This guide to clinical management and health protection in major incidents, including chemical, biological, radiological and nuclear (CBRN) incidents, has been written primarily for front line healthcare professionals in emergency departments, but we hope that it will also be useful to others including healthcare professionals in other specialities, such as primary care and public health, emergency planners, trainers and emergency service personnel.
Although this guide is primarily about accidental or deliberate release of CBRN agents it also has some sections which are of wider relevance in other emergencies and outbreaks of infectious disease.
Please read the 'About this guide' section at the start of the document for further information on the guide and how to use it.
If you are a member of the public and concerned about the effects of an incident further information and advice is available through your local GP, or by contacting NHS Direct on 0845 46 47 or on the NHS Direct website at http://www.nhsdirect.nhs.uk.
The HPA provides training in preparedness for, and management of, major incidents including CBRN. Further information can be found on the Emergency Preparedness and Response Training pages or by contacting the Emergency Response Department training team at the HPA Centre for Emergency Preparedness and Response, Porton Down, Wiltshire.
Please be aware that this is a large file, and downloading may take some time.
These materials may be reprinted or reproduced by any United Kingdom National Health Service or Health Protection Agency personnel (including their equivalent bodies in Scotland, Wales, and Northern Ireland).