Agency for Toxic Substances and Disease Registry
 
CONTENTS
What is the MHMIs Series?
MHMI Development
What are MMGs
PDF Info
Volume I - Emergency Medical Services
Volume II - Hospital Emergency Departments
Volume III - Medical Management Guidelines (MMGs)
Video
Reference
Further Information
A-Z INDEX
A B C D E 
F G H I J K
L M N O P
Q R S T U 
VX Y Z
 
ATSDR RESOURCES
ToxFAQs
ToxFAQs™ en Español
Public Health Statements
Toxicological Profiles
Minimum Risk Levels
MMGs
MHMIs
Interaction Profiles
Priority List of Hazardous Substances
Division of Toxicology

Version 2001
Managing Hazardous Material Incidents

What is the managing hazardous material incidents (MHMI) series?

The MHMI series is a three volume set (with a video) comprised of recommendations for on-scene (prehospital), and hospital medical management of patients exposed during a hazardous materials incident.

  • Volume I - Emergency Medical Services: A Planning Guide for the Management of Contaminated Patients are planning guides to assist first responders in planning for incidents that involve hazardous materials.
  • Volume II - Hospital Emergency Departments: A Planning Guide for the Management of Contaminated Patients are planning guides to assist hospital emergency department personnel in planning for incidents that involve hazardous materials.
  • Volume III - Medical Management Guidelines (MMGs) for Acute Chemical Exposures are guides for health care professionals who treat persons who have been exposed to hazardous materials.
  • Video - Community Challenge: Hazardous Materials Response and the Emergency Medical System is a training video for Volumes I & II.

Why was the MHMI series developed?

The MHMI series was developed to provide emergency medical services (EMS) personnel and hospital emergency departments (EDs) with the necessary guidance to plan for, and improve their ability to respond to, incidents that involve human exposure to hazardous materials. The guidelines inform emergency personnel how to appropriately decontaminate, treat, and recommend follow-up care to exposed persons, as well as take measures to protect themselves.


What are the Medical Management Guidelines (MMGs)?

The Medical Management Guidelines (MMGs) for Acute Chemical Exposures were developed by ATSDR to aid emergency department physicians and other emergency healthcare professionals who manage acute exposures resulting from chemical incidents. The MMGs are intended to aid healthcare professionals involved in emergency response to effectively decontaminate patients, protect themselves and others from contamination, communicate with other involved personnel, efficiently transport patients to a medical facility, and provide competent medical evaluation and treatment to exposed persons.

You can view a complete list of MMGs on the MMG home page.


PDF file downloading information:

Because the MHMI series is so large and contains several complex graphs and figures, the complete series has been divided into several separate PDF files which present all of the various sections and important topics in each volume. Please note, the PDF format requires Adobe Acrobat Reader Exiting the ATSDR Web Site., which can be downloaded free from the Adobe web site.

Some of the chemical protocols in the Volume III MMGS are available in HTML format. The names of the chemical protocols that are available in HTML will be highlighted and underlined.


The Complete Table of Contents
Volume I - Emergency Medical Services
Preface Table of Contents / Introduction Volume I - Emergency Medical Services - Preface - Table of Contents / Introduction (File Size 1.2MB) 1.2 MB
Part I    Systems approach to planning Volume I - Emergency Medical Services - Part I - Systems approach to planning (File Size 88k) 88k
Part II Emergency Medical Services Response to Hazardous Materials Incidents Volume I - Emergency Medical Services - Part II - Emergency Medical Services Response to Hazardous Materials Incidents (File Size 270k) 270k
Part III Response and Patient Management Volume I - Emergency Medical Services - Part III - Response and Patient Management (File Size 106k) 106k
Appendix A Hazardous Materials Classification Systems Volume I - Emergency Medical Services - Appendix A - Hazardous Materials Classification Systems (File Size 1.5MB) 1.5 MB
Appendix B Types of Respiratory Protection Volume I - Emergency Medical Services - Appendix B - Types of Respiratory Protection (File Size 55k) 55k
Appendix C Levels of Protection Volume I - Emergency Medical Services - Appendix C - Levels of Protection (File Size 60k) 60k

Volume II - Hospital Emergency Departments
Preface Table of Contents/Introduction Volume II - Hospital Emergency Departments - Preface - Table of Contents/Introduction (File Size 1.1MB) 1.1 MB
Part I Systems approach to planning Volume II - Hospital Emergency Departments - Part I - Systems approach to planning (File Size 83k) 83k
Part II Emergency Medical Services Response to Hazardous Materials Incidents Volume II - Hospital Emergency Departments - Part II - Emergency Medical Services Response to Hazardous Materials Incidents (File Size 264k) 264k
Part III Response and Patient Management Volume II - Hospital Emergency Departments - Part III - Response and Patient Management (File Size 82k) 82k
Appendix A Hazardous Materials Classification Systems Volume II - Hospital Emergency Departments - Appendix A - Hazardous Materials Classification Systems (File Size 963k) 963k
Appendix B Types of Respiratory Protection Volume II - Hospital Emergency Departments - Appendix B - Types of Respiratory Protection (File Size 55k) 55k
Appendix C Levels of Protection Volume II - Hospital Emergency Departments - Appendix B - Levels of Protection (File Size 60k) 60k

Volume III - Medical Management Guidelines (MMGs)
Preface Table of Contents / Introduction Volume III - Medical Management Guidelines (MMGs) - Preface - Table of Contents / Introduction (File Size 1.2MB) 1.2 MB
List of all individual MMGs (see A-Z index of MMG's)
Appendix I AAPCC-Certified Regional Poison Control Centers Volume III - Medical Management Guidelines (MMGs) - Appendix I - AAPCC-Certified Regional Poison Control Centers (File Size 19k) 19k
Appendix II Association of Occupational and Environmental Clinics Volume III - Medical Management Guidelines (MMGs) - Appendix II - Association of Occupational and Environmental Clinics (File Size 19k) 19k
Appendix III State Health Departments Volume III - Medical Management Guidelines (MMGs) - Appendix III - State Health Departments (File Size 11k) 11k
Appendix IV Consultation Resources Volume III - Medical Management Guidelines (MMGs) - Appendix IV - Consultation Resources (File Size 11k) 11k
Glossary   Volume III - Medical Management Guidelines (MMGs) - Glossary (File Size 56k) 56k

Video

Community Challenge: Hazardous Materials Response and the Emergency Medical System is a training video for Volumes I & II. It is 50 minutes long; 25 minutes for each volume. It is not currently available on our web site, but may be obtained by healthcare professionals in CD-ROM format by contacting ATSDR.


Reference:

Managing Hazardous Material Incidents (MHMI). Volumes 1, 2 , and 3. Agency for Toxic Substances and Disease Registry (ATSDR). 2001. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service.


Further information:

Further information about hazardous substances my be obtained by visiting the ATSDR ToxFAQs™ and ToxFAQs™ in Español, which provide answers to the most frequently asked questions about hazardous substances.

You may also call the ATSDR Information Center at 1-888-422-8737. Public health and emergency personnel may contact the ATSDR Emergency Response Center 24 hours a day at 1-404-498-0120.

 


For questions regarding the MHMI publications contact the:
ATSDR Information Center / ATSDRIC@cdc.gov / 1-888-422-8737

This page was updated on May 27, 2004