent Protection (Non-Medical), GIGN, are able to move and work in contaminated areas. Application of Emerging Nano- and Bio-Technology to They can initiate the medical care of classic soldier wounds Deployable Laboratories, the State-of-the-Art in Research and CBRN contaminated wounds as well. The impact of on Medical Countermeasures Against Biological Agents, the pharmaceutical and antidote kits and specific training and Integration of CBRN physical protective measures to are of great importance to accomplish the medical mission lessen the burden on personnel. while wearing PPE. They can also strengthen CBRN Methods: This presentation will describe recent Human decontamination modules of the Gendarmerie. Factors and Medicine (HFM). Panel technical activities Conclusions: The CBRN risk must be considered for related to medical CBRN defense, with emphasis on Special Force medical unit: training, constantly adapting human protection, will summarize some of the main find- the protective equipment and specific therapeutics to the ings from those activities. risk is a major challenge. Results: In preparation. Keywords: chemical, biological, radiological, or nuclear; decontamination; French Groupe d'Intervention; military Conclusions: The NATO HFM Panel Technical Prehosp Disast Mid 2010;25(5):s94 Activities provide an opportunity for other NATO organi- zations to benefit from the efforts conducted with the sup- Training of French Hospital Personnel in CBRN port of the Research and Technology Agency of the Decontamination Research and Technology Organization. Catherine Bertrand; Eric Lecarpentier; Alain Margenet Keywords: chemical, biological, radiological, or nuclear; defense; SAMU 94—APHP—Samu de France Human Factors and Medicine Panel; protection Pnhasp Disast Mid 2010;25(5):s94 In France, the hospital health plan known as the white plan Prediction of the Severity of Acute Radiation Syndrome contains specific sections to deal with chemical, biological, radiological, or nuclear (CBRN) risks. The training of per- Severity MariaDruzhinina;1 M. Kuniak? T.V. Azizova;1 sonnel and the organization of exercises are mandatory 2 2 2 within the plan. This training began in 2002 after the con- A. Zhang,- R. Day; N. Wald 1. Southern Urals Biophysics Institute (SUBI) ception of a civil-military doctrine by a national steering 2. University of Pittsburgh, Pittsburg, Pennsylvania USA committee. Four-day training seminars occurred at a national then zonal level, and then, were divided into two- Recent decades have been characterized by a steady growth day seminars for additional teachers. Since 2002, these in the number of contingents exposed to various ionizing additional teachers trained > 30,000 people from emer- radiation sources. Compliance with all safety procedures gency services in one-day seminars. Since 2006, additional and regulations does not exclude a possibility of radiation

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