SITUATION MANUAL
For Official Use Only
2015
CHEMPACK
Tabletop Exercise
Sponsored by
Central Ohio Trauma System
June 25, 2015
(Version: June 22, 2015)
For Official Use Only
FOR OFFICIAL USE ONLY
U.S. Department of Homeland Security
Situation Manual
CHEMPACK
Tabletop Exercise
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Preface
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Situation Manual
CHEMPACK
Tabletop Exercise
PREFACE
The 2015 CHEMPACK Tabletop Exercise (TTX) is sponsored by the Central Ohio Trauma
System (COTS). This Situation Manual (SITMAN) was produced with input, advice, and
assistance from the COTS TTX Exercise Planning Team, which followed guidance set forth in the
Homeland Security Exercise and Evaluation Program (HSEEP).
The 2015 CHEMPACK TTX SITMAN provides exercise participants with the tools necessary to
participate in the exercise. It is tangible evidence of COTS’ commitment to ensure that regional
partners are able to effectively respond, coordinate, share information and resources, and work
collaboratively in the face of localized and regional emergencies.
This is an unclassified exercise. Control of exercise information is based more on public sensitivity
to the nature of the exercise rather than actual exercise content. Some exercise material is intended
for the exclusive use of exercise planners, facilitators, and evaluators, but players may view other
materials deemed necessary to their performance. All exercise participants may view the
SITMAN.
All exercise participants should use appropriate guidelines to ensure the proper control of
information within their areas of expertise and to protect this material in accordance with current
jurisdictional directives. Public release of exercise materials to third parties is at the discretion of
COTS.
Preface
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Handling Instructions
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Situation Manual
CHEMPACK
Tabletop Exercise
HANDLING INSTRUCTIONS
1.
The title of this document is 2015 CHEMPACK Tabletop Exercise (TTX) Situation Manual
(SITMAN).
2.
The information gathered in this SITMAN is For Official Use Only (FOUO) and should be
handled as sensitive information not to be disclosed. This document should be safeguarded,
handled, transmitted, and stored in accordance with appropriate security directives.
Reproduction of this document, in whole or in part, without prior approval from COTS is
prohibited.
3.
At a minimum, the attached materials will be disseminated only on a need-to-know basis and,
when unattended, will be stored in a locked container or area that offers sufficient protection
against theft, compromise, inadvertent access, and unauthorized disclosure.
4.
For more information, please consult the following points of contact (POCs):
a. Central Ohio Trauma System POC:
Kelsey Blackburn, CHEP
Critical Incident Response Planner
Central Ohio Trauma System
1390 Dublin Road
Columbus, Ohio 43215-3820
(614) 255-4405
kblackburn@goodhealthcolumbus.org
b. CHEMPACK Exercise Support Team POCs:
Barb Garrison, M.S., CHMM, PCP
Senior Project Manager
Tetra Tech
250 West Court St
Cincinnati, OH 45202
614-404-3384 (direct)
barb.garrison@tetratech.com
Handling Instructions
Steve Dillon, MEP
Emergency Management Specialist
Tetra Tech
250 West Court St
Cincinnati, OH 45202
937-364-6509 (direct)
steve.dillon@tetratech.com
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Situation Manual
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Tabletop Exercise
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Handling Instructions
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Situation Manual
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Tabletop Exercise
TABLE OF CONTENTS
PREFACE ....................................................................................................................... ii
HANDLING INSTRUCTIONS ........................................................................................ iv
TABLE OF CONTENTS ................................................................................................. vi
INTRODUCTION ............................................................................................................. 1
Background .......................................................................................................... 1
The Threat ............................................................................................................ 1
Obtaining the CHEMPACK ................................................................................... 2
Scope ................................................................................................................... 2
Purpose ................................................................................................................ 2
Exercise Objectives .............................................................................................. 2
Capabilities ........................................................................................................... 3
Participants ........................................................................................................... 4
Exercise Structure ................................................................................................ 5
Exercise Guidelines .............................................................................................. 5
Assumptions & Artificialities .................................................................................. 6
