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Treatment Centers

Underground Emergency Treatment Centers for Hospitals and Physicians to Treat CBRNE and Natural Disaster Victims

Abstract

Physicians have always had a tremendous responsibility to provide medical services to those in need, especially in times of disaster. The new threats to the American Homeland have added some additional needs for medical services which can only be met by underground Emergency Treatment Centers (ETCs). By installing a rated underground shelter that is fully operational and able to operate off-grid before and after any nuclear-chemical-biological or EMP attack, physicians can continue to care for patients in the shelter without relying on the government or the local power grid. Physicians can claim a tax exemption for the shelter expense as a “medical treatment center.” After the publication of the National Planning Scenario in 2012 reviewing possible NBC threats to the United States, weapons of mass destruction were recognized and a real and legitimate threat that first responders and the general population need to be aware of so they can prepare. As a result, physicians who purchase underground shelters for medical uses or to protect employees can claim the shelter as an expense of their practice. A complete description of the shelter system and performance data can be found in the S Series General Brochure and the S16x40-MIL brochure at noradshelters.com. The NORAD S16x40-MIL Underground Shelter is used here since it the most common model used for ETCs.

Off-Grid, Spacious Underground CBRNE Protection

The NORAD S Series shelters are the only “rated shelters” in the world. They are totally self-contained structural steel underground disaster shelters with a Total Rems in Shelter (TRS) Rating of 4 rems @ 10 psi overpressure. The S Series shelter is specifically designed to protect people from chemical, biological, radiation, nuclear and explosive (CBRNE) threats. The five steel 8 ft. x 16 ft. sections are bolted together on site. The steel foundation forms the floor and a gravity flange for high water tables, and is a barrier preventing radon and methane gas from entering the shelter. No concrete is used so it is not considered a permanent structure. This usually means that a building permit is not required. The hexoid ceiling provides an extremely strong and spacious feeling especially for claustrophobic people. All hull material is structural steel that is epoxy coated inside and outside. All sections are designed to withstand 10 psi of overpressure.

Emergency and Disaster Physician Considerations

The physician treating disaster victims must plan for situations not normal during peacetime. Equipment required and medical situations faced will be significantly abnormal after a CBRNE event. The NORAD ETC includes the protection, facilities and storage physicians need to treat CBRNE survivors.

ETC Shelter Medical Supplies and Storage

The S16x40-MIL 12 inch deep wall shelves are particularly useful because they allow organized long-term storage of medical and personal protection equipment (PPE) supplies. There is ample room to store both supplies used to treat patients in the shelter, and supplies needed to allow the physician to exit the shelter to conduct first responder operations in a tactical CBRNE environment. The exact supplies will be up to the individual physician who is encouraged to use the Interagency Board (IAB) to develop a Standardized Equipment List (SEL) for CBRNE disasters. Some of these supplies are antibiotics, pain medicine, sutures, chemical agent test kit, radiation survey meter (NORAD supplies), IV bottles and tubing, human body decontamination agents (NORAD supplies some), dressings, surgical kits, bandages, splints, occlusive dressings, and associated supplies for treating trauma patients, protective garments, gloves, footwear, face protection and body bags.

The Physician’s Special Skills

The ETC requires a physician who is able to treat injuries both directly and indirectly related to CBRNE disasters. In addition, the physician must also be able to diagnose diseases that are not common in peacetime, such as cholera, typhoid, other infectious diseases, and malnourishment. The number one priority of the ETC is to keep the physician and staff healthy since the ETC medical personnel will not be unable to treat anyone if they succumb to the same diseases and WMD agents that the ETC is designed to protect from and treat.

The ETC Patients’ Needs

CBRNE victims experiencing “survival” living will have extremely poor hygiene as toilet paper will probably not be available. Potable water will be very limited outside of the shelter. A major resource of the ETC is the ability to provide fresh potable water to people inside the shelter and many people outside of the shelter.

