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Thomas E. Terndrup, M.D.Professor and ChairDepartment of Emergency MedicineDirector, Center for Disaster PreparednessUniversity of Alabama at Birmingham
Diverse backgrounds of trainees Full responsibilities Natural outbreaks vs. attacks Rare, but high-risk Limited or no clinical experience
Bioterrorism: Challenges of Training
Screensaver Intervention:~17% increase in correct responses
38.8
52.4
59.1
75.8
0
10
20
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60
70
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% C
orre
ct
Pre-EDPost-ED
Baseline Intervention
Neisseria meningitidis Bacillus anthracis
Public Health Preparation = Bioterrorism Preparation
Naturally Occurring Bioterrorism
“Dual-Use”
The Biological Terrorist Spectrum
Lik
elih
oo
d o
f O
cc
urr
en
ce
Mass Casualty Devices/Agents
Numbers of Casualties
Hoaxes
• Classical Agents• State Sponsorship
• Many Agents• Individual/Group
Non-Mass Casualty Devices/Agents
First Point of Care:Emergency MedicinePrimary Care Providers:
Internal MedicinePediatricsOb/GynFamily Practice
Hospital Infection ControlInitial Diagnostics:
PathologyRadiology
Consultative Specialties:Infectious DiseasePulmonology and Critical CareDermatologyNephrologySurgical SubspecialtiesOther Medical Subspecialties
Medical Specialties
