“…Two dimensions from the original survey (epidemiology and clinical decision-making, and biological agents) had similar relationships between the variables and were collapsed into one dimension, called "clinical decision-making in epidemiology and biological agents". The seven new emergency preparedness dimensions serve as the conceptual framework of this article; these include: (1) epidemiology and biological agents (modes of transmission; suspected biological or chemical exposure, signs and symptoms of exposure; antidotes, vaccines, and/or prophylactic medications; adverse reactions to vaccines; exacerbation of underlying diseases; and care for the deceased); (2) the incident command system (preparation for response, emergency operation plans, knowledge of group assignment and work location, decision-making in disasters versus nonemergency events, task delegation, and site safety issues); (3) communication and connectivity (documentation of care, presentation of risks, chain-of-custody, debriefing activities, key partners' abilities, communication of patient information, and accession to the Strategic National Stockpile); (4) psychological issues and special populations (evaluation for post-traumatic stress and/or mental health issues in children, teenagers and the general population; psychological support; care for children and all vulnerable populations; and counseling about the long-term effects of exposure); (5) isolation, quarantine, and decontamination (quarantine process, decontamination procedures, selection of appropriate personal protective equipment, and the impact on the environment); (6) triage (basic first-aid and treatment, evaluation of personal actions, and performing rapid physical and mental assessments); and (7) reporting and assessing critical information (diseases immediately reportable to local and state health departments, when and where to report symptoms, and where to access upto-date resources), as described by McKibbin et al (2011).…”