NORAD Shelter Systems LLC® ETC Installation and features

ETC Shelter Installation

The S16x40-MIL underground ETC shelter can be installed in approximately 7 days. The installation includes:

  • off-loading the crane of the hull sections
  • 15 foot hole excavation
  • section assembly the excavated hole
  • shelter connection to water well
  • cathodic protection system setup

Followed by installation and setup of the NORAD-supplied:

  • 45 Degree Walk-in Entranceway
  • Internal EMP-shielded 6.5 KW Generator
  • Pressurized Generator Room And Hatch
  • Sound Barriers
  • Fuel Tank
  • Generator Air Filtration
  • Circuit Panels
  • Breathing Air Filtration
  • Air Manifolds
  • Bathroom Sink
  • Conventional Shower
  • Sump Pump
  • Kitchen Sink
  • Water Filtration
  • Water Sterilization
  • Flush Toilet
  • Sewage Lift Station
  • Septic Tank/Leach Field
  • Electric Hot Water Heater
  • Walls
  • Door, Lock
  • Counter, Cabinets, Pantry
  • Antennas
  • Cabling
  • Scanner
  • Ham Radio
  • Lights
  • Sofa
  • Bunk Beds
  • Desk
  • Chair
  • Low-temperature Dehumidifier
  • Smoke Detector
  • Fire Detector
  • Carbon Monoxide Detector
  • Fire Extinguisher

Followed by distribution and installation of physician/hospital-specified equipment as per specific contract with each buyer. Items are supplied by physician/buyer and might include but are not limited to:

  • Personal Protection Equipment
  • Specialty Medical Equipment
  • Emergency First Aid Supplies
  • Surgical Supplies
  • Sanitary Bedding

Delivery and installation includes appropriate electrical and plumbing; diesel fuel delivery via NORAD trailer; back fill and grading; alpha trials and training.

ETC Shelter Emergency Radio Communications System

The scanner radio in the shelter allows continuous monitoring of numerous frequencies such as FM Radio, AM radio, hospital frequencies, fire department frequencies, police frequencies, air craft frequencies, etc. The HAM radio allows receiving and transmitting on the 2 meter band which is the most common emergency band. Both radios will allow the physician to coordinate his skills and supplies to either make house calls or in more severe cases transport the patient back to the shelter for constant observation.

ETC Shelter Internal EMP-Shielded Generator Power

NORAD has perfected the underground shelter internal EMP shielded diesel generator. The generator is placed under negative pressure in its own pressurized room so all exhaust and gases exit to the surface through the exhaust duct. The generator needs to operate approximately 4 hours per day and requires only 800 gallons of diesel fuel per year for normal operation. Sound attenuating foam reduces noise to about that made by a loud dishwasher. The generator powers the battery bank which then powers the shelter’s electric functions.

ETC Shelter NBC Air Filtration System

The S16x40-MIL NBC SEAM (Severe Environment Air Module) Air Filtration System protects shelterists from chlorine gas, home-made acid gas and actual chemical warfare agents. Each ETC shelter has one NBC SEAM unit for generator air and another for breathing air. The NBC SEAM is designed to protect from biological, chemical and radiological substances such as radiation, bacteria, nerve agents, toxins, cyanide, phosgene and blister agents.

ETC Shelter Sealed Shelter Atmosphere

The S16x40-MIL Sealed Shelter Atmosphere is a measure time of breathable air after the breathing air blower is turned off. The S16x40-MIL air supply system brings in many times the amount of fresh air than is needed. Ground fires pollute the above ground air with carbon monoxide which cannot be filtered out making it a danger that could pass through the SEAM system. The Sealed Shelter Atmosphere allows shelterists to operate inside the shelter with the breathing air blower turned off. Shelterists can wait out fire and intruder attacks while radioing for assistance. Lithium hydroxide trays can further extend the standard sealed shelter atmosphere time.

ETC Shelter Redeployment

The S16x40-MIL is made of all structural steel and uses no concrete. It is considered redeployable since it can be dug up and installed in another location. Each section is legal in width and length so no over dimension permits are needed to truck the shelter section to the installation site.

ETC Shelter Corrosion Protection System

The S16x40-MIL shelter hull exterior and interior are painted prior to shipping. The inside epoxy white coating has excellent flame and smoke properties with a minimum dielectric strength of 1000 volts/mil per ASTMD149-09.. The exterior epoxy coating has strong dielectric properties and excellent cathodic bonding and abrasion resistance properties. Underground corrosion is an electrical process. The Cathodic Protection System virtually stops the shelter hull and foundation corrosion. Unlike an underground galvanized tank or culvert where the shelter itself erodes over time requiring the shelter hull pressure rating to be de-rated 2-5% each year, the corrosion protection system forces the underground anodes connected to the shelter to erode instead of the shelter hull. The corrosion protection system is monitored by a meter mounted on the shelter wall indicating that the corrosion protection system is operating and when the anodes needs to be replaced. The corrosion protection system allows support of a 30-50 year structural warranty.

ETC Shelter Air Manifolds

All air manifolds for breathing air and for generator air are aerodynamically designed to resist winds of 350 mph with flying debris and have insect screens made of a non-corrosive material. The insect screens can be replaced as needed. Several proprietary anti-intrusion designs are included in the manifolds.

