CHEMPACK OVERVIEW. New Mexico Department of Health Bureau of Health Emergency Management Strategic National Stockpile/CHEMPACK. CHEMPACK Project Mission. Implement a nationwide project for the “forward placement” of nerve agent antidotes.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
New Mexico Department of Health
Bureau of Health Emergency Management
Strategic National Stockpile/CHEMPACK
Implement a nationwide project for the “forward placement” of nerve agent antidotes.
To provide state and local governments a sustainable resource that increases their capability to respond quickly to a nerve agent event.
The Food and Drug administration has approved nerve agent antidotes purchased by the federal government to qualify for the Shelf Life Extension Program (SLEP).
SLEP Requirements are:
The shelf life can be extended to the point the medications no longer meet FDA requirements, or the container is opened. If the medication does not meet FDA requirements and the container has not been opened, CDC will replace the expired medications.
The CDC and SNS Programs will be responsible for obtaining new lot expiration numbers and drug replacement.
Nerve agents are extremely toxic organophosphate-type chemicals including:
GA (tabun), GB (sarin), GD (soman), GF (cyclosarin) and VX
They are odorless and invisible and can be inhaled, absorbed through the skin, or swallowed
They attack the nervous system and interfere with chemicals that control nerves, muscles and glands
There have been 12 Hospital CHEMPACK containers situated throughout the state of New Mexico.
The Centers for Disease Control and Prevention (CDC) monitors the product through the Sensaphone 24/7 for temperature deviations and container entry.
CDC and BHEM Strategic National Stockpile (SNS) will conduct site visits every 12-16 months. At this time they will conduct product sampling and replace medications as needed.
The Sensaphone is used to monitor temperature and container breach by the CDC in Atlanta, Georgia.
Diazepam Multi-Dose Vials
Incident Commander (IC) on scene throughout the state of New Mexico.
Known or suspected nerve agent or organophosphate exposure
SLUDGEM Signs and Symptoms present
Incident Command contacts Medical Control
IC contacts dispatch & requests CHEMPACK
Host hospital notified
Closest law enforcement agency (LEA) dispatched to host hospital
NMDOH State Emergency Operations
Center Representative (EOCR) notified
Local Emergency Manager (LEM)
Resources coordinated by LEM and EOCR
The materials in each CHEMPACK container have been color coded for ease of distribution.
Boxes with a green labelare auto injectors and will be sent out into the field for first responder use.
Boxes with a pink or purple label will be used by hospitals other than the host facility. These are multi-dose vials. The host facility may also use these materials.
Boxes with a red label are for use by the host facility. These are also multi-dose vials.
Nerve Agent Antidote Dosing Guidelines throughout the state of New Mexico.
*Infant, child/frail elderly MARK-I dosing—if MDV not available, IV route not established and/or IV route nor established and/or precise dosing impossible—consider administration of MARK-I.
**As quickly as possible, both drugs from auto injector, one right after another.
SLUDGEM + RA : Salivation, Lacrimation, Urination, Defecation, GI, Emesis, Miosis, Respirations, Agitation
How Will First Responders Be Protected? throughout the state of New Mexico.
First responders are trained to assess scene safety before they arrive. Responders should strongly consider having PPE available and ready for use, plan to establish a safe zone, and alert HazMat to respond.
If a first responder is exposed to a nerve agent, they should be given treatment like any other victim. They would be given antidotes only if they were symptomatic of a moderate to severe exposure. If they are asymptomatic or had a minor exposure they should be subject to gross decontamination and assessment.
We are in the process of developing training presentations, on-line training (www.NMsphere.org) and information on the NMDOH Bureau of Health Emergency Management website.
This training will be made available to Hospitals, Fire Services, EMS, Dispatch and Law Enforcement.
For More Information Contact: throughout the state of New Mexico.
Jerry Lazzari, State SNS Coordinator
1301 Siler Road, Building F
Santa Fe, NM 87507
Loretta Sanchez, Assistant State SNS Coordinator CHEMPACK Coordinator
1301 Siler Road, Building F
Santa Fe, NM 87507