A paper by Rick C. Mathews, Director, National Center for Security and Preparedness (NCSP), USA

Responding to CBRNe incidents remains a top national security concern in the United States, particularly in New York State. Over the past decade, there has been an increase in complex attacks involving small
arms, improvised explosive devices (IEDs) and fire resulting in both Multiple Casualty Incidents (MCIs) and immediate threats to responders. Furthermore, CBRNe attacks arising from US homegrown violent extremists, and non-state actors such as the Islamic State, loom large. These threats of high consequence validate the need to train first responders and homeland security professionals on effective ways to respond to and mitigate the consequences of CBRNe attacks against US interests domestically and abroad.

The National Center for Security & Preparedness (NCSP) is a national leader in providing scenario-based training, particularly involving MCIs and terror attacks with small arms, fire, and IEDs. As a strategic partner of the New York State Division of Homeland Security and Emergency Services (DHSES), the NCSP serves as the program lead for the State Preparedness Training Center (SPTC). The NCSP’s mission includes developing training, exercises and simulations through research, consensus building, and subject matter expertise that prepare responders for evolving threats.

Scenario-Based Training
The NCSP has enhanced training through immersing students in consequence-driven, scenario-based activities. NCSP/SPTC subject matter experts (SMEs) and instructors give students immediate feedback during scenarios. If an LE officer stands in the fatal funnel, s/he will be shot and have to treat the injury. If an EMT fails to manage an airway properly, the patient’s condition will change.

Requirements
The NCSP’s scenario-based training approach depends on its instructional team and support functions. Training design and delivery leverage nationally-recognized subject matter experts from across the United States. Additionally, the NCSP relies heavily on its training role player program. The role players are trained actors that serve as aggressors, non-aggressors and casualties. TRPs are coached by SMEs and acting professionals to emulate realistic medical conditions. Additionally, makeup and moulage artists make use of specialized materials and technologies to create realistic simulated wounds and medical
conditions, including post-blast and ballistic trauma, burns, and exposure to CBRNe agents.

The NCSP also operates a robust SimCell for medical control, regional trauma center communication, dispatching and command. Scenario-based activities incorporate stateof-the-art training venues to create realistic environments and consequences, which stimulate student learning. Further, the NCSP and SPTC’s training support and logistical operations allow for a high degree of complexity and flexibility to stay ahead of an ever-changing threat environment.

Impact
The NCSP is a national leader in incorporating in-time training concepts, tactics and techniques such as the rescue task force, the warm zone, and principles of tactical emergency casualty care (TECC). Specific to MCIs and CBRNe incidents, NCSP training enables first responders to practice critical skills including scene assessment, triage, CBRNe-chemical triage, casualty collection point operations, hospital communications and evacuation care, as well as IED awareness and response. Collectively, our scenario-based training has evolved first responder integration and better equips professionals to respond to high-consequence terrorist attacks.

This training is reaching its audience and has been well-received. Since 2013, the NCSP and SPTC have exceeded targets training almost 30,000 first responders and homeland security professionals. As an academic center at the Rockefeller College of Public Affairs & Policy, University at Albany, State University of New York, the NCSP remains at the forefront of research aimed at increasing the survivability of MCI victims through rapid medical intervention and integrated response among Law Enforcement, Bomb Technicians, Fire, EMS personnel, and First Receivers. Collectively these capabilities afford the NCSP with the unique opportunity to bridge the gap between academia and practitioners to develop evidence-based training.

Please access the Full Paper by clicking on the following link: Mathews – NCT CBRNe USA 2015

The Full Paper by Mathews will be presented during NCT CBRNe USA Innovation Stream, taking place from April 29 to May 1.

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