Developing a Model for Hospitals’ Emergency Department Preparedness in Radiation and Nuclear Incidents and Nuclear Terrorism in Iran

Marzaleh, Milad Ahmadi; Rezaee, Rita; Rezaianzadeh, Abbas; Rakhshan, Mahnaz; Haddadi, Gholamhassan; Peyravi, Mahmoudreza

doi:10.29252/beat-0703014

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…Nuclear power plants are operating in 31 countries in the world, and organizing an appropriate radiation disaster medical response is not straightforward. Several studies have been done in the United States, 13,17 Canada, European countries, 12 and Iran 15,16 regarding hospital preparedness for radiation disasters. Only Japan has established a hospital network to respond to radiation disasters.…”

Section: Discussionmentioning

confidence: 99%

“…Based on expert opinions, they summarized the results as 3 "S" subjects-Staff, Stuff, and Structure. 15,16 Based on these findings, the questionnaire for this study was created. Kotota et al conducted an online survey of health care workers at hospitals in the United States and asked about the degree of preparedness for chemical, biological, or radio/nuclear disasters and determined that there are critical gaps in hospital capacity.…”

Section: Tujiguhi Et Al Conducted a Survey Of Nechs And Nuclearmentioning

confidence: 99%

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Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals

Nagata

Arishima

Yamaguchi

et al. 2022

Disaster med. public health prep.

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Objective: Based on experiences following the Great East Japan Earthquake and nuclear power plant accident in 2011, Nuclear Emergency Core Hospitals (NECHs) were designated as centers for radiation disaster management in Japan. This study aimed to investigate their current status and identify areas for improvement. Methods: This cross-sectional study was conducted in October 2018. Demographic data were collected by a questionnaire with free text responses about attitudes toward NECHs. Considerations regarding risk communications during a radiation disaster were analyzed using qualitative text mining analysis. Results: A total of 36 hospitals participated in this study. Only 31% of NECHs anticipated a radiation disaster. The importance of business continuity plans and risk communications was shown. Text analysis identified 7 important categories for health care workers during a radiation disaster, including media response, communications to hospital staff, risk communications, radiation effects on children, planning for a radiation disaster in the region, rumors, and the role in the region. Conclusion: The radiation disaster medical system and NECHs in Japan were surveyed. The importance of risk communications, planning for a radiation disaster in each region, and the role in the region are identified as issues that need to be addressed.

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Section: Discussionmentioning

confidence: 99%

Section: Tujiguhi Et Al Conducted a Survey Of Nechs And Nuclearmentioning

confidence: 99%

Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals

Nagata

Arishima

Yamaguchi

et al. 2022

Disaster med. public health prep.

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“…Marzaleh et al emphasises the importance of interdisciplinarity in the development of a model for hospitals' preparedness in CBRN incidents. As in our study, multiple hospital staff worked together with prehospital experts and governmental institutions [15].…”

Section: Discussionmentioning

confidence: 99%

Managing CBRN mass casualty incidents at hospitals—Find a simple solution for a complex problem: A pilot study

Kippnich¹,

Schorscher²,

Sattler³

et al. 2022

JEM

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Objective: Chemical, biological, radiological, and nuclear (CBRN) incidents are a major challenge for emergency medical services and the involved hospitals, especially if decontamination needs to be performed nearby or even within the hospital campus. The University Hospital Wuerzburg has developed a comprehensive and alternative CBRN response plan. The focus of this study was to proof the practicability of the concept, the duration of the decontamination process, and the temperature management.Methods: The entire decontamination area can be deployed 24/7 by the hospitals technical staff. Fire and rescue services are responsible for the decontamination process itself. This study was designed as full-scale exercise with 30 participants.Results: The decontamination area was ready for operation within 30 minutes. The decontamination of the four simulated patients took 5.5 ± 0.6 minutes (mean ± SD). At the end of the decontamination process, the temperature of the undressed upper body of the training patients was 27.25 ± 1°C (81.05 ± 2°F) (mean ± SD) and the water in the shower was about 35°C (95°F).Conclusion: The presented concept is comprehensive and simple for a best possible care during CBRN incidents at hospitals. It ensures wet decontamination by Special Forces, while the technical requirements are created by the hospital.

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“…Decontamination is probably the cornerstone of managing the victims of CBRN accidents (17). Equipment, training and preparedness for the decontamination of chemically-infected victims are of utmost importance.…”

Section: Decontamination Centersmentioning

confidence: 99%

Identification and Analysis of Parameters and Global Experiences of Hospital Preparedness Against Chemical, Biological, Radiological and Nuclear Disasters: A Scoping Review

Mohammadi

Amirheidari

Danesh

et al. 2022

J Clin Res Paramed Sci

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Context: Chemical, biological, radiological and nuclear (CBRNs) disasters represent a disconcerting event for governments, health care providers, the public, and hospitals need to be prepared to cope with such disasters. Therefore, the present scoping review was conducted to identify and analyze the parameters and global experiences of hospital preparedness against CBRN disasters. Methods: The study is a scoping review that examines English and Persian databases including PubMed, Scopus, Web of Science, Science Direct, Google Scholar, and Jihad Daneshgahi Scientific Information Database (SID), Iranian Research Institute for Information Science and Technology, Magiran, and Iranmedex. Reviewing the studies found on the search bases was carried out in three stages; title, abstract and full text. According to refined studies, the data were extracted in order to meet the objectives and respond to the research questions. Results: In the initial search, 1104 articles were identified. First, the articles were reviewed in terms of duplication, year of publication, title, abstract, and relevance to the topic, and finally, 17 articles that met the inclusion criteria were incorporated in the systematic review process. Finally, 8 primary issues addressed in the articles including (1) Staff training, (2) Planning to deal with disasters, (3) Personal protection equipment, (4) Risk perception, (5) Decontamination of medical centers and wards, (6) Detection of CBRN infection, (7) Availability of drugs and antidotes, and (8) The presence of health professionals and staff were discussed. The review of findings reported by various studies revealed shortcomings in the above eight areas. Conclusions: Most hospitals have begun to undertake activities to deal with CBRN and follow a special program for this purpose. However, due to the industrialization of human societies and the surge in CBRN events and other threatening activities, this level of preparedness is not satisfactory and further planning is warranted. However, the present study offers valuable insights and recommendations for policymakers and hospital managers to improve their hospital preparedness for the risks of CBRN disasters.

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Developing a Model for Hospitals’ Emergency Department Preparedness in Radiation and Nuclear Incidents and Nuclear Terrorism in Iran

Cited by 14 publications

References 17 publications

Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals

Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals

Managing CBRN mass casualty incidents at hospitals—Find a simple solution for a complex problem: A pilot study

Identification and Analysis of Parameters and Global Experiences of Hospital Preparedness Against Chemical, Biological, Radiological and Nuclear Disasters: A Scoping Review

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