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https://orsportal.pnnl.gov/en/home

Partners can help

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Bringing RITN over - increase engagement between them and local responders and healthcare, as SMEs to develop local response plans to include, immediate assessment with specific clinical markers for triage and treatment methodologies. Including assessment and treatment at a receiving facility. - Kevin A.

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Bringing RITN over - increase engagement between them and local responders and healthcare, as SMEs to develop local response plans to include, immediate assessment with specific clinical markers for triage and treatment methodologies. Including assessment and treatment at a receiving facility. - Kevin A.

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Peds Academic Society
National American Congress of Clinical Toxicology, abstracts due by 4/25

National Healthcare Coalition Preparedness Conference, November 29-December 1, Anaheim, CA Abstracts due April 13

National Pediatric Disaster Conference/ Targeted Event Readiness Forum, October 26-29, 2022, Scottsdale, AZ

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Align with existing preparedness partners

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Align with existing preparedness partners

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EMS, HCCs

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Peds readiness in dosage training material

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Peds readiness in dosage training material

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Develop a comprehensive flip guide/ pocket guide

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Staff exposure & facility contamination / spread... before the patient  exposure is identified.

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Staff exposure & facility contamination / spread... before the patient  exposure is identified.

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Outside of involvement in LEPCs healthcare coalitions and hospitals being unaware of local stores/use of toxic industrial chemicals. Many TICs are not stored in such a manner that they would or could not be exploited by opportunists. Increase awareness of local TICs to HCC and hospitals (as well as response agencies) to properly plan for MCMs. - Kevin A

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Outside of involvement in LEPCs healthcare coalitions and hospitals being unaware of local stores/use of toxic industrial chemicals. Many TICs are not stored in such a manner that they would or could not be exploited by opportunists. Increase awareness of local TICs to HCC and hospitals (as well as response agencies) to properly plan for MCMs. - Kevin A

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Incorporating ped dosing into peds training programs

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Incorporating ped dosing into peds training programs

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Peds readiness in student training

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WRAP-EM Countermeasures Group is working on a  reference that includes peds dosing

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WRAP-EM Countermeasures Group is working on a  reference that includes peds dosing

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Several references and job aids developed and available

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Access to peds toxicologists or tox academic programs

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Access to peds toxicologists or tox academic programs

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limited peds specific critical care beds or providers - across all families - of large event

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limited peds specific critical care beds or providers - across all families - of large event

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many adult facilities not comfortable caring for peds pts or sheltering in place if peds centers overwhelmed / unable to accept pts  or willing to do so

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Need more drills to practice the basics - like decontamination.

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RITN facilities are utilized for rad incidents that have happened elsewhere...they could be furthered utilized for response SMEs for a local incident. - Kevin A

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RITN facilities are utilized for rad incidents that have happened elsewhere...they could be furthered utilized for response SMEs for a local incident. - Kevin A

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Greater information shared with hospitals and community planners on the available CBRN Enhanced Response Force Package(CERFP) and CBRN Task Force. Where are they, when do you need them, how to request/activate. (Maybe include HRF - Homeland Response Force info) - Kevin A

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Greater information shared with hospitals and community planners on the available CBRN Enhanced Response Force Package(CERFP) and CBRN Task Force. Where are they, when do you need them, how to request/activate. (Maybe include HRF - Homeland Response Force info) - Kevin A

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many remain unknown  with limited pediatric  experience in response / countermeasures

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many remain unknown  with limited pediatric  experience in response / countermeasures

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Radiation Emergency Medical Management

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Hazmat Teams

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Adult-focused efforts, not as many for peds

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Adult-focused efforts, not as many for peds

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e.g., not enough peds-focused countermeasures

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Partnership w WRAPEM and other federal and organizational groups- BARDA, etc. 

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Partnership w WRAPEM and other federal and organizational groups- BARDA, etc. 

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regional silos of information and capabilities/ lack of collaboration to date

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regional silos of information and capabilities/ lack of collaboration to date

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Lists of stockpiled equipment, meds, supplies each site has. We had this set up during the Anthrax scares

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Potential shortcomings in confident and capable and safe pediatric decontamination processes/methodologies. - Kevin A

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Potential shortcomings in confident and capable and safe pediatric decontamination processes/methodologies. - Kevin A

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Radiation Injury Treatment Network

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PPN hub sites are located in biowatch cities

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Supply chain problems directly from the COVID pandemic

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Not knowing what National Guard or Reserve Units have disaster response assets, nor how to engage them in planning and response - Kevin A 

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Not knowing what National Guard or Reserve Units have disaster response assets, nor how to engage them in planning and response - Kevin A 

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Radiation

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NETEC-network of designated facilities for special pathogens

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NETEC-network of designated facilities for special pathogens

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Regulations related to CBRNE - Title III of the Emergency Planning and Community Right to Know Act (EPCRA) SATA Title II establishes requirements for federal, state, local, tribal governments and private industry regarding emergency planning and Community Right-to-Know reporting on hazardous and toxic chemicals. SARA: Superfund Amendments and Reauthorization Act

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RITN (Radiation Injury Treatment Network) Facilities across the US and  several in each COE area - Kevin A.

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RITN (Radiation Injury Treatment Network) Facilities across the US and  several in each COE area - Kevin A.

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Speaking of RITN, the "Nuke Sniffer" helicopter from DOE was grid mapping LA prior to SuperBowl got to see it in action.