Canadian emergency department preparedness for a nuclear, biological or chemical event

Kollek, Daniel

doi:10.1017/s148180350000806x

Cited by 18 publications

(33 citation statements)

References 21 publications

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“…1 In the present study, only one-quarter of the hospitals had performed a risk analysis, and of those, more than one-half had not revisited it within the last five years. 1 In the present study, only one-quarter of the hospitals had performed a risk analysis, and of those, more than one-half had not revisited it within the last five years.…”

Section: Prehospital and Disaster Medicinementioning

confidence: 73%

“…1 The lower response There were 59 responses in the prior study, which was performed shortly after the 11 September terrorist attacks, and disaster preparedness was a topical issue.…”

Section: Limitationsmentioning

confidence: 99%

“…1 Readiness was assessed using a survey, the analysis of which demonstrated a deficiency in readiness-most notably in the availability of appropriate equipment, antidotal therapy, and decontamination capability. 1 Readiness was assessed using a survey, the analysis of which demonstrated a deficiency in readiness-most notably in the availability of appropriate equipment, antidotal therapy, and decontamination capability.…”

Section: Introductionmentioning

confidence: 99%

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Hospital Emergency Readiness Overview Study

Kollek

Cwinn

2011

Prehosp. Disaster med.

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In 2001, a survey of Canadian emergency departments indicated significant deficiencies in disaster preparedness. Since then, there have been efforts on the part of Provincial governments to remedy this situation. This survey repeats the original study with minor modifications to determine if there has been improvement. The Hospital Emergency Readiness Overview study demonstrates that despite improvements, there remain gaps in Canadian healthcare facility readiness for disaster, specifically one involving contaminated patients. It also highlights the lack of any standardized assessment of healthcare facilities' chemical, biological, radiological, or nuclear readiness.

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Section: Prehospital and Disaster Medicinementioning

confidence: 73%

“…1 The lower response There were 59 responses in the prior study, which was performed shortly after the 11 September terrorist attacks, and disaster preparedness was a topical issue.…”

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospital Emergency Readiness Overview Study

Kollek

Cwinn

2011

Prehosp. Disaster med.

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“…Although most, if not all, health care facilities in Canada have a disaster plan, in many cases these plans are not up-to-date 18 and do not incorporate IMS. Often hospital emergency plans are static documents that are only reviewed every few years before accreditation; they should actually be "living documents" that are reviewed at least every 6 months, and after any internal or external event.…”

Section: Preparednessmentioning

confidence: 99%

Emergency preparedness: what every health care worker needs to know

Christian¹,

Kollek²,

Schwartz³

2005

CJEM

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Canada is moving forward quickly with plans to ensure that it is prepared to deal with emergencies. The National Framework for Health Emergency Management, released Nov. 26, 2004, recommends that a National Health Incident Management System (IMS) be developed. However, although most communities have successfully implemented IMS in the emergency services sector, many are still struggling with the integration of IMS into their health care systems. It is essential that all health care workers, regardless of profession or position, understand at least the basic concepts of emergency preparedness because of the wide variety of roles they may be asked to fulfill in an emergency situation. This article will review the basic concepts in emergency preparedness and management with a specific focus on IMS in health care. RÉSUMÉLe Canada va de l'avant rapidement en élaborant des plans pour assurer qu'il est prêt à faire face aux urgences. Le Cadre national de gestion des situations d'urgence en santé dévoilé le 26 novembre 2004 recommande que l'on établisse un Système national de gestion des incidents en santé (SGI). Même si la plupart des localités ont réussi à mettre sur pied un SGI dans le secteur des services d'urgence, l'intégration du SGI dans leur système de santé pose encore des difficultés à beaucoup d'entre elles. Il est essentiel que tous les travailleurs de la santé, sans égard à leur profession ou à leur poste, comprennent au moins les concepts fondamentaux de la préparation aux interventions en cas d'urgence à cause de la grande variété des rôles qu'on peut leur demander de jouer en situation d'urgence. Dans cet article, on passera en revue les concepts fondamentaux de la préparation et de la prise en charge en cas d'urgence axées spécifiquement sur les SGI en soins de santé. EDUCATION • ÉDUCATION