ETC Shelter Hatches

All hatches are installed at ground level. They are made of structural steel and are spring loaded. Hatches connect to the entranceway creating a maximum above ground exposure of 8 inches. Hatches are aerodynamically designed to resist 350 mph winds with flying debris. Several anti-intrusion designs are included in the hatches.

ETC Shelter Emergency Escape Jack System

If the hatch at ground level becomes blocked, the first response would be to use the radio to call for help. If this effort fails for whatever reason, the shelter includes an emergency jack system capable of lifting a minimum of 10,000 lbs. off of the hatch; additionally, the shelter can optionally include a second entranceway to be used as an emergency exit.

ETC Shelter Sanitary System

The shelter is equipped with a conventional non-clog flush toilet and sewage lift station capable of lifting the sewage up to the septic tank. The 1000 gallon septic tank overflows to a leach chamber system based on local percolation tests and meets conventional codes.

ETC Shelter Electrical System

The S16x40-MIL shelter’s electrical system meets National Electric Code (NEC) standards for the AC electrical system and the American Yachting and Boating Council (ABYC) code for all DC electrical systems. Both electrical systems have a dedicated and clearly labeled circuit breaker system protecting all circuits.

ETC Shelter Potable Water

The shelter water filtration system cable of filtering out 99+% of water contaminants including fecal bacteria, cholera bacteria, typhoid bacteria, asbestos, chloroform, mercury, lead, S. Aureus bacteria, E Coli bacteria, turbidity, PCB, and TCE. There are two methods of supplying water to the shelter. The first and preferred method is to drill a water well requiring only a 4 inch diameter casing and 1/2 HP submersible pump capable of lifting water 600 ft. The second method is to use a 6000 gallon underground water tank which has to be filled approximately every 4 months. The shelter is equipped with a water filtration system for both mechanical filtration and ultraviolet sterilization for viruses and bacteria. The filters used comply with the National Sanitation Foundation (NSF) and the American National Standards Institute (ANSI) 42 and 43.

ETC Shelter Floor

The shelter has plastic flooring on top of the steel floor in all rooms.

ETC Shelter Internal Temperature

The shelter temperature at southern locations in United States is approximately 72 deg. F. all year long since the is surrounded by over a million pounds of earth that is thermally very stable. Fresh filtered air enters the shelter 24 hours per day resulting in an air change every hour and meets the ASHRAE 62 standards for indoor air quality.

S16x40-MIL Underground ETC Shelter Parts

Each Emergency Treatment Center is one S16x40-MIL underground shelter with a 45 degree walk-in entranceway. The product consists of many individual pieces and is summarized generally below.

ETC Shelter Parts Summary Notes

Shelving is designed to accept 5 gal. buckets and no. 10 cans. Mission Essential Equipment (MEE) includes blowers, inverter chargers, radios and generators. Microwaves are not MEE and are not EMP-shielded. To protect microwave usage, purchase a 2nd microwave from us or another supplier, then store it in the EMP vault. The air filtration HEPA tray will be hot after a nuclear event and must be replaced 24 hours after radiation exposure. Shelters are connected to the customer’s pre-existing 1/2 HP drilled drinking water well. Ask about water tank capacity upgrades. If a well is not viable, we offer optional underground water tanks and pumps. UV sterilization kills biological agents. The customer is responsible for trucking in clean water. NORAD does not supply food, water, buckets or cans.

ETC SHELTER PARTS SUMMARY

Structure

  • ENG. STDS. ABYC, ANSI, API, ASHRAE, ASME, MIL, POP etc.
  • 1 PAIR S16: 40X8 FT. END WALLS
  • 3 16: 40X8 FT. SINGLE SIDE WALLS
  • SEISMIC JOINTS
  • 64 FT. SHELVING PER 8 FT. SPAN

Interior/Exterior Protection

  • BLAST VALVES
  • 30 YEAR CATHODIC CORROSION PROTECTION
  • SMOKE DETECTOR
  • FIRE DETECTOR
  • CARBON MONOXIDE DETECTOR
  • FIRE EXTINGUISHER
  • LOW-TEMPERATURE DE-HUMIDIFER

