You are here: Home > Response Planning		Planning Guidance for Response to a Nuclear Detonation, 1/2009 (Homeland Security Council) Key Response Planning Factors for the Aftermath of Nuclear Terrorism, 8/2009 (Lawrence Livermore National Laboratory) Population Monitoring in Radiation Emergencies: A Guide for State and Local Public Health Planners, 8/2007 (HHS/CDC)    New Users: Where Do I Start? What's New on REMM Patient Management Algorithms Print Algorithms & Tables Isotopes of Interest Countermeasures Decontamination Procedures Dose Estimator for Exposure Manage ARS Subsyndromes Multi-organ Dysfunction Syndrome Hematopoietic Subsyndrome Cutaneous Radiation Syndrome Time/Dose Effects in ARS Time Phases of ARS Strategic National Stockpile Animations, Illustrations, Photos Dictionary Emergency Contacts Download REMM (6/2009) Download Mobile REMM (6/2009)    AFRRI AHRQ CDC CRCPD DHS DOE EPA FDA HHS   HPS IAEA ICRP NCRP NRC OSHA REAC/TS RITN WHO
	Response Planning Introduction Key Federal Disaster Response Planning Documents Key US Radiation-specific Response Plans Incident Command System (ICS) Incident Command System for Medical Entities State, Territorial, Tribal, and Local Government Disaster Planning Selected National and International Radiation-specific Response Planning Documents Introduction Disaster response plans describe how various governmental and private sector entities are supposed to function individually and collaboratively during a disaster in order to protect the public and key infrastructure and continue to perform their missions. Hospitals, public health agencies and other health entities also have response plans specific for their missions. Planning details Some plans are appropriate for all types of incidents: "all hazard" plans. Some plans are hazard-specific e.g., chemical, biological, radiological, nuclear, natural disasters Hazard-specific response plans typically contain the critical elements of "all hazard" plans but also include modifications that address hazard-specific features Effective plans are Developed collaboratively by all potential participants Integrated into plans that will be used by others participating in the response Communicated to all those who will perform activities specified by the plan Practiced in formal drills or exercises Updated regularly to reflect lessons learned in formal exercises The nature, scope, and location of a mass casualty disaster will significantly affect the implementation of any response plan The documents featured below provide an overview of some of the current key documents relevant to medical response planning. The list is not exhaustive. If you are new to the planning process, please refer to pre-existing documents for your jurisdictions and workplace In 2009, the Institute of Medicine published a detailed document (purchase required) reviewing US medical preparedness to respond to a terrorist muclear event. top of page Key Federal Disaster Response Planning Documents From the President of the United States Homeland Security Presidential Directives From the Department of Homeland Security (with interagency collaboration) National Preparedness Guidelines: define what it means for the Nation to be prepared (PDF - 560 KB) (DHS, September 2007) DHS Releases National Preparedness Guidelines: press release Four elements of the National Preparedness Guidelines The National Preparedness Vision: "A nation prepared with coordinated capabilities to prevent, protect against, respond to, and recover from all hazards in a way that balances risk with resources and need." The National Planning Scenarios (PDF - 3.04 MB) (DHS, Version 20.1 Draft, April, 2005) Fifteen detailed, high-consequence threat scenarios See Scenario 1: Improvised Nuclear Device See Scenario 11: Radiological Dispersal Device The Universal Task List (UTL) Includes Menu of 1,600 unique tasks Presents a common vocabulary The Target Capabilities List (TCL): Defines 37 specific capabilities that communities, the private sector, and all levels of government should collectively possess in order to respond effectively to disasters. National Response Framework (NRF) Guiding principles that enable all response partners to prepare for and provide a unified national response Establishes a comprehensive, national, all-hazards approach to domestic incident response. NRF Incident Annexes: responses to specific hazards Nuclear/Radiological Incident (Current as of 6/08) Biological Incident (Current as of 8/08) Incident Annex Introduction Catastrophic Incident (Current as of 11/08) Food and Agriculture Incident(Current as of 8/08) Mass Evacuation (Current as of 6/08) Cyber Incident Terrorism Incident Law Enforcement and Investigation Worker Safety and Health Support Annex (PDF - 85 KB) National Response Framework Training Courses from FEMA National Incident Management System (NIMS) "Systematic, proactive approach to guide departments and agencies at all levels of government, nongovernmental organizations, and the private sector to work seamlessly to prevent, protect against, respond to, recover from, and mitigate the effects of incidents, regardless of cause, size, location, or complexity, in order to reduce the loss of life and property and harm to the environment." National Infrastructure Protection Plan (PDF - 4.5 MB) (DHS, 2009) HHS: Explaining Federal Declaration of Public Health Emergency Ray J. Federal declaration of a Public Health Emergency. Biosecur Bioterror. 