Health Care System Planning for and Response to a Nuclear Detonation

Abstract

<jats:title>ABSTRACT</jats:title><jats:p>The hallmark of a successful response to a nuclear detonation will be the resilience of the community, region, and nation. An incident of this magnitude will rapidly become a national incident; however, the initial critical steps to reduce lives lost, save the lives that can be saved with the resources available, and understand and apply resources available to a complex and dynamic situation will be the responsibility of the local and regional responders and planners. Expectations of the public health and health care systems will be met to the extent possible by coordination, cooperation, and an effort to produce as consistent a response as possible for the victims. Responders will face extraordinarily stressful situations, and their own physical and psychological health is of great importance to optimizing the response. This article illustrates through vignettes and supporting text how the incident may unfold for the various components of the health and medical systems and provides additional context for the discipline-related actions outlined in the state and local planners’ playbook.</jats:p><jats:p>(<jats:italic>Disaster Med Public Health Preparedness</jats:italic>. 2011;5:S73-S88)</jats:p>

Disaster Planning

“…As such, conventional trauma centers, regional and community hospitals would all be called on during such catastrophic events to manage injured for extended periods of time. [33][34][35][36][37] It is also reasonable to presume there will be a significant financial component to be considered in the management of a large-scale burn disaster for all hospitals.…”

Scarce Resources for Nuclear Detonation: Project Overview and Challenges

“…The resulting articles in this special issue of Disaster Medicine and Public Health Preparedness are not intended to be exhaustive reviews, and they reflect the judgment and opinion of the experts, not those of the governmental agencies or academic institutions that employ them. [14][15][16][17][18][19][20][21][22] The recommendations are based on the available data, recognizing that the human and animal data on radiation injury alone and on combined injury are limited.…”

“…The resulting articles in this special issue of Disaster Medicine and Public Health Preparedness are not intended to be exhaustive reviews, and they reflect the judgment and opinion of the experts, not those of the governmental agencies or academic institutions that employ them. [14][15][16][17][18][19][20][21][22] The recommendations are based on the available data, recognizing that the human and animal data on radiation injury alone and on combined injury are limited.Model output for casualty types and number are described in a general manner. 15 (The Department of Health and Human Services has detailed models from which the data and guidance in these articles are based for the consequences of nuclear detonation in a range of cities, from a variety of heights of burst, and under a range of meteorological conditions, and for scarcity of specific resources for medical management of acute radiation syndrome.…”

Medical Triage in Nuclear-Radiological Emergency

“…Eğer akut radyasyon hastalığı yoksa epidemiyolojik olarak aldığı doza bakılır ve yüksekse akut radyasyon hastalığı olanlar gibi işlem görür. Değilse kontrole gelmek üzere evine gönderilir (12).…”