Review Article

Use of Medical Simulation to Teach Bioterrorism Preparedness: The Anthrax Example

Authors: Martin E. Olsen, MD

Abstract

The 2001 anthrax bioterrorism attacks demonstrated vulnerability for future similar attacks. This article describes mechanisms that can be used to prepare the medical community and healthcare facilities for the diagnosis and management of a subsequent bioterrorism attack should such an event occur and the fundamentals of medical simulation and its use in teaching learners about the diagnosis of management of anthrax exposure.

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References

1. Leach DC. Simulation and rehearsal. In: Philibert I, ed. ACGME Bull 2005; 1–10.
 
2. Ziv A, Wolpe PR, Small SD, et al. Simulation-based medical education: an ethical imperative. Acad Med 2003; 78: 783–788.
 
3. Owen H. Early use of simulation in medical education. Simul Healthc 2012; 7: 102–116.
 
4. Buck GH. Development of simulators in medical education. Gesnerus 1991; 48: 7–28.
 
5. Ziv A, Small SD, Wolpe PR. Patient safety and simulation-based medical education. Med Teach 2000; 22: 489–495.
 
6. Deering S, Brown J, Hodor J, et al. Simulation training and resident performance of singleton vaginal breech delivery. Obstet Gynecol 2006; 107: 86–89.
 
7. Binstadt ES, Walls RM, White BA, et al. A comprehensive medical simulation education curriculum for emergency medicine residents. Ann Emer Med 2007; 49: 495–504.
 
8. Rowe R, Cohen RA. An evaluation of a virtual reality airway simulator. Anesth Analg 2002; 95: 62–66.
 
9. Summerhill EM, Mathew MC, Stipho S, et al. A simulation-based biodefense and disaster preparedness curriculum for internal medicine residents. Med Teach 2008; 30: e145–e151.
 
10. Subbarao I, Bond WF, Johnson C, et al. Using innovative simulation modalities for civilian-based, chemical, biological, radiological, nuclear, and explosive training in the acute management of terrorist victims: a pilot study. Prehosp Disaster Med 2006; 21: 272–275.
 
11. Heinrichs WL, Youngblood P, Harter P, et al. Training healthcare personnel for mass-casualty incidents in a virtual emergency department: VED II. Prehosp Disaster Med 2010; 25: 424–432.
 
12. von Lubitz D, Carrasco B, Fausone C, et al. Bioterrorism: development of large-scale medical readiness using multipoint distance-based simulation training. Stud Health Technol Inform 2004; 98: 221–227.
 
13. Phelps S. Mission failure: emergency medical services response to chemical, biological, radiological, nuclear, and explosive events. Prehosp Disaster Med 2007; 22: 293–296.
 
14. Franc-Law JM, Ingrassia PL, Ragazzoni L, et al. The effectiveness of training with an emergency department simulator on medical student performance in a simulated disaster. CJEM 2010; 12: 27–32.
 
15. Blumenthal D. Making medical errors into “medical treasures.” JAMA 1994; 272: 1867–1868.
 
16. Gillett B, Peckler B, Sinert R, et al. Simulation in a disaster drill: comparison of high-fidelity simulators versus trained actors. Soc Acad Emerg Med 2008; 15: 1144–1151.
 
17. Brandeau ML, Zaric GS, Freiesleben J, et al. An ounce of prevention is worth a pound of cure: improving communication to reduce mortality during bioterrorism responses. Am J Disaster Med 2008; 3: 65–78.
 
18. Abramova FA, Grinberg LM, Yampolskaya OV, et al. Pathology of inhalational anthrax in 42 cases from the Sverdlovsk outbreak of 1979. Proc Natl Acad Sci U S A 1993; 90: 2291–2294.
 
19. Inglesby TV, O’Toole T, Henderson DA, et al. Anthrax as a biological weapon, 2002 updated recommendations for management. JAMA 2002; 287: 2236–2252.
 
20. Jernigan JA, Stephens DS, Ashford DA, et al. Bioterrorism-related inhalational anthrax: the first 10 cases reported in the United States. Emerg Infect Dis 2001; 7: 933–943.
 
21. Brachman PS. Inhalation anthrax. Ann N Y Acad Sci 1980; 353: 83–93.
 
22. Wright JG, Quinn CP, Shadomy S, et al. Use of anthrax vaccine in the United States. MMWR Morb Mortal Wkly Rep 2010; 59 (rr06): 1–30.
 
23. Dixon TC, Meselson M, Guillemin J, et al. Anthrax. N Engl J Med 1999; 341: 815–826.
 
24. Swartz MN. Recognition and management of anthrax—an update. N Engl J Med 2001; 345: 1621–1626.
 
25. Doganay M, Metan G, Alp E. A review of cutaneous anthrax and its outcome. J Infect Public Health 2010; 3: 98–105.
 
26. Leiba A, Goldberg A, Hourvitz A, et al. Lessons learned from clinical anthrax drills: evaluation of knowledge and preparedness for a bioterrorist threat in Israeli emergency departments. Ann Emerg Med 2006; 48: 194–199.
 
27. James DC. Terrorism and the pregnant woman. J Perinat Neonat Nurs 2005; 19: 226–237.
 
28. White SR, Henretig FM, Dukes RG. Medical management of vulnerable populations and co-morbid conditions of victims of bioterrorism. Emerg Med Clin N Am 2002; 20: 365–392.
 
29. American College American College of Obstetricians and Gynecologists Committee on Health Care for Underserved Women. ACOG Committee opinion no. 457: preparing for disasters: perspectives on women. Obstet Gynecol 2010; 115: 1339–1342.
 
30. ACOG Committee on Obstetric Practice. ACOG Committee Opinion number 268, February 2002. Management of asymptomatic pregnant or lactating women exposed to anthrax. American College of Obstetricians and Gynecologists. Obstet Gynecol 2002; 99: 366–368.
 
31. Olsen ME. Anthrax, in Eason MP, Olsen ME (eds): Workbook of OB/GYN Simulation. Miami, Gaumard Scientific, 2010, pp 136–138.