2009 Sep;7(3):251-8. [PubMed Citation] HHS: Explaining Food and Drug Administration's Emergency Use Authorization Sherman SE, Foster J, Vaid S. Emergency Use Authority and 2009 H1N1 influenza. Biosecur Bioterror. 2009 Sep;7(3):245-50. [PubMed Citation] Emergency Use Authorization of Medical Products (HHS/FDA) top of page Key US Radiation-specific Response Plans Nuclear/Radiological Incident Annex to the National Response Plan (Current as of 6/08) Planning guidance for response to a nuclear detonation, 1/2009 (Homeland Security Council) Planning Guidance for Protection and Recovery Following Radiological Dispersal Device (RDD) and Improvised Nuclear Device (IND) Incidents (PDF - 394 KB) (DHS/FEMA, published in Federal Register, August 1, 2008, Z-RIN 1660-ZA02) EPA Manual of Protective Action Guides and Protective Actions for Nuclear Incidents (PDF - 15.57 MB) (EPA 400-R-92_001, May 1992. Currently under revision.) Radiological Emergency Preparedness Program Manual, Draft, nuclear power plant safety planning, released for public comment, May 18, 2009 (PDF - 1.53 MB) See also: Develop a Radiation Response Plan See also: Equip an Emergency Department for Decontamination top of page State, Territorial, Tribal, and Local Government Disaster Planning Department of Homeland Security template for all hazard disaster planning: Developing and Maintaining State, Territorial, Tribal, and Local Government Emergency Plans (PDF - 4.49 MB) (DHS, March 2009) Consult plans for your own local jurisdiction and workplace Planning for medical care with scarce resources: In mass casualty situations when there are scarce resources, it may become necessary to implement "crisis standards of care" for medical activities. Guidance on creating, and implementing these standards is the subject of a recent report from the Institute of Medicine. (2009, purchase required) Brief summary is available without a fee (PDF - 319 KB). Response planning for radiation mass casualty events (selected documents) Planning Guidance for Response to a Nuclear Detonation, First edition, 1/16/2009 (PDF - 1.69 MB) (Homeland Security Council Interagency Policy Coordination Subcommittee for Preparedness and Response to Radiological and Nuclear Threats) Key Response Planning Factors for the Aftermath of Nuclear Terrorism (PDF - 4.52 MB) (Lawrence Livermore National Laboratory, August 2009) Hrdina CM, Coleman CN, Bogucki S, Bader JL, Hayhurst RE, Forsha JD, Marcozzi D, Yeskey K, Knebel AR. The "RTR" medical response system for nuclear and radiological mass-casualty incidents: a functional TRiage-TReatment-TRansport medical response model. Prehosp Disaster Med. 2009 May-Jun;24(3):167-78. [PubMed Citation] Planning Guidance for Protection and Recovery Following Radiological Dispersal Device (RDD) and Improvised Nuclear Device (IND) Incidents (PDF - 394 KB) (DHS/FEMA, published in Federal Register, August 1, 2008, Z-RIN 1660-ZA02) See also: Surge Capacity top of page Incident Command System (ICS) ICS is one part of NIMS What is Incident Command, Unified Command? (OSHA) Incident Command System (ICS) — description and organizational charts (OSHA) top of page Incident Command System for Medical Entities Hospital Incident Command System One university's suggested method of implementing the Incident Command System for Public Health Agencies (School of Public Health, University at Albany, State University of New York) top of page Selected National and International Radiation Event-specific Response Planning Documents International Agency for Atomic Energy (IAEA) Triage, Monitoring and Treatment - Handbook for management of the public in the event of malevolent use of radiation (Registration required for download) (TMT Handbook Partners) Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event. Workshop Report. (Institute of Medicine of the National Academies. June 15, 2009. Purchase required.) Public Health Preparedness and Response to Chemical and Radiological Incidents — Functions, Practices, and Areas for Future Work (RAND Corporation, 2009, TR-719-DHHS) Key Response Planning Factors for the Aftermath of Nuclear Terrorism (PDF - 4.52 MB) (Lawrence Livermore National Laboratory, August 2009)

REMM Home | About REMM | Contact Us | Accessibility | Privacy Policy | Copyright | Disclaimers | The White House | USA.gov