CBRNE Training
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CBRNE On-Site Training

The CBRNE (Chemical, Biological, Radiological, Nuclear, and Explosive Agents) Training course focuses on the various mass casualty hazards/threats that may impact healthcare delivery and the appropriate planning and training initiatives that need to be undertaken in order to make hospital staff and leadership more resilient during a crisis.

Under normal operations, hospitals are viewed primarily as providers of patient care. During large scale disasters, the perceived role of the hospital quickly expands beyond the provider of healthcare to the provider of safe refuge, direction, and support to impacted individuals. If the disaster event impedes the healthcare system’s ability to provide routine medical care, then the hospital becomes the primary source for diagnosis, treatment, and follow up for both physical and psychological care. This expanding role adds a new dimension and many new issues to preparedness planning for hospitals.

Incidents involving CBRNE agents are examples of events that can produce mass casualties. Each threat, regardless of its etiology or intent, poses unique challenges that need to be considered and understood. The purpose of this course is not to address all of the possible agents, scenarios, or emergency-related medical care that may be required by the hospital. Rather, the course focuses on the unique aspects of a CBRNE event involving mass casualties for which the hospital may not be generally trained, equipped or prepared.


This course focuses on the various mass casualty hazards/threats that may impact healthcare delivery and the appropriate planning and training initiatives that need to be undertaken in order to make hospital staff more resilient during a crisis. Taught by an emergency physician with national and international experience in hospital disaster preparedness, this course is designed to provide program attendees will practical knowledge that can be applied directly to their readiness efforts.
The program combines lecture, tabletop exercises, and facilitated discussion to help attendees better prepare for and respond to the unique challenges associated with mass casualty incidents.

Duration:  6 hours

Class Size:  Maximum of 50

Class Location:  On site at the client hospital


The CBRNE Training covers:

  • Appraisal of the myths and scientific literature associated with emergency/disaster preparedness.Training will provide a historical basis for CBRNE events, compare and contrast CBRNE and HazMat events, and use case studies and published literature to evaluate accepted dogma as it relates to emergency preparedness and the role of hospitals.
  • Chemical Hazards and Weaponry. This module reviews industrial chemicals as well as hazardous agents used in warfare. Attendees will develop a deeper understanding about hazardous substances and the potential outcomes that may occur during an emergency when these agents are present. Localized HazMat events versus Multiple/Mass Casualty events will be compared and contrasted with special emphasis placed on triage, victim care, and resource management. In addition, the principles of decontamination and personal protective equipment selection will be addressed.
  • Biological Agents. This module will provide the historical basis of infectious disease outbreaks, review the unique features of bio-agents and describe specific illnesses that may result, and define modes of transmission and self-protection modalities. In addition, identifying clues of a bio-event (new emerging infection versus bio-terrorism) and treatment options will also be discussed.
  • Radiological Agents and Nuclear Weapons. This module will begin with an overview of radiation and the impact of radioactivity on biological systems (e.g., the Acute Radiation Syndrome). Radiological weaponry will be described (improvised nuclear weapon, simple radiological weapon, and radiological dispersal device) along with the medical management of victims of a radiological event.
  • Bombings & Crush Syndrome. This module will provide a general overview of bomb blast physiology that will include the unique characteristics of bombings and the crush syndrome. Attendees will develop a deeper understanding about the mechanism of injury that results from a bomb blast, the various injury patterns to anticipate, and the medical response requirements of bombings and crush injury.