Entranceway

  • 45 DEG WALK-IN EWAY/30X60 IN. HATCH

Power

  • INTERNAL EMP-SHIELDED 6.5KW GENERATOR
  • PRESSURIZED GENERATOR ROOM
  • PRESSURE HATCH DOOR
  • 800 GALLONS ALUMINUM DIESEL TANK
  • 800 GALLONS DIESEL FUEL DELIVERED by NORAD
  • DIESEL CIRCULATING/TRANSFER PUMP
  • GENERATOR CONTROL BOX
  • DIRECT READ DIESEL TANK GAUGE
  • EMULSIFIERS, FUNGICIDES
  • BATTERY BANK
  • BATTERY CONTROLLER
  • INVERTER CHARGER
  • SOUND BARRIER WALL
  • GENERATOR HOUSING VIBRATION MAT
  • GENERATOR AC CIRCUIT BREAKER PANEL
  • INVERTER AC CIRCUIT BREAKER PANEL
  • DC CIRCUIT BREAKER PANEL
  • GENERATOR HOUSING ELECTRICAL OUTLET
  • LED WHITE LIGHTS – 1 PER 8 FT. SPAN
  • ELECTRICAL SUPPLIES, INSTALLATION

NBC Protected Generator Air

  • HEPA SEAM DUST TRIPLE CHAMBER
  • 3 EXTRA DUST FILTERS
  • AIR INLET/OUTLET MANIFOLDS
  • SOLAR TRICKLE CHARGER FOR BATTERY BANK
  • EMP-SHIELDED GENERATOR/BATTERY CONTROLLER
  • EMP-SHIELDED INVERTER CHARGER
  • EMP-SHIELDED SOLAR CONTROLLER
  • EMP-SHIELDED SOLAR TRICKLE CHARGER (BATT BANK)
  • CARBON ACTIVATED TRAYS (2) 1 INSTALLED, 1 BACKUP
  • TEDA CARBON TRAY (2) 1 INSTALLED, 1 BACKUP
  • HEPA TRAYS (3) 1 INSTALLED, 2 BACKUP
  • BIBO (4) 3 INSTALLED, 1 BACKUP

NBC Protected Breathing Air

  • AIR INLET/OUTLET MANIFOLDS
  • DUST FILTRATION
  • BREATHING AIR SUPPLY NBC PROTECTION UPGRADE
  • CARBON ACTIVATED TRAYS (1 INSTALLED., 1 BACKUP)
  • TEDA CARBON TRAYS (1 INSTALLED., 1 BACKUP)
  • HEPA TRAYS (1 INSTALLED, 2 BACKUP)
  • BIBO GLOVE BAGS (1 INSTALLED, 3 BACKUP)

NBC Detection/Decontamination

  • RADIATION METER
  • CHEMICAL TEST KIT
  • NBC DECONTAMINATION SOLUTION

Kitchen

  • MICROWAVE OVEN
  • ELECTRIC STOVE
  • KITCHEN SINK
  • KITCHEN COUNTER
  • KITCHEN CABINET
  • KITCHEN TABLE
  • KITCHEN CHAIRS
  • UTILITY SINK

Sanitary Facilities

  • BATHROOM CABINET
  • BATHROOM SINK
  • CONVENTIONAL SHOWER
  • CONVENTIONAL FLUSH TOILET
  • TOILET ROOM VENTING 24/7
  • 120 VAC SEWAGE LIFT STATION
  • 1,000 GALLON SEPTIC TANK
  • SEPTIC LEACH FIELD
  • DOOR, DOOR LOCK
  • SUMP PUMP

NBC Protected Water

  • WATER FILTRATION
  • WATER UV STERILIZATION
  • ELECTRIC HOT WATER HEATER
  • 6000 GAL. WATER TANK/PUMP

Emergency Commnications

  • EMP-SHIELDED SCANNER, CABLES, ANTENNA
  • EMP-SHIELDED HAM RADIO, CABLES, ANTENNA
  • ANTENNA MAST

Beds

  • 3 QUEEN BUNK BEDS, 3 MATTRESSES, RATED 800 LBS./BUNK

Common Area

  • SOFA
  • DESK
  • CHAIR
  • EMP VAULT (RADIOS, COMPUTERS, ETC.)

