Simulation Enhanced Training in Emergency Preparedness (STEP)

PPEPPESimulation Enhanced Training in Emergency Preparedness (STEP) course is held periodically at Brown, aimed at training healthcare providers.

The outline of the training program is shown below:

A. Background
B. Character of a Nuclear, Biological, or Chemical Terrorist Event
1. Psychogenic casualties will predominate.
2. Responding personnel are at risk for personal injury and secondary contamination.
3. An intentional attack is a criminal event and “everything” becomes evidence.
4. A terrorist incident crosses all jurisdictions.
5. The level of violence associated with terrorist acts has produced more victims and higher mortality than is typically seen in natural disasters and hazardous materials accidents.
C. Definition of Terrorism
D. Current Trends in Terrorism
1. Nuclear.
2. Biological.
3. Chemical.
4. Explosive/incendiary.
E. Properties and Characteristics of Nuclear, Biological, and Chemical Weapons
1. Nuclear (radiation).
a. Ionizing (radiation).
2. Biological agents.
3. Chemical warfare
F. Need for Preparedness

A. Background
B. Disaster Planning Misconceptions
Misconception #1: Disaster planning requires large mobilization of resources.
Misconception #2: Most of the medical care for disaster victims is provided by pre-hospital personnel.
Misconception #3: A disaster plan equals disaster planning.
C. Staff Protection
1. Personal Protective Equipment.
2. Decontamination.

A. Historical Challenges
B. Disaster Epidemiology
C. Psychogenic Casualties
D. Public Relations and the Media
E. Handling of the Dead

IV. Disaster Planning
A. Readiness Phase
B. Planning Phase
1. Develop strategies to overcome resistance to preparedness.
2. Participate in joint planning.
3. Develop mutual aid agreements.
4. Develop policies and procedures
5. Acquire necessary equipment.
6. Stockpile antidotes.
7. Take measures to ensure your hospital remains viable during a disaster.
C. Recovery Phase