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To what extent should non-medical personnel/managers make medical decisions during a bioterrorist incident?

May 22, 2021
Christopher R. Teeple

Discussion RequirementsA substantive comment should be approximately 300 words or more for the response (A total of 1 response).Read the initial comments posted by your classmates and reflect upon them.Before writing your comments:Review the Discussion grading rubric to see what is expected for an excellent discussion, in order to earn full credit.

Review some resources to help you synthesize, such as the following:
Sullivan, J. (2011). Strategies for Synthesis Writing. Retrieved from http://www.findingdulcinea.com/features/edu/Strategies-for-Synthesis-Writing.htmlNOTE: You are required to cite sources and include a reference list for the second post if it is simply your opinion.

However, if your opinion is based on facts (as it should be), it is good practice to strengthen your position by citing sources.Be sure to meet all of the criteria in the rubric, as noted in the instructions above.Third post for each module discussion:Read the initial and secondary comments posted by your classmates and reflect upon them.

Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.MY POSTClassmates and Professor,Question 1.In such cases, should the ICS be commanded by a public health official/EMS Chief/MD rather than the police and fire units?

When emergency medical personnel are called up to transport patients who could easily spread infectious diseases, they should be extremely careful. They should be donned with personal protective equipment, and they should have their mouth and nose covered so that they may not be infected by the various diseases that the patients are suffering from(Nizolenko & Bachinsky, 2014). Emergency medical personnel should be allowed to lead or command a station where the bioterrorist attack has occurred, and people are badly injured.

They should be allowed to lead the evacuation process while the police offer security to them and the patients. Bioterrorism uses biology to manufacture a disease that terrorists can use to attack people for their own political and financial gain. It is a disease manufactured in the laboratory and used to attack people, and it is used as an act of terrorism.Some of the diseases that can be manufactured and released to people are Anthrax and Smallpox.

These diseases take some days before the patients become ill, and therefore, the affected people may not need transport to the hospital(Aschenbrenner, 2018). Instead, they will most likely walk into the hospital when they find that they have symptoms of these diseases. When they get into the hospitals, they are treated by receiving vaccines or antibiotics, and the emergency medical personnel treats them.

Question 2

To what extent should non-medical personnel/managers make medical decisions during a bioterrorist incident?Non-medical personnel can take the lead in an operation when the terrorist attack has no injuries, and the damage that a terrorist attack has done does not involve people.

For example, if the target was on a building and there are no injuries reported, the police or other professionals who handle crime can be trusted to lead in investigating the incident; when the attack involves weaponry that the medical personnel cannot understand, then it the work of the police to call in ballistics who have knowledge and skills in the weapons so that they can determine how to handle the situation (Grundmann, 2014).

On the bioterrorist, if the attack involves the use of chemicals that the medical personnel is unable to understand, the experts should be called in to determine the kind of chemicals that have been used.

Emergency medical personnel may not lead the investigations when the attack involves diplomacy of two or more countries. The experts in the ministry of foreign affairs should lead the process of building talks between countries affected to reach an amicable solution (Green et al., 2019). If a country attacks another country, then the discussions cease to be local and become international where serious talks should be held between those two countries.

If the two cannot reach a consensus, then bodies such as United Nations may lead the talk to bring the two fighting countries into a consensus. In a nutshell, medical personnel should lead post in case of a bioterrorist attack, and there are other times that the police or the ministry concerned should lead the investigations. PedroReferencesAschenbrenner, D. (2018). Drug Approved to Treat Smallpox After a Bioterrorist Attack. AJN, American Journal Of Nursing, 118(11), 21. https://doi.org/10.1097/01.naj.0000547660.47166.0fGrundmann, O. (2014). The current state of bioterrorist attack surveillance and preparedness in the US. Risk Management And Healthcare Policy, 177.

https://doi.org/10.2147/rmhp.s56047Green, M., LeDuc, J., Cohen, D., & Franz, D. (2019). Confronting the threat of bioterrorism: realities, challenges, and defensive strategies. The Lancet Infectious Diseases, 19(1), e2-e13. https://doi.org/10.1016/s1473-3099(18)30298-6Nizolenko, L., & Bachinsky, A. (2014). Universal Local Epidemic Model and Its Usage in the Assessment of Novosibirsk Region Resource Preparedness to a Bioterrorist Attack. Problems Of Particularly Dangerous Infections, (4), 21-24. https://doi.org/10.21055/0370-1069-2014-4-21-24PROFESSOR’S QUESTION:Can you think of any potential issues created by the medical personnel not having a leadership role?

