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	You are here: Home > Legal Advisors for Medical Response to Mass Casualty Incident		Help on REMM New Users: Where Do I Start? What's New on REMM? (12/2012) Multimedia Library Tools Download REMM (12/2012) Download Mobile REMM (12/2012) Dictionary Emergency Contacts Dose Estimator for Exposure Scarce Resources Triage Tool Manage ARS Subsyndromes Print Algorithms & Tables Diagnosis & Treatment Patient Management Algorithms Acute Radiation Syndrome (ARS) Hematopoietic Subsyndrome Cutaneous Radiation Syndrome Time/Dose Effects in ARS Time Phases of ARS Isotopes of Interest Countermeasures: Internal Contamination Countermeasures: Exposure Decontamination Procedures Strategic National Stockpile    Population Monitoring and Radionuclide Decorporation Following a Radiological or Nuclear Incident (NCRP Report No. 166, 2011) Nuclear Detonation Scarce Resources Working Group Publications, 3/2011 (HHS/ASPR) Response to a Nuclear Detonation: State and Local Medical Planners Playbook, 3/2011 (HHS/ASPR) Responding to a Radiological or Nuclear Terrorism Incident: A Guide for Decision Makers (NCRP Report No. 165, 2010) Management of Persons Contaminated With Radionuclides: Handbook (NCRP Report No. 161, Vol. I, 2008) Planning Guidance for Response to a Nuclear Detonation, 2nd Ed, 6/2010 (National Security Staff)    AFRRI AHRQ CDC CRCPD DHS DOE EPA FDA HHS HPS IAEA   ICRP NACCHO NARR NCRP NRC OSHA REAC/TS RERF RITN UNSCEAR WHO
	Legal Advisors for Medical Response to Mass Casualty Incident General Comments Legal issues for medical planning and response to a mass casualty radiation incident will vary with Nature, severity, cause, and location of the radiation incident Agency through which the responder is operating and its own rules and regulations Professional capacity of the responder Training and certification of the responder Normal scope of practice of the responder "Normal" or "altered standard of care" (e.g. Crisis) existing during the response where the responder is working Activity performed or not performed Medical practice, standards of care, and liability issues are complex and each practitioner should consult with experts in his/her venue and organization to obtain the best and most current advice. Inclusion of references on this page does not constitute official US government or HHS endorsement. Selected References Chu VS, Emergency Response: Civil Liability of Volunteer Health Professionals (PDF - 144 KB) (Congressional Research Service, 7-5700, R40176, January 2011) New York State Public Health Legal Manual: A Guide for Judges, Attorneys and Public Health Professionals, Editor-in-Chief: Michael Colodner (PDF - 650 KB) (New York State Bar Association in Collaboration with NY State Unified Court System, State of NY Department of Health, NY City Department of Health and Mental Hygiene, 2011) Sherman, SE. Legal Considerations in a Nuclear Detonation. Disaster Med Public Health Prep. 2011 Mar;5 Suppl 1:S65-72. [PubMed Citation] Full Text (PDF - 87 KB) Hodge JG, Courtney B. Assessing the Legal Standard of Care in Public Health Emergencies, JAMA 2010; 303(4):361-362. [PubMed Citation] Anderson ED, Hodge JG. Emergency Legal Preparedness Among Select US Local Governments. Disaster Med Public Health Preparedness 2009;3(Suppl 2):S176-S184. [PubMed Citation] Hoffman S, Goodman RA, Stier D. Law, Liability, and Public Health Emergencies. Disaster Med Public Health Preparedness 2009;3:1-9. [PubMed Citation] Crisis Standards of Care Crisis Standards of Care (CSC): A Systems Framework for Catastrophic Disaster Response (Institute of Medicine, March 21, 2012) Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations, a Letter Report (Institute of Medicine of the National Academies, 2009). Allocation of Scarce Resources During Mass Casualty Events (HHS/AHRQ, June 2012) (This report represents follow-up after the 2009 IOM report.) Hodge JG, Garcia AM, Anderson E, Kaufman T. Emergency Legal Preparedness for Hospitals and Health Care Personnel. Disaster Med Public Health Preparedness 2009;3(Suppl 1)S37-S44. [PubMed Citation] Barnett DJ, Taylor HA, Hodge JG, Links J. Resource Allocation on the Frontlines of Public Health Preparedness and Response: Report of a Summit on Legal and Ethical Issues. Public Health Reports 2009;124:295-124. [PubMed Citation] Selected lectures on Public Health Law, Sandra Day O'Connor School of Law, Arizona State University. Accessed August 18, 2012. Hodge JG, Anderson ED. Principles and Practice of Legal Triage During Public Health Emergencies. 64 NYU Annual Survey of American Law, 249 (2008-2009).

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