Chemical, Biological, Radiological, Nuclear, and high-yield Explosive (CBRNE) events have the potential to destabilize governments, create conditions that exacerbate violence or promote terrorism. This can trigger global repercussions. These events can quickly overwhelm the infrastructure and capability of the responders, especially in countries that do not have the specialized resources for response like those available in the United States. When a CBRNE incident occurs in a partner nation or other foreign country, the U.S. is often called upon to provide assistance. Interoperability - the ability to work together - among U.S. agencies, foreign governments, and responders involved in the effort is key to an efficient response. The effectiveness of the U.S. response and approach to CBRNE events in partner nations depends on the capability of the U.S. government to provide timely and appropriate assistance and the resilience of the partner nation to a CBRNE event. An All-of-Government Approach to Increase Resilience for International Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Events is the summary of a workshop convened in June 2013 by the National Institute of Standards and Technology and the National Research Council to discuss ways to strengthen the U.S. ability to prepare for and respond to CBRNE events that occur in U.S. partner nations. The workshop brought together diverse experts and stakeholders to identify capabilities that are necessary for responding to an international CBRNE event; discuss best practices and resources needed for improved interoperability of the U.S. and partner nation during response to a CBRNE event; and identify key questions that need to be addressed in follow up activities focused on improving U.S. CBRNE response in partner nations.

This book provides a comprehensive overview of the medical and operational management of blast and explosive incidents affecting civilian populations. It incorporates global lessons learned from first responders, emergency medicine providers, surgeons, intensivists, and military specialists with deep experience in handling blast injuries from point of injury through rehabilitation. The book begins with background and introductory information on blast physics, explosion types, frequency, and perspectives from the military. This is followed by a section on prehospital management focusing on medical and trauma responses, triage, psychological consequences, and operational considerations. It then examines the roles of the emergency department and ICU with chapters on planning and training, surge capacity, resilience, management of common injury types, contamination, and ventilator strategies. The next section covers surgical treatment of a variety of blast injuries such as thoracoabdominal, extremity and vascular, and orthopedic injuries. The book then discusses medical treatment of various injury patterns including lung, abdominal, extremity, and traumatic brain injury. The final section of the book covers post-hospital considerations such as rehabilitation, mental health, and community resilience. Throughout, case studies of recent incidents provide real-life examples of operational and medical management. Operational and Medical Management of Explosive and Blast Incidents is an essential resource for physicians and related professionals, residents, nurses, and medical students in emergency medicine, traumatic surgery, intensive care medicine, and public health as well as civilian and military EMS providers.

Conflict and Catastrophe Medicine - A Practical Guide provides a framework for use by health professionals visiting a resource-constrained environment. Encompassing problems brought about by local conflict or natural disasters, the book covers preparation, organisation, logistics, treatment of major trauma and medical emergencies, and the special problems of delivering medicine in a hostile environment. Conflict and Catastrophe Medicine - A Practical Guide comprehensively tackles: - self-preparation of health professionals to face a range of medical and related problems which occur in hostile and remote environments; - war and disaster medicine, covering acute management, rehabilitation, reconstruction and prevention; - bridging the fields of medicine, nursing, international relations, history, politics and economics. The book also touches on nutrition, infection, trauma, psychiatry and psychological medicine and training. James Ryan, Leonard Cheshire Professor of Conflict Recovery, Royal Free and University College Medical School, London, UK Peter F Mahoney, Consultant Anaesthetist and Honorary Senior Lecturer in Conflict Medicine, Leonard Cheshire Centre, Royal Free and University College Medical School, London, UK Ian Greaves, Lecturer in Conflict Medicine, Leonard Cheshire Centre, Royal Free and University College Medical School, London, UK Gavin Bowyer, Consultant in Orthopaedic Surgery, Southampton General Hospital, UK.

This book covers the security and safety of CBRNE assets and management, and illustrates which risks may emerge and how to counter them through an enhanced risk management approach. It also tackles the CBRNE-Cyber threats, their risk mitigation measures and the relevance of raising awareness and education enforcing a CBRNE-Cy security culture. The authors present international instruments and legislation to deal with these threats, for instance the UNSCR1540. The authors address a multitude of stakeholders, and have a multidisciplinary nature dealing with cross-cutting areas like the convergence of biological and chemical, the development of edging technologies, and in the cyber domain, the impelling risks due to the use of malwares against critical subsystems of CBRN facilities. Examples are provided in this book. Academicians, diplomats, technicians and engineers working in the chemical, biological, radiological, nuclear, explosive and cyber fields will find this book valuable as a reference. Students studying in these related fields will also find this book useful as a reference.

The baghdad zoo was once home to more than six hundred magnificent animals. But after the war in Iraq began in 2003, the city faced widespread destruction. When U. S. Army Captain William Sumner was asked to check out the state of the zoo, he found that it, too, was devastated. Hundreds of animals were missing, and the few remaining were in desperate need of care. And so Captain Sumner accepted a new mission. Together with an international team of zoologists, veterinarians, conservationists, and dedicated animal lovers, Captain Sumner worked tirelessly to save the neglected—but tenacious—animals of Baghdad. Saving the Baghdad Zoo tells the poignant stories of these remarkable animals. Meet the abandoned lions who roamed an empty palace with no food or drink; the camel, Lumpy, who survived transport through sniper fire; the tigers, Riley and Hope, who traveled 7,000 miles from home; and many more. The Baghdad Zoo, open once again to the people of Iraq, has become an oasis of hope and safety in a city where both are precious gifts.