My 1st Response:The Potential Issues Created By the Medical Personnel Medical leadership has influential powers in every aspect of life and challenges, even during times of emergency. Despite the complexities in the medical environment, leaders can handle situations in crises and stressful situations. Therefore, lack of medical leadership during emergencies or stressful situations might be catastrophic to the patient, victims, and response teams. Effective administration in the medical profession ensures proper resource allocations.

Due to the uncertainty and complexities of the medical environment, medical personnel without leadership are likely to create potential issues. A lack of leadership role makes potential issues in some situations, including failure to establish order, inadequate resource allocation, and poor needs assessment (Hershkovich et al., 2016). Although medical personnel is required to make decisions in their profession, leadership involves examining problems by stepping a lack of view systemically and broadly.

Medical personnel without leadership roles lack the skills and experience to maintain order to make things move, especially during emergencies or disasters. In some situations, there is a need to get on top of the problem and establish order in order to deliver the appropriate help. Understanding how to achieve that in stressful situations might be difficult for any medical personnel without leadership skills, creating a bigger issue (Hershkovich et al., 2016).Appropriate resource allocation is vital in responding to any medical situation, even in emergencies.

Personnel without leadership skills cannot recognize needs by analyzing complex environments to evaluate what and where particular help is required. Leadership skills or experience gives the ability to assess and know where and what is needed ensures rapid deployment of necessary resources and personnel. Moreover, often communication issue arises among the population and the staff when the person lacks leadership control.

Leaders often make informed decisions rapidly with their ability to adapt to rapidly changing and unfamiliar conditions through ongoing self-assessment. Generally, lacking a leadership role creates the inability to quickly organize and control situations to enable everyone to work towards a common goal (FEMA, 1999).PedroReferences FEMA (1999). INCIDENT COMMAND SYSTEM FOR EMERGENCY MEDICAL SERVICES. From

https://fire.nv.gov/uploadedFiles/firenvgov/content/bureaus/FST/ICSforEMS_SM.pdfHershkovich, O., Gilad, D., Zimlichman, E., & Kreiss, Y. (2016). Effective medical leadership in times of emergency: a perspective. Disaster and Military Medicine, 2(1), 1-5. From https://doi.org/10.1186/s40696-016-0013-8PROFESSOR’S QUESTION:When referring to resource allocation, do you think that certain materials should be stockpiled – kept in storage for potential disasters?

__________________________________________________________________________________________________Module 3 – BackgroundDISASTER PREPAREDNESSRequired ReadingHow to prepare for a wildfire. (2014). FEMA. Retrieved from https://www.fema.gov/media-library-data/1409003859…State of California Emergency Plan. (2017). Retrieved from http://www.caloes.ca.gov/PlanningPreparednessSite/…2018 National Preparedness Report. (2018). Retrieved from https://www.fema.gov/media-library-data/1541781185…Required WebsitesCalifornia Office of Emergency Services: http://www.caloes.ca.gov/California Wildfires (DR-4344). FEMA:

https://www.fema.gov/disaster/4344California Wildfires (DR-1731). FEMA: https://www.fema.gov/disaster/1731Plan and Prepare for Disasters. DHS: https://www.dhs.gov/topic/plan-and-prepare-disaste…Wildfire Mitigation. FEMA: https://www.fema.gov/hmgp-appeal-keywords/9155
Requirements: Instructions provided above.

 

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