All-Scenario Medical and Public Health Response for Chemical, Biological, Radiological, Nuclear, and Explosive Incidents Restricted; Files & ToC

Stull, Joseph (Spring 2018)

Permanent URL:




Chemical, biological, radiological, nuclear, and explosive (CBRNE) incidents can occur as a result of deliberate use or through accidental means.  Response guidelines and handbooks focus primarily on acts of CBRNE violence.  However, as CBRNE incidents can occur through accidents this SSP places emphasis on an all-scenario approach to these incidents.  Through an all-scenario approach, CBRNE first responders can aid in a wider range of incidents. For example, the contrast between cyanotic pesticides that were released into the atmosphere in an industrial accident in Bhopal, India, and the deliberate use of sarin gas in a subway in Tokyo, Japan, for political goals demonstrates the need to have an all-scenario approach to response.


In addition to focusing primarily on acts of violence, most of the emphasis in current guidance has been placed on medical treatment of CBRNE victims following an incident.  These incidents can cause devastating and long-term impacts on victims and community members and little emphasis has been made to integrate public health practice into initial CBRNE incident response to mitigate these long-term effects. This project begins the integration process of public health practice into initial incident response.  


In order to fulfill this integration goal, a medical and public health response manual was created.  This is accomplished by providing medical countermeasures relating to clinical features, diagnosis, and treatment options along with public health practice including infection control, decontamination, post-incident mental well-being, surveillance, working with law enforcement, and after-action reviews.   Through the integration of these measures, response to CBRNE incidents will become more comprehensive.  


Integrating these changes to the response systems should continue to provide competent on-site medical care, while improving the overall well-being of the community as it works to rebuild.  These changes are designed around improving long-term outcomes during the recovery phase after the incident. 

Table of Contents

This table of contents is under embargo until 21 May 2020

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
  • English
Research field
Committee Chair / Thesis Advisor
Partnering Agencies
Last modified No preview

Primary PDF

Supplemental Files