Melanie K Bean, Hollie A Raynor, Laura M Thornton, Lilian de Jonge, Suzanne E Mazzeo
Design and rationale for evaluating the impact of salad bars on elementary school students' fruit, vegetable, and energy intake: a wait list control, cluster randomized controlled trial
BMC public health
release biohazardous agents could affect many people preparedness crucial adequate responses accidental deliberate release biohazardous agents believed exercises based simulated incident scenes effective methods training firefighters biohazard response teams structured evaluations important methods used identify areas ineffectiveness assure quality responses releases biohazards local fire department conducted fullscale biohazard exercise elementary school firefighters practiced prohibiting entry area establishing security zones evacuating victims assessing hazards preventing dissemination sampling keeping suspicious material safe custody trained observers systematically evaluated exercise following standardized evaluation protocol set data collection templates created based standard operating procedures extracted current guidelines 60 firefighters eight members incident command 16 simulated victims 18 trained observers participated exercise 31 standard operating procedures 20 accordance guidelines 10 performed incorrectly one applicable major problems related assessment handling suspicious material use protective equipment decontamination victims reasons incomplete andor conflicting documentation included insufficient knowledge training observers imprecise instructions documentation size observation zones intensive education training response activities necessary fire department perpetually reassess technical equipment specific skills communication command structures applied documentation system performed well disclosing discrepancies observed response activities current recommendations using external observers provided transparent independent data however intensive observer training necessary observer training include detailed written instructions short guidelines could available exercise