Djalali, A., Della Corte, F., Segond, F., et al. (2016). TIER Competency-Based Training Course for the First Receivers of CBRN Casualties: A European Perspective. European Journal of Emergency Medicine. 24(5):371-376.
The authors developed a set of competencies under 10 domains to define the skills and knowledge necessary to respond to chemical, biological, radiological and nuclear (CBRN) emergencies. They created a training program based upon these competencies, and note that a blended training approach may allow clinicians the opportunity to participate in the same trainings, even in different time zones and locations.