A trauma preparedness training was created to support resilience capacities for unarmed civilian protection (UCP) workers given the traumatic exposure that comes with engaging in their work. The theoretical framework used the five principles of psychological first aid to organize and inform the creation of five psychoeducation modules. Each module focuses on trauma preparedness underpinned by a review of psychophysiological, cognitive-affective, and social psychological theories related to stress, trauma, and resilience. The training format used scenarios and composite characters to provide a thorough evidence-based program of trauma informed psychoeducation and skill building and includes 94 slides in a PowerPoint presentation. The training was developed specifically to meet the needs of the Nonviolent Peaceforce (NP), a non-profit UCP organization, whose staff provided consultation and feedback for this project. More broadly, the training modules also provide a framework for trauma resilience training for those engaged in UCP and other humanitarian endeavors working in areas experiencing armed conflict.

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

“What a wonderful resource!"--Doody's Medical Reviews “The 4th Edition is unique in recognizing the rapid changes in both the causes of crises and the latest attempts to provide timely multidisciplinary approaches to the practice of this growing specialty...Evident throughout this edition is the call to identify crisis leadership among the increasingly talented base of nurses who have responsibility to move the profession to recognize and accept that they can be advocates for better planning, coordination, education and training.” - Frederick M. Burkle, Jr., MD, MPH, DTM, PhD(Hon.), FAAP, FACEP Senior Fellow & Scientist, Harvard Humanitarian Initiative, Harvard University & T.C. Chan School of Public Health From the Foreword “This impressive edition builds upon the solid foundation of the first three award-winning editions with an expanded focus on climate change related disasters, globalization and its implications for emerging and re-emerging infectious diseases, the accommodation of high-risk, high-vulnerability populations, and the potential for disaster arising from a world witnessing increasing community violence and civil unrest.” -Patricia M. Davidson, PhD, MED, RN, FAAN Professor & Dean, Johns Hopkins School of Nursing From the Foreword “The contributing authors read like a “Who’s Who” of disaster leaders. They lend their special expertise and insights, which are supported and elucidated by cogent learning strategies in the use of case studies, student questions, and packed content in all areas of disaster participation, preparedness, policies, and research. For over 16 years [this book] has been the hallmark text in its field and this edition proves to be the best ever.” -Loretta C. Ford, RN, PNP, EdD Dean Emeritus, University of Rochester School of Nursing Founder of the National Nurse Practitioner Program Member, National Women’s Hall of Fame Featuring the most current, valid, and reliable evidence-based content available, this three-time AJN winner once again presents an unparalleled resource for disaster and emergency preparedness. Disasters lay heavy burdens upon healthcare systems that stretch all levels of society. While natural and man-made disasters are not new, the global nature, rate, type, and totality of their impact has only increased. The fourth edition of this foundational text uniquely addresses the rapid changes in these crises and analyzes the latest attempts to provide timely, multidisciplinary healthcare. Nurses consistently comprise seventy or more percent of responders to local, national, regional, and global crises, and represent a potentially untapped resource to achieve surge capacity goals and optimize population health outcomes. Considering recent world events and increasing geopolitical tensions, Disaster Nursing and Emergency Preparedness, Fourth Edition now features expanded content on the ubiquitous threat of terrorism, potential detonation of thermonuclear weapons, emerging and reemerging infectious diseases, and increasing frequency and intensity of natural disasters from climate change. This text promotes competency-based expert nursing care during disasters and positive health outcomes for small and large populations consistent with the Federal Disaster Response Framework. Whenever possible, content is mapped to published core competencies for preparing health professions’ students for response to terrorism, disaster events, and public health emergencies. The fourth edition retains the clearly organized format in each chapter that includes an overview, learning objectives, a summary, and case study with reflective questions. New to the Fourth Edition: Addresses the most recent landmark agreements Sendai Framework for Disaster Risk Reduction 2015–2030, the United Nations’ Sustainable Development Goals, and the Paris Climate Agreement Covers public health emergencies involving community violence and civil unrest Expands coverage of planning for and accommodating high-risk, high-vulnerability populations Aligns with the U.S. National Health Security Strategy and the National Planning Frameworks Provides focused content on medical countermeasures Includes an improved instructor package with guide, PowerPoint slides, and case studies with questions for reflection in every chapter

Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

This fully revised edition of Communicating Emergency Preparedness: Practical Strategies for the Public and Private Sectors includes timely case studies, events, and references to articles and opinions about the direction of emergency preparedness communication. The authors draw upon their professional endeavors to inject a new sense of practicality to the text. New images displaying emergency preparedness campaigns are used to further illustrate the materials being presented. For instructors and practitioners alike, this book continues to provide the how-to instruction that is often required, and will only improve upon the success of the first edition in doing so.