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CBRNE-WMD Medical Management and Pre-Hospital Micro-Credential

Learners Will Complete 40 Contact Hours
A medical shield
  • Thursday, June 26 @ 7:00 p.m. EST.
  • Thursday, July 3 @ 7:00 p.m. EST.
  • Thursday, July 10 @ 7:30 p.m. EST.
  • Thursday, July 17 @ 7:00 p.m. EST.
  • Thursday, July 24 @ 7:00 p.m. EST.
  • Thursday, July 31 @ 7:00 p.m. EST.
  • Thursday, August 7 @ 7:00 p.m. EST.
  • Thursday, August 14 @ 7:00 p.m. EST.

This module provides an overview of chemical, biological, radiological, nuclear, and explosive threats, emphasizing their unique exposure routes and health impacts. You will examine the distinct challenges of mass casualty incidents involving CBRNE agents and the critical role of early detection, responder safety, and decontamination. The content also introduces core principles of PPE selection, contamination control, and responsibilities of pre-hospital and hospital personnel. By the end of this module, you will have a foundational understanding of the threats and response considerations that should shape medical and operational decision-making, protective measures, and the safe coordination of patient care across pre-hospital and hospital settings.

This session introduces students to the complex medical challenges posed by high-yield explosives (HYE) in mass casualty incidents. Emphasizing both pre-hospital and hospital-based response, it explores the diverse mechanisms of blast-related trauma—including primary, secondary, tertiary, quaternary, and quinary injuries—and the resulting clinical manifestations across multiple body systems. Students will examine critical conditions such as blast lung, traumatic brain injury, ocular and auditory damage, abdominal hemorrhage, crush syndrome, compartment syndrome, and thermal burns. The session also addresses injury severity assessment tools, wound contamination, and emergency stabilization strategies essential to saving lives in explosive incidents. 

The following module explores the complex health consequences and medical response strategies for radiological and nuclear attacks. Students will analyze the differences between radiological exposure and contamination, the unique pathophysiology of ionizing radiation injuries, and the operational implications for pre-hospital and hospital care providers. The session covers high-impact events such as dirty bomb attacks, nuclear detonations, reactor meltdowns, and radiological accidents, emphasizing both immediate and delayed effects such as acute radiation sickness (ARS), radiation burns, and internal contamination. Real-world case studies anchor the material in historical precedent, reinforcing lessons on triage, diagnosis, decontamination, decorporation, and patient management during mass casualty events involving radiation.

This session provides the first part of an in-depth examination of the clinical impact, diagnosis, and management of high-priority chemical warfare agents (CWAs), including nerve agents, cyanides, pulmonary agents, and vesicants. Students will explore each agent’s mode of action, symptom onset, and toxicological profile, while analyzing real-world challenges such as agent volatility, latency, and environmental persistence. Emphasis is placed on rapid recognition, field decontamination, supportive care, and the use of specific antidotes. Special attention is given to differentiating CWAs from one another and from other toxic exposures. By understanding both the unique pathophysiology and treatment strategies of chemical agents, students will be better equipped to operate effectively in contaminated environments and provide lifesaving interventions under austere conditions.

This second installment of our examination into chemical weapons expands on prior content by focusing on pulmonary and vesicant classes of chemical warfare agents. Students will examine the clinical effects, mechanisms of injury, latency, and treatment considerations for agents such as phosgene, chlorine, sulfur mustard, lewisite, and phosgene oxime. The lecture emphasizes the diagnostic complexity posed by delayed-onset symptoms, respiratory compromise, skin necrosis, and ocular injuries, along with appropriate triage, decontamination, and management strategies in both field and hospital settings. Attention is also given to responder protection, symptom-based treatment, and the operational challenges of managing mass casualties in resource-limited environments. Students will gain critical insight into early diagnosis, protective measures, and the application of both symptomatic and specific treatments under CBRNE conditions.

This first lecture in a two-part series introduces the unique medical and operational challenges of biological weapons attacks). Students will examine how bacteria, viruses, fungi, and toxins have been weaponized to cause widespread illness, fear, and disruption. Emphasis is placed on the characteristics of biological agents, their methods of dissemination—especially aerosolization—and the principles of infectivity, latency, and environmental persistence. The session also explores epidemiological patterns that distinguish natural outbreaks from biological attacks, and the complexities of early recognition, diagnosis, and response. By understanding aerosol behavior, particle deposition, infection pathways, and infectious disease progression, students will build a critical foundation for assessing threats and planning for effective intervention in bioterrorism and warfare scenarios.

This second module in the biological weapons series focuses on non-replicating biological agents used in warfare and terrorism, with a deeper look at botulinum toxin, staphylococcal enterotoxin B (SEB), and trichothecene mycotoxins. Students will examine the sources, mechanisms of action, clinical presentations, and treatment challenges associated with these agents. Emphasis is placed on early recognition, supportive management, and differential diagnosis based on exposure route and symptom progression. Through analysis of toxin pathophysiology—especially their effects on the nervous, hepatic, renal, immune, and hematopoietic systems—students will gain an understanding of how these weapons disrupt vital biological processes.

In the aftermath of chemical, biological, radiological, nuclear, and explosive (CBRNE) incidents, the timely and effective triage and decontamination of victims are critical to reducing morbidity, protecting responders, and preserving healthcare system capacity. This final module introduces students to the principles and practical challenges of medical triage and patient decontamination during mass casualty incidents. Students will explore real-world case examples, emerging triage strategies for complex coordinated terrorist attacks, and hospital-based decontamination protocols. Drawing from disaster medicine, military doctrine, and federal guidelines, this session equips learners with the skills to prioritize care, mitigate secondary contamination, and implement evidence-informed decontamination approaches in dynamic and high-threat environments.

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