Evaluation of the Medical Chemical, Biological, Radiological, and Nuclear Awareness Level of Emergency Healthcare Professionals Serving on Different Centres

Year 2020, Volume: 4 Issue: 2 , 174 - 179 , 01.06.2020

R. Koray Eyison Ahu Pakdemirli , Erkan Aydin Ayla Sayin Ozturk , Zahir Kiliç Burak Demirbag Mesut Ortatatli Sermet Sezigen Levent Kenar

https://doi.org/10.30621/jbachs.2020.1037

Cited By: 9

https://izlik.org/JA33CC85RH

Abstract

Purpose: The aim of this study was to compare the medical chemical, biological, radiological, and nuclear CBRN awareness of emergency healthcare professionals from two different centres.Methods: The survey was conducted among 67 healthcare professionals including physicians, nurses, emergency medical technicians, and paramedics from two emergency departments of two different cities. A questionnaire that was designed in order to evaluate demographic data age, gender, job description, education level and knowledge/experience about medical CBRN was filled by participants during the face-toface interviews. All data were evaluated statistically in order to obtain mean awareness score MAS of participants and institutions.Results: It was found that MAS of the whole participants is 7.62±3.92. There was a statistically significant difference observed between MAS of Training and Research Hospital 6.75±3.97 and State Hospital 8.64±3.65 p

Keywords

CBRN , awareness , preparedness , emergency medicine

References

• Carus WS. Bioterrorism and Biocrimes: the illicit use of biological agents since 1900. Washington, D.C.: The Minerva Group, Inc.; 2002.
• Okumura T, Hisaoka T, Yamada A, et al. The Tokyo subway sarin attack--lessons learned. Toxicol Appl Pharmacol 2005;207:471–476. [CrossRef]
• Sandstrom BE, Eriksson H, Norlander L, Thorstensson M, Cassel G. Training of public health personnel in handling CBRN emergencies: a table-top exercise card concept. Environ Int 2014;72:164–169. [CrossRef]
• Cornish P. The CBRN system: assessing the threat of terrorist use of chemical, biological, radiological and nuclear weapons in the United Kingdom. UK: Royal Institute of International Affairs; 2007. https://www.chathamhouse.org/sites/default/files/public/Research/ International%20Security/cbrn0207.pdf
• Mayer K, Wallenius M, Ray I. Nuclear forensics --a methodology providing clues on the origin of illicitly trafficked nuclear materials. Analyst 2005;130:433–441. [CrossRef]
• Bozbıyık A, Özdemir Ç, Hancı İH. Radyasyon yaralanmaları ve korunma yöntemleri. Sürekli Tıp Eğitimi Derg 2002;11:272–274. https://www.ttb.org.tr/STED/sted0702/radyasyon.pdf
• Colella M, Thomson S, Macintosh S, Logan. An introduction to radiological terrorism. Australian J Emerg Manage 2005;20:9–17. http://www.austlii.edu.au/au/journals/AUJlEmMgmt/2005/16.pdf
• Mortelmans LJ, Van Boxstael S, De Cauwer HG, Sabbe MB. Preparedness of Belgian civil hospitals for chemical, biological, radiation, and nuclear incidents: are we there yet? Eur J Emerg Med 2014;21:296–300. [CrossRef]
• Uzumcu A. The Chemical Weapons Convention --disarmament, science and technology. Anal Bioanal Chem 2014;406:5071–5073. [CrossRef]
• Olivieri C, Ingrassia PL, Della Corte F, et al. Hospital preparedness and response in CBRN emergencies: TIER assessment tool. Eur J Emerg Med 2017;24:366–370. [CrossRef]
• Sorensen B, Zane R, Wante B, Rao M, Bortolin M, Rockenschaub G; World Health Organization (