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“…1,2 In order to save as many lives as possible in such events, on-scene medical triage and treatment is crucial. The challenge for emergency medical services (EMS), comprised of paramedics and fire first-responders, is a combination of the following: recognizing that a chemical, biological, radiological and nuclear (CBRN) event has occurred; providing resuscitative care in or near a potentially contaminated area; identifying the toxic agent to allow specific treatment with an antidote; and ensuring the safety of scene responders by avoiding contamination or cross-contamination throughout the events.…”

Section: Introductionmentioning

confidence: 99%

Chemical, biological, radiological and nuclear preparedness training for emergency medical services providers

Kollek

Wanger

Welsford

2009

CJEM

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Objective:We assessed the self-reported theoretical and practical preparedness training of Canadian emergency medical services (EMS) providers in chemical, biological, radiological and nuclear (CBRN) events. Methods: We designed an online survey to address the theoretical and practical CBRN training level of prehospital providers. Emergency medical services staff in British Columbia and Ontario were invited to participate. Results: Of the 1028 respondents, 75% were male, and the largest demographic groups were front-line personnel with more than 15 years of experience. Only 63% of respondents indicated they had received either theoretical or practical training to work in a contaminated environment, leaving 37% who indicated they had received neither type of training. Of those that had received any training, 61% indicated they had received "hands-on" or practical training and 82% indicated they had received some training in identification of a possibly contaminated scene. Only 42% had received training for symptoms of nerve agents, 37% had received training for symptoms of blister agents and 46% had received training for symptoms of asphyxiants. Thirty-two percent had received training for the treatment of patients exposed to nerve agents, and 30% had received training for the treatment of patients exposed to blister agents. Only 31% of all respondents had received training for detecting radiation. Conclusion: CBRN events involve unique hazards and require specific education and training for EMS providers. A large proportion of Canadian EMS providers report not having received the training to identify and work in contaminated environments. RÉSUMÉObjectif : Nous avons évalué le degré de préparation théorique et pratique autodéclarée par le personnel des services médicaux d'urgence au Canada en cas de menaces chimiques, biologiques, radiologiques et nucléaires (CBRN). Méthodes : Nous avons conçu un questionnaire administré en ligne pour mesurer le degré de préparation théorique et pratique du personnel des services préhospitaliers en cas de menaces CBRN. Le personnel des services médicaux d'urgence de la Colombie-Britannique et de l'Ontario a été invité à y répondre. Résultats : Parmi les 1028 répondants, 75 % étaient de sexe masculin et les groupes démographiques les plus volumineux se composaient de personnel de première ligne cumulant plus de 15 années d'expérience. Soixante-trois pour cent seulement des répondants ont mentionné avoir reçu une formation théorique ou pratique pour travailler dans un milieu contaminé, les 37 % restants ayant signalé n'avoir reçu ni l'une ni l'autre. Parmi ceux qui avaient reçu un type de formation, 61 % ont indiqué avoir reçu une formation pratique ou concrète et 82 % ont indiqué avoir reçu un type de formation pour la reconnaissance d'une zone potentiellement contaminée. Seulement 42 % avaient reçu une formation relative aux symptômes occasionnés par les agents neurotoxiques, 37 %, pour les symptômes occasionnés par les agents vésicants, et 46 %, pour les symptômes occasionnés pa...

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Canadian emergency department preparedness for a nuclear, biological or chemical event

Cited by 18 publications

References 21 publications

Hospital Emergency Readiness Overview Study

Hospital Emergency Readiness Overview Study

Emergency preparedness: what every health care worker needs to know

Chemical, biological, radiological and nuclear preparedness training for emergency medical services providers

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