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From Dr. Lau: The EMS elective last April at the end of my PGY-2 year, I spent most of the time on ride-alongs with Phoenix Fire and learning about pre-hospital medicine. During this month you are able to spend a week at the Center for Domestic Preparedness with FEMA in Anniston, Alabama. I specifically went through the Emergency Medical Operations (EMO) and Hands on Training (HOT).
At the EMO-HOT training, I received get extensive training in chemical, biological, radiological, nuclear, explosive (CBRNE) disasters, the Incident Command structure and practical disaster responses. You will be well prepared in Start Triage, decontamination procedures, dozens of emergency clinical scenarios with live patients, and performing the above all while wearing level B personal protective equipment. My training culminated in a final event when I donned PPE and was exposed to many times the lethal amount of VX and Sarin and came away asymptomatic.
You don't have to be a resident to enroll in these programs and I plan to continue my disaster training long after residency.