EXERCISE AGENDA...................................................................................................... 7
MODULE 1: ASSESSING THE NEED FOR CHEMPACK ............................................. 8
MODULE 2: ORDERING AND DEPLOYING ............................................................... 11
MODULE 3: RECOVERY, ACCOUNTABILITY & INFORMATION .............................. 14
Appendix A: List of Acronyms ................................................................................. A-1
Appendix B: Bibliography ........................................................................................ B-1
Appendix C: Fact Sheet ............................................................................................ C-1
Table of Contents
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Tabletop Exercise
INTRODUCTION
Background
The Centers for Disease Control and Prevention (CDC), the
U.S. Department of Health and Human Services (HHS),
and the U.S. Department of Homeland Security (DHS)
have developed the Strategic National Stockpile (SNS)
Program. The SNS has medications that will be urgently
needed for treatment and prophylaxis of patients exposed
to Weapons of Mass Destruction (WMD) or Nuclear,
Biologic, or Chemical (NBC).
Under its mandate, the SNS Program has a maximum 12hour response time. However, this response time is
inadequate for a nerve agent event where treatment must be
accomplished quickly in order to save as many lives as
possible. As a result, the CDC has established the
CHEMPACK program.
The medications and antidotes in the SNS are federal assets. Although they are strategically placed
throughout our communities, your hospital, city, county, region, and the state of Ohio do not own
them. (1.)
The CHEMPACK program provides a cache of SNS medications to hospitals and Emergency
Medical Service (EMS) agencies in the event of a nerve agent exposure. The CHEMPACK
Program is an initiative of the DHS, HHS, and the CDC. CHEMPACK is a voluntary program
allowing the forward placement of federally-owned nerve agent antidotes in the states. Ohio has
volunteered to participate in this program. The federal government retains ownership of all
materiel. However, custody is given to the Ohio Department of Health (ODH). (2)
The Threat
Terrorist nerve agent attacks are not hypothetical. The Aum Shinrikyo group in Japan used Sarin
gas to attack subway passengers twice: An attack in 1994 killed eight people and a second attack
in 1995 injured more than 1,500 and killed 13. Experts agree that these attacks were poorly planned
and if better timed and executed would have killed many more people. In 2003, intelligence
evidence found in Afghanistan highlighted al-Qa’ida’s interest in producing Sarin. Also in 2013,
Syria is believed to have used Sarin delivered through the use of Russian M-14 explosive rounds
capable of holding 60 liters of liquid.
Intelligence analysts believe that terrorist groups may choose to use nerve agents in order to
maximize casualties. Modern delivery modalities exist that could enable an adversary to quickly
Introduction
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Situation Manual
CHEMPACK
Tabletop Exercise
expose large numbers of people to liquid nerve agents. In order to minimize the effects of such an
attack, planners and responders must be able to quickly mobilize resources that would limit and
mitigate the effects of a nerve agent incident. Depending on the dose, nerve agents can cause
immediate nervous system failure and death. Nerve agent antidotes include Atropine sulfate,
Pralidoxime chloride (2PAM), and Diazepam. (3)
Obtaining the CHEMPACK
In the event of a nerve agent exposure, existing local supplies of nerve agent antidotes would be
utilized first to treat victims and responders. After these supplies are expended, requests could be
made for CHEMPACK antidotes stored at host or non-host hospitals. Once requested, the
CHEMPACK antidotes would be transported to the requester through a coordinated resource
ordering and delivery process which may pose significant coordination challenges for incident
managers, support agencies, and responders.
Scope
The 2015 CHEMPACK Tabletop Exercise (TTX) is a four hour exercise that will utilize a
multimedia, facilitated plenary and breakout group format. The exercise will be held at COTS’
facility located at 1390 Dublin Road, Columbus, Ohio 43215. (Note: All participants should park
in the rear of the building and use the Training Room entrance.)
The exercise will allow participants to discuss response concepts, plans, and procedures within the
framework of a simulated disaster. Exercise participants will include community partners that
would have a role in CHEMPACK request, receipt, and deployment procedures in Franklin
County, Ohio.
Purpose
The purpose of this exercise is to provide hospital, emergency management, public health, EMS,
fire and law enforcement participants with an opportunity to evaluate current response concepts,
plans, and capabilities used to manage an expanding incident that requires justifying the request
for the CHEMPACK assets and following existing plans for requesting and deploying the assets
located within Franklin County.
Exercise Objectives
Exercise design objectives are focused on improving understanding of response concepts,
identifying opportunities or challenges, and/or achieving a change in attitude. The exercise will
focus on the following design objectives selected by the Exercise Planning Team:

Chemical agent identification and need for CHEMPACK: Based on existing plans
and procedures, the participants will demonstrate their ability to justify the request for a
CHEMPACK based on treatment needs for a nerve agent or organophosphate exposure.
Introduction
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
CHEMPACK request process for host-hospitals, non-host hospitals, and EMS:
Based on existing plans and procedures, participants will demonstrate their ability to
respond to CHEMPACK request.

Deployment of the CHEMPACK asset: Based on existing plans and procedures,
participants will demonstrate their ability to deploy, transfer, transport, and maintain
custody of CHEMPACK assets.

Coordination of response activities between Emergency Management Agencies
(EMA), EMS, law enforcement, and host and non-host hospitals: Based on existing
plans and procedures, participants will demonstrate their ability to coordinate response
activities between EMA, EMS, law enforcement, and host and non-host hospitals.

Information sharing: Based on existing plans and procedures, participants will
demonstrate the information sharing principles required to ensure that essential elements
of information are developed, and that situational awareness is maintained throughout the
incident while ensuring confidentiality.
Capabilities
The capabilities to be exercised during this TTX are drawn from the HHS Assistant Secretary for
Preparedness and Response (ASPR) Preparedness Capabilities, the CDC’s Public Health
Emergency Preparedness (PHEP) Preparedness Capabilities, and the DHS Core Capabilities.
The National Planning Scenarios and establishment of the National Preparedness Priorities have
steered the focus of homeland security toward a capabilities-based planning approach.
Capabilities-based planning focuses on planning under uncertainty because the next danger or
disaster can never be forecast with complete accuracy. Therefore, capabilities-based planning
takes an all-hazards approach to planning and preparation, which builds capabilities that can be
applied to a wide variety of incidents. States and urban areas use capabilities-based planning to
identify a baseline assessment of their preparedness efforts by comparing their current
capabilities against the applicable Capabilities Lists. This approach identifies gaps in current
capabilities and focuses efforts on identifying and developing priority capabilities and tasks for
the jurisdiction.
The following Capabilities were selected by the Exercise Planning Team.

ASPR:
o Capability 1 - Healthcare System Preparedness
o Capability 3 - Emergency Operations Coordination
o Capability 6 - Information Sharing
o Capability 10 - Medical Surge
o Capability 14 – Responder Safety and Health
Introduction
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
PHEP:
o Capability 3 - Emergency Operations Coordination
o Capability 6 - Information Sharing
o Capability 9 - Medical Materiel Management and Distribution
o Capability 10 - Medical Surge

DHS:
o
o
o
o
Capability - Public Health and Medical Services
Capability - Public and Private Services and Resources
Capability - Operational Coordination
Capability - Situation Assessment
Participants
Discussion Based exercises generally have the following types of participants:

Players discuss what their responses would be to the situation presented on the basis of
expert knowledge of response procedures, current plans and procedures, and insights
derived from training.

Observers may support the group in developing responses to the situation, but they are
primarily limited to observing the exercise. They are not participants in any facilitated or
moderated discussions.

Facilitators provide situation updates and moderate discussions. They also provide
additional information or resolve questions as required. Key Exercise Planning Team
members may assist with facilitation as subject matter experts (SMEs) during the
exercise.
For purposes of this exercise the Facilitator will guide the overall exercise conduct and
flow and will facilitate report out session during which each breakout group shares its
conclusions.

Breakout Group Moderators are assigned to guide the discussion at each breakout
group and record the responses of the breakout group participants. The Moderator will
use the provided questions to ensure that discussion focuses on the exercise objectives.
The Moderator will also provide the plenary breakout group report at the end of each
module.

