?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Utility+of+Fear+Severity+and+Individual+Resilience+Scoring+as+a+Surge+Capacity%2C+Triage+Management+Tool+during+Large-Scale%2C+Bio-event+Disasters&rft.creator=Bracha%2C+H.+Stefan&rft.creator=Burkle+Jr.%2C+Frederick+M.&rft.subject=Physiological+Psychology&rft.description=Threats+of+bioterrorism+and+emerging+infectious+disease+pandemics+may+result+in+fear+related+consequences.+Fear+based+signs+and+symptoms%2C+if+left+undetected+and+untreated%2C+may+be+extremely+debilitating+and+lead+to+chronic+problems+with+risk+of+permanent+damage+to+the+brain%E2%80%99s+locus+coeruleus+stress+response+circuits.+The+triage+management+of+susceptible%2C+exposed%2C+and+infectious+victims+seeking+care+must+be+sensitive+and+specific+enough+to+identify+individuals+with+excessive+levels+of+fear+in+order+to+address+the+nuances+of+fear-based+symptoms+at+the+initial+point+of+contact.+These+acute+conditions%2C+which+include+hyper-vigilant+fear%2C+are+best+managed+by+timely+and+effective+information%2C+rapid+evaluation%2C+and+possibly+medication+that+uniquely+addresses+the+locus-coeruleus+driven+noradrenalin+overactivation.++This+article+recommends+that+a+fear+and+resilience+(FR)+checklist+be+included+as+an+essential+triage+tool+to+identify+those+most+at+risk.+This+checklist+has+the+utility+of+rapid+usage+and+capacity+to+respond+to+limitations+brought+about+by+surge+capacity+requirements.+Whereas+the+utility+of+such+a+checklist+is+evident%2C+predictive+validity+studies+will+be+required+in+the+future.+It+is+important+to+note+that+a+unique+feature+of+the+FR+Checklist+is+that+in+addition+to+identifying+individuals+who+are+emotionally%2C+medically%2C+and+socially+hypo-resilient%2C+it+simultaneously+identifies+individuals+who+are+hyper-resilient+who+can+be+asked+to+volunteer+and+thus+rapidly+expand+the+surge+capacity.+%0A%0A&rft.date=2006-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F5245%2F1%2FFear%2526_Resilience_Bracha_%2526_Burkle_Final_PDF.pdf&rft.identifier=++Bracha%2C+H.+Stefan+and+Burkle+Jr.%2C+Frederick+M.++(2006)+Utility+of+Fear+Severity+and+Individual+Resilience+Scoring+as+a+Surge+Capacity%2C+Triage+Management+Tool+during+Large-Scale%2C+Bio-event+Disasters.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F5245%2F