Preparedness for a 'no-notice' mass-casualty incident: a nuclear detonation scenario.

Autor: Coleman CN; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA.; Radiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD, USA., Cliffer KD; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA., DiCarlo AL; Radiation and Nuclear Countermeasures Program, Division of Allergy, Immunology, and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA., Homer MJ; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA., Moyer BR; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA., Loelius SG; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA., Tewell AW; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA., Bader JL; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA., Koerner JF; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA.
Jazyk: angličtina
Zdroj: International journal of radiation biology [Int J Radiat Biol] 2022; Vol. 98 (5), pp. 873-877. Date of Electronic Publication: 2021 Dec 13.
DOI: 10.1080/09553002.2021.2013573
Abstrakt: Purpose: An effective response for a mass-casualty incident requires understanding the relevant basic science and physical impact; detailed preparedness among jurisdictions; and clear, sequential response planning, including formal operational exercises, logistics, interagency, and public-private coordination, rapid activation of resilience, and continual improvement from lessons learned and new knowledge. This ConRad 2021 meeting report describes steps for civilian medical and public health response planning for a nuclear detonation; the utility of this type of planning for broader application; and extension of this planning to the international community.
Conclusion: A nuclear detonation requires a response within minutes to what will be a large-scale disaster complicated by radiation, including some elements that are similar to a broad range of incidents. The response could be further complicated if multiple incidents occur simultaneously. Required are detailed planning, preparedness and scripting for an immediate operational response, addressing clinical manifestations of evolving radiation illness, and flexibility to adapt to a rapidly changing situation. This need translates into the use of just-in-time information; effective, credible communication; situational awareness on a global scale; and a template upon which to apply capabilities in a multi-sector response. This effort is greatly facilitated using a 'playbook' approach, the basics of which are presented.
Databáze: MEDLINE
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