Evaluators are assigned to observe and evaluate certain objectives during the exercise.
Their primary role is to document players’ discussions, including how and if those
discussions conform to written and established procedures.
Introduction
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Situation Manual
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Tabletop Exercise
Exercise Structure
The 2015 CHEMPACK TXX will be a multimedia, facilitated exercise. Players will participate
in the following three modules:

Module 1: Assessing the Need for the CHEMPACK

Module 2: Requesting and Deploying the CHEMPACK

Module 3: Recovery, Accountability, and Information
The CHEMPACK TTX will be an open and active facilitated discussion. The scenario and
discussions will be presented in a setting intended to generate discussion of various issues in
response to a simulated incident. Players will be positioned in a breakout group seating format.
The scenario and situation updates will be presented in a multimedia format to the entire group.
Group Moderators will then facilitate discussion in each breakout group through the use of predetermined questions intended to generate discussion of various issues regarding a hypothetical,
realistic, and simulated incident. At the end of each module, each group will report its findings
through the use of a designated spokesperson.
This exercise will focus on discussion at both the policy and procedural levels and is intended to
enhance general awareness; validate plans and procedures; and assess the types of procedural
level coordination needed to guide mitigation, response, and recovery from a defined incident. It
is aimed at enhancing the understanding of the CHEMPACK asset and identifying strengths and
areas for improvement.
During the 2015 CHEMPACK TTX, Players will be encouraged to discuss issues in depth and
Facilitators will encourage interaction between participants. The exercise environment will allow
players to develop decisions through slow-paced problem solving rather than the rapid,
spontaneous decision making that occurs under actual incident conditions. All exercise players
are reminded that they are making decisions in a no-fault environment.
Exercise Guidelines
Discussion Based exercises follow these general guidelines:

The 2015 CHEMPACK TTX will be conducted in an open, low-stress, no-fault
environment. Varying viewpoints, even disagreements, are expected.

Respond on the basis of your knowledge of current plans and capabilities) and insights
derived from your training.
Introduction
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
Decisions are not precedent-setting and may not reflect your organization’s final
position on a given issue. This is an opportunity to discuss and present multiple
options and possible solutions.

Issue identification is not as valuable as suggestions and recommended actions that
could improve response and preparedness efforts. Problem-solving efforts should be
the focus.
Assumptions & Artificialities
In any exercise, a number of assumptions and artificialities may be necessary to complete play in
the time allotted. During this exercise, the following apply:

The scenario is plausible, and events occur as they are presented;

There are no trick questions or hidden agendas; and

All players receive information at the same time.
Introduction
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EXERCISE AGENDA
Agenda
Approximate
Time
7:30 a.m.
Registration & Hospitality
8:00 a.m.
Welcome and Introductions
8:15 a.m.
Participant Briefing
8:30 a.m.
Module 1
9:20 a.m.
Break
9:30 a.m.
Module 2
10:30 a.m.
Module 3
11:30 a.m.
Hotwash
12:00 p.m.
Dismissal
Description
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MODULE 1: ASSESSING THE NEED FOR CHEMPACK
Thursday, June 24, 2015 @ 06:00 a.m.
Registration for the Olentangy Valley Clinic Marathon and ½ Marathon is underway. Registration
and the race starting line are located at the Fred Beekman Park on Lane Ave.
Approximately 7,000 runners are pre-registered for the race and over 25,000 people are expected
to line the race course from the starting line at Fred Beekman Park to the finish line at the Columbus
Commons.
It’s a hot day. The temperature will be in the mid 80s at race time and is expected to climb quickly
into the mid 90s by finish time. Wind is out of the west at 0-5mph.
07:00 a.m.
The race began on time with over 7,000 runners in the field.
Among them are runners representing all 50 U.S. states and 23
countries from around the world. The runners will follow a
course that includes Lane Ave., North High St., Broad St.,
South Gift St., Dodge Park, South Souder Ave, Mound St.,
Harmon Ave, Greenlawn Ave., and Louis Berliner Park and
proceeds north on South High St. to the Columbus Commons
finish line.
09:00 a.m.
Two Octo-Copter Drones are observed flying over the
crowded Columbus Commons finish line area. The area is
filled with spectators, runners and local dignitaries that are
supporting the awards ceremony. A rumor begins to flow
through the crowd that the drones are spraying something
on the people in attendance.
09:15 a.m.
Columbus Emergency Dispatch has become swamped with cell phone calls requesting EMS as
people around the Columbus Commons finish line become ill. The sick include both racers and
spectators. Their symptoms include: tremors, drooling, watering eyes, urge to urinate, need to
defecate, shortness of breath –rapid respiration, runny nose, uncontrolled coughing, blurred vision,
confusion, rapid pulse rate, nausea and vomiting and restriction of their pupils. People in low lying
areas have the most severe symptoms.
Modules
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Key Issues
The following are key issues for you to consider with regard to this module:









More than 7,000 runners are participating.
At least 25,000 people are expected to attend.
Temperature is 80-85° Fahrenheit.
Wind out of the west at 0 - 5 miles per hour (mph).
Each Octo-Copter drone can carry 5.28 Gallons (20 Liters) of liquid.
Octo-Copter Endurance: 20-30 minutes.
Octo-Copter flights occurred at the finish line area at Columbus Commons.
Approximately 2,300 racers and 8,000 spectators are ill and demonstrating symptoms.
Victims are exhibiting the following:
o Tremors
o Drooling
o Watering eyes
o Urge to urinate
o Need to defecate
o Shortness of breath – rapid respiration
o Runny nose
o Uncontrolled coughing
o Blurred vision
o Confusion
o Rapid pulse rate
o Nausea and upset stomach
o Vomiting
o Restriction of the pupil
Questions
Based on the scenario and your existing plans and procedures, please discuss these questions:
1. How will EMS correctly identify the symptoms of nerve agent exposure?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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2. How will hospital emergency department personnel correctly identify the symptoms of nerve
agent exposure?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
3. How will the number(s) of potential victims be estimated, and who will do this?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4. How will it be determined if the release is beyond local emergency response capabilities?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5. Under what conditions will emergency department personnel call for the CHEMPACK asset?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
6. How will requesting personnel know how much Atropine, 2-PAM, and Diazepam are
immediately available locally?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Modules
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MODULE 2: ORDERING AND DEPLOYING
Thursday, June 24, 2015 @ 09:30 a.m.
An Air Monitoring Team located near the Columbus Commons finish line has
notified the Columbus Division of Police that their monitoring system has
registered a positive indication for nerve agents, possibly Sarin.
Existing supplies of nerve agent antidotes at EMS and fire agencies in Franklin
County are not available due to a widespread recall or they have been expended.
Non-host hospitals in Franklin County (i.e., hospitals that do not “host” or store
CHEMPACK assets) have limited supplies of nerve agent antidote (Atropine and
Valium), so they are requesting CHEMPACK antidotes.
10:30 a.m.
The Incident Command Post and a Staging Area have been set up at the
Center of Science and Industry (COSI) Parking lot on West Broad.
Columbus Fire and Police are in a Unified Command. The section of
Broad St. and High St. running between COSI and the Columbus
Commons has been restricted to responder traffic only.
The Incident Command Planning Section Situation Unit indicates that there are potentially 10,700
people exhibiting Sarin exposure symptoms near the Columbus Commons finish line, and in area
hospitals. Of that numbers, 400 are public safety officials, 2,300 are racers and 8,000 are
spectators.
The City of Columbus Emergency Operations Center (EOC), Franklin County EOC and the State
EOC are all activated at various levels.
The Incident Command Post, the Strategic Analysis and Information Center (SAIC), the City of
Columbus Counter Terrorism Unit, the Ohio State Highway Patrol HUB, the Franklin County
Emergency Management and Homeland Security (FCEM&HS), Ohio Emergency Management
Agency (OEMA), ODH and senior officials are all seeking information from area hospitals and
EMS providers.
11:00 a.m.
Modules
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As a result of an organized search, two Octo-Copter Drone Sprayers (model AVG-V8A+) were
recovered near East Cherry St. and Zettler St. Each Octo-Copter Sprayer has a 5.28 gallon (20
liter) capacity. The tanks of the Octo-Copters were empty. They tested positive for presence of
Sarin (See Sarin-Octo-Copter Fact Sheet). (4)
A known terrorist organization calling itself the “Peoples Supreme Independence
Front” has taken responsibility for the attack by posting on the social media sites
of numerous news outlets in the city and state.
Key Issues
The following are key issues for you to consider with regard to this module:









Temperature is in the mid 80s with wind out of the west at 0-5mph.
Air monitoring team registered a positive indication for Sarin.
Existing supplies of nerve agent antidote through EMS, fire and hospitals have been
expended or are not available. Only the CHEMPACK is available.
Nine area hospitals and an EMS Division has requested CHEMPACK.
Incident Command and staging is set up in the COSI parking lot.
Roadways between COSI and the Columbus Commons are open only to responders.
The Situation Unit confirms that 400 public safety officials, 2,300 racers and 8,000
spectators are showing symptoms of exposure.
City of Columbus EOC, Franklin County EOC, and the State EOC are all activated at
various levels.
Local, County, State and Federal partners are gathering information from hospitals
and EMS.
Questions
Based on the scenario and your existing plans and procedures, please discuss these questions:
1. How will host hospitals request CHEMPACK assets?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
2. How will non-host Hospitals request CHEMPACK assets?
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_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
3. How will EMS request CHEMPACK assets?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4. What role will the HUB play in the CHEMPACK deployment process?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5. After the decision to deploy assets has been made, how will host hospitals release the assets
to law enforcement?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
6. How will CHEMPACK be transported to requesting EMS?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
7. How will CHEMPACK be transported to requesting non host Hospitals?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
8. What is your agency’s coordination role in the CHEMPACK request and deployment
process?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Modules
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MODULE 3: RECOVERY, ACCOUNTABILITY &
INFORMATION
Monday, June 29, 2015 @ 09:00 a.m.
The June 24 estimates of the numbers of persons exposed to Sarin were fairly
accurate. As of June 29, a total of 5,000 people have died from the Sarin attack
and 10,800 persons were believed to be exposed to the nerve agent Sarin. All
hospitals in Franklin County Ohio received patients exposed to Sarin, which
required hospitals to obtain and utilize CHEMPACK nerve agent antidotes.
EMS and hospitals implemented decontamination measures to lessen the
persistence and spread of the Sarin nerve agent.
As the incident response moves into the investigation and recovery phase, the
Unified Command has grown to include the Columbus Division of Police
(CPD), Columbus Division of Fire (CFD), Federal Bureau of Investigation
(FBI), Ohio Civil Support Team (CST), Ohio Environmental Protection
Agency (OEPA), Ohio Department of Homeland Security (ODHS), and the
U.S. Environmental Protection Agency (USEPA).
ODH has requested a situational update, records of expended CHEMPACK antidotes, inventories
of remaining antidotes, and a plan for the return of unused doses.
Key Issues
The following are key issues for you to consider with regard to this module:










It is four days after the Sarin attack.
10,800 persons were believed to be exposed to the nerve agent Sarin.
All hospitals in Franklin County, Ohio received patients that were exposed to Sarin.
Hospitals and EMS implemented decontamination measures to lesson exposure,
Approximately 5,000 victims required admission to hospitals.
5,000 people died from the Sarin exposure
Unified Command includes; CPD, CFD, FBI, Ohio CST, OEPA, USEPA, ODHS,
and ODH.
Unified Command priorities include: (1) Investigation, (2) Decontamination and
recovery, (3) Protection from secondary incidents, (4) Responder safety and health,
(5) Emergency public information, and (6) Reconstitution of CHEMPACK assets.
Demand for information from response and recovery partners and the public is
extremely high.
Accountability for use of CHEMPACK assets is required by the CDC.
Modules
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Questions
Based on the scenario and your existing plans and procedures:
1. What are the essential elements of information needed throughout the CHEMPACK
request and initial deployment process?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
2. What information needs to be shared once the CHEMPACK has been deployed to the
requester’s location?
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________
3. During the response, what information should be confidential and what information
should be available to the public? Who needs to know what?
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________
4. What are the steps that are needed to determine how CHEMPACK resources were
expended and used for treatment?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5. What are the steps that are needed to determine what CHEMPACK resources were not
used for treatment and are still available?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Modules
15
FOR OFFICIAL USE ONLY
June 25, 2015
FOR OFFICIAL USE ONLY
U.S. Department of Homeland Security
Situation Manual
CHEMPACK
Tabletop Exercise
APPENDIX A – List of Acronyms
Definition
Acronym
2PAM
ASPR
CDC
CFD
CHEMPACK
COSI
COTS
CPD
CST
DHS
HHS
DOC
EMA
EMS
FBI
EOC
FCEM&HS
FOUO
HSEEP
MOU
mph
NBC
ODH
OEMA
OEPA
Pralidoxime chloride
Office of the Assistant Secretary for Preparedness and Response
Centers for Disease Control
Columbus Division of Fire
A pre-positioned cache of nerve agent antidotes
Center of Science and Industry
Central Ohio Trauma System
Columbus Division of Police
Civil Support Team
Department of Homeland Security
Department of Health and Human Services
Department Operations Center
Emergency Management Agency
Emergency Medical Services
Federal Bureau of Investigation
Emergency Operations Center
Franklin County Emergency Management & Homeland Security
For Official Use Only
Homeland Security Exercise and Evaluation Program
Memorandums of Understanding
Miles per hour
Nuclear, Biological, & Chemical
Ohio Department of Health
Ohio Emergency Management Agency
Ohio Environmental Protection Agency
PHEP
POC
SAIC
SITMAN
Public Health Emergency Preparedness
Point of contact
Strategic Analysis Information Center
Situation Manual
Salivation, lacrimation, urination, defecation, gastrointestinal upset, emesis, miosis
(mnemonic for symptoms of nerve agent poisoning)
Subject Matter Expert
Strategic National Stockpile
Tabletop exercise
Unmanned Aerial Vehicle
United States Environmental Protection Agency
Weapon of Mass Destruction
SLUDGEM
SME
SNS
TTX
UAV
USEPA
WMD
Appendix A
A-1
FOR OFFICIAL USE ONLY
June 25, 2015
FOR OFFICIAL USE ONLY
U.S. Department of Homeland Security
Situation Manual
CHEMPACK
Tabletop Exercise
APPENDIX B - Bibliography
(1) Ohio Department of Public Safety Division of Emergency Medical Services. CHEMPACK,
An Overview, 2007 version 2.0. EMS/Homeland Security Committee.
(2) The Ohio Department of Health and Ohio Department of Public Safety. CHEMPACK
Program Operational Plan. 2015. Ohio Department of Health.
(3) Strategic National Stockpile Program Office of Terrorism Prevention and Emergency
Response. CHEMPACK PROJECT Operational Protocol, 2004. Centers for Disease
Control and Prevention.
(4) Battelle Institute. Sarin and Octo-Copter Fact Sheet. 2015. Mr. Ryan Cunningham
Appendix B
B-1
FOR OFFICIAL USE ONLY
June 25, 2015
FOR OFFICIAL USE ONLY
U.S. Department of Homeland Security
Situation Manual
CHEMPACK
Tabletop Exercise
APPENDIX C - Fact Sheet
Sarin & Octo-Copter Quick Facts:
 Sarin is the most volatile of the nerve agents. This means it can easily and quickly
evaporate from a liquid into a vapor and spread into the environment.
 People can be exposed to the vapor even if they do not come in contact with the liquid form
of Sarin.
 Sarin vapor is heavier than air - it will sink to low-lying areas and create a greater exposure
hazard
 Symptoms likely will appear within a few seconds after exposure to the vapor form of
Sarin and within a few minutes to hours after exposure to the liquid form.
Specifications for the Unmanned Aerial Vehicle (UAV)
 Model: AG-V8A+
 Octo Configuration (8 motors)
 Capacity: 20 Liters / 5.28 Gallons
 Endurance: 20-30 min
Crop Spraying Agricultural Equipment:
 Spray droplet diameter: 60 – 180 micrometers
 Optimal flying speed: 1 – 10 meters per second
 Spraying swath: 3 – 5 meters (even atomization)
 Pesticide/Liquid load: 10 – 20 kilograms
 Optimal spraying height: 1 – 5 meters
 Control: Automatic scheduled or remotely controlled
 Discharge: 6-spray nozzle
 Outflow rate: 0.2 – 0.4 liters per minute (adjustable)
Other Information:
 Cover 1,000 acres in less than 30 hours, with a coverage rate of 33 1/3 acres per hour
 Cutting edge and completely automated system
 Use multiple drones simultaneously to cover large areas
Appendix C
C-1
FOR OFFICIAL USE ONLY
June 25, 2015