The National Fire Protection Association (NFPA) is a global, self-funded, nonprofit organization, devoted to eliminating death, injury, property and economic loss due to fire, electrical and related hazards.
The NFPA currently publishes more than 300 codes and standards, and about one third of these directly address emergency response and responder safety. These standards help govern responder training, professional qualifications, personal protective equipment, health and safety, and more.
In January 2020, the NFPA launched its Emergency Response and Responder Safety (ERRS) Consolidation Project, to condense this subset of roughly 100 ERRS standards into a more manageable, smaller set of about 30 documents, organized topically. The consolidation project will streamline the usability of the ERRS standards and will facilitate coordination among Technical Committees overseeing related codes and standards. All ERRS documents were scheduled for consolidation in five groups, to be addressed in group order over the course of five years.
The first set of standards from Group 1 has recently been released, consolidating 15 separate codes and standards into just five documents.
Among these first five consolidated documents is NFPA 470: Hazardous Materials/Weapons of Mass Destruction (WMD) Standard for Responders. NFPA 470 was ideally suited to be one of the first to consolidate, as the three separate standards that comprise it were overseen by a single technical committee.
Two training competency standards and one professional qualifications standard were combined into the new NFPA 470:
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NFPA 472: Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents.
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NFPA 473: Standard for Competencies for EMS Personnel Responding to Hazardous Materials/Weapons of Mass Destruction Incidents.
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NFPA 1072: Standard for Hazardous Materials/Weapons of Mass Destruction Emergency Response Personnel Professional Qualifications.
In an NFPA podcast interview last month, the chair of the NFPA Technical Committee for the Hazardous Materials/WMD Standard for Responders stated that the new NFPA 470 was not a simple consolidation, but was also a content update of the three legacy standards. NFPA documents are revised in three-year cycles, and this process will be maintained after the consolidation.
NFPA 470 is available now in electronic and hardcopy formats. To learn more about the NFPA’s ERRS Consolidation Project and the schedule for releases of additional consolidated standards, visit the NFPA’s ERRS page and check out the recent NFPA podcast.
(Source: NFPA)
In October, the Cybersecurity and Infrastructure Security Agency (CISA) released its Infrastructure Resilience Planning Framework (IRPF), a flexible framework that can be used by planners in state, local, tribal, and territorial (SLTT) governments and regional planning commissions, and by infrastructure owners and large manufacturing clusters to help identify critical infrastructure, understand interconnected infrastructure systems, assess related risks, and develop and implement resilience solutions.
To supplement the IRPF, in November CISA released an Infrastructure Dependency Primer (IDP). The IDP contains a series of short videos, animations, interactive graphics, and guidance to address fundamental concepts related to infrastructure, dependencies, and resilience planning. The IDP is intended to help SLTT planners and decisionmakers better understand how infrastructure dependencies can impact community risk and resilience and how to incorporate that knowledge into ongoing community planning.
The IDP is organized into three main sections, which provide basic instruction on important topics:
- LEARN: Essential community functions, enabling infrastructure systems, and infrastructure dependencies.
- PLAN: Resilience, the role of infrastructure stakeholders in planning processes, and methods for incorporating dependencies into planning.
- IMPLEMENT: Actions for improving resilience, case study examples, and available resources.
CISA’s IRPF and the new IDP are developed as part of its Infrastructure Development and Recovery (IDR) Program. The IDR Program works with federal and SLTT government officials and infrastructure owners and operators to plan, design, and implement solutions that enhance the security and resilience of critical infrastructure against a variety of threats.
(Source: CISA)
New virtual training on identification and treatment of sepsis in disaster settings
Medical responders have a new resource at their disposal to help in identifying and treating sepsis patients in austere environments: a 70-minute online training module entitled Disaster Medicine: Sepsis. The training is intended to address a gap in traditional disaster medicine training to healthcare providers: education on the recognition and management of patients at risk of or presenting with sepsis.
Any infection can lead to sepsis – a bacterial infection, seasonal influenza, or SARS-CoV-2, the virus that causes COVID-19. Sepsis is a medical emergency, and timely recognition and treatment of sepsis, whether bacterial or viral in origin, is key to saving lives.
Sepsis is also an important public health issue. The Centers for Disease Control and Prevention (CDC) reports more than 270,000 lives are lost to sepsis each year in the United States. In years with major public health events, like COVID-19 that can lead to viral sepsis, those numbers can climb much higher. Furthermore, a landmark study published in Critical Care Medicine in March 2020, found that even before the COVID-19 pandemic, sepsis was increasing, especially among older Americans.
According to the CDC, nearly 87% of sepsis cases originate outside the hospital. Therefore, it is critical to recognize these patients early in these settings. Emergency medical responders and those who practice disaster medicine play an important role in identifying patients at risk of developing sepsis, recognizing the signs of sepsis, and taking appropriate action.
The Biomedical Advanced Research and Development Authority (BARDA) and the Sepsis Alliance collaborated with experts from the Department of Health and Human Services’ (HHS’) Assistant Secretary for Preparedness and Response (ASPR) and the CDC in developing the 70-minute “Disaster Medicine: Sepsis” training module. The training includes expert commentary from ASPR, BARDA, CDC, and the Department of Defense.
Under the austere, resource-limited conditions typical of disaster zones, the clinical identification and management of sepsis can be more challenging. By focusing on disaster scenarios, the training emphasizes the identification, screening, stabilization, and evacuation of those suspected of developing sepsis and septic patients within non-traditional clinical environments.
The training is targeted to providers in the field. It has been designed to meet the educational needs of emergency responders, disaster medicine teams, emergency planners, facility managers, occupational health and safety personnel, nurses, physicians, pharmacists, and other healthcare staff responsible for triage in disaster settings.
Disaster Medicine: Sepsis is free but requires registration. Visit the Sepsis Alliance Institute for more information and to register for the course.
(Sources: HHS ASPR, Sepsis Alliance Institute)
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