 

Purchasing the NORAD ETC Shelter

Price $415,750
Delivery Fee Based on Distance from Fort Worth, TX
Installation Cost $53,750
Delivery Vehicles 6 Lowboy Trailer Trucks
Deliverables 5 Shelter Sections, 1 45 Degree Entranceway, 1 Septic Tank
Installation Time 7 Days
Payment Terms BUYER shall pay NORAD SHELTER SYSTEMS LLC® for the GOODS (the “Purchase Price”) The Purchase Price must be paid by wire to NORAD Shelter Systems LLC®. NORAD Shelter Systems LLC® 675 Town Square Blvd, Suite 200 Garland, TX 75020

 

Operations Centers

Underground Emergency Operations Centers (EOC’s)

S24x80 Bomb Shelter Interior 1

Connected Fallout Shelters for Emergency Operations Centers – Students and Teachers – Law Enforcement Operations – Corporate Continuity –  Government Operations – Emergency Supply Center – Red Cross Center – Emergency City Hall

 

Emergency Operations Center

TYPICAL SHELTER USE

The NORAD Series underground shelters are often used as Emergency Operations Centers (EOC’s) to protect students at schools, law enforcement operations, or employees at work. It can also be used to supply shelter, toilet, water, showers, and food for people in the local community after a tornado, hurricane, power failure, or major natural or man-made disaster. Certain options allow the EOC to be legally used for dual use as another office, warehouse, emergency supply center, Red Cross center, emergency City Hall, etc.

The NORAD underground shelter is designed as a commercial facility for up to 400 people for EOC use or up to 100 people for long-term hurricane or private use. The underground shelter is designed to protect people from an 8.5 Richter earthquake, fires, 350 mph winds, a direct F5 tornado, hurricanes, and the aftermath of a solar flare or electromagnetic pulse (EMP). The shelter system provides an emergency life style for shelterists for 3 days to six months for EOC use or up to 5 years for private use, depending on food, fuel, water  and medical supplies, without exiting the underground community while operating off the grid and completely independent of any local community services.

FEMA 361 2008 and ICC- 500 require a minimum of 5 ft2/person floor space at 50%, 35% and 15% reductions for tornado shelters and 20 ft2/person for hurricane shelters depending on furnishings. Hours to 3% CO2 are based on maximum occupancy at 15% floor space reduction and mild activity, Chapter 18  US Handbook of Underground Shelters. When ground fires are present around the air manifolds, the air blower should not be turned on to bring in fresh air.   During this time, the shelterists must breathe in a sealed shelter atmosphere. The safe duration time is based on a 3% carbon dioxide limit.  The time it takes for the shelter atmosphere to reach this limit is a function of the number of shelterists, degree of physical activity of the shelterists, and the volume of the shelter above the floor.   Sealed Shelter Atmosphere graphs are provided for each specific shelter.

S16x80 Bomb Shelter Interior 1

S16x80 Fallout Shelter EOC Floor Plan 1

S16x80 Density Requirements: 1280 Ft2 Floor
People In Shelter 640 ft2 Floor @ 50% Reduction
Ft2/Person
832 ft2 Floor @ 35% Reduction
Ft2/Person
1088 ft2 Floor @ 15% Reduction
Ft2/Person
15,000 ft3 Shelter Ft3/Person Hours. to 3% C02
25 26 33 44 600 27
50 13 17 22 300 13
75 9 11 15 200 9
100 6 8 11 150 7
150 4 6 7 100 4
200 3 4 5 75 3

S24x80 Bomb Shelter Interior 1

S24x80 Fallout Shelter EOC Floor Plan 1

S24x80 Density Requirements: 1920 Ft2 Floor
People In Shelter 960 ft2 Floor @ 50% Reduction
Ft2/Person
1,248 ft2 Floor @ 35% Reduction
Ft2/Person
1,632 ft2 Floor @ 15% Reduction
Ft2/Person
15,000 ft3 Shelter Ft3/Person Hours. to 3% C02
10 96 125 163 2254 101
25 38 50 65 902 40
50 19 25 33 451 20
75 13 17 22 301 13
100 10 12 16 225 10
150 6 8 11 150 7
200 5 6 8 113 5
250 4 5 7 90 4
300 3 4 5 75 3
350 3 4 5 64 3

S30x80 Fallout Shelter EOC Floor Plan 1

S30x80 Bomb Shelter Interior 1

S30x80 Density Requirements: 2,400 Ft2 Floor
People In Shelter 1,200 ft2 Floor @ 50% Reduction
Ft2/Person
1,560 ft2 Floor @ 35% Reduction
Ft2/Person
2,040 ft2 Floor @ 15% Reduction
Ft2/Person
15,000 ft3 Shelter Ft3/Person Hours. to 3% C02
10 96 125 163 2254 101
25 38 50 65 902 40
50 19 25 33 451 20
75 13 17 22 301 13
100 10 12 16 225 10
150 6 8 11 150 7
200 5 6 8 113 5
250 4 5 7 90 4
300 3 4 5 75 3
350 3 4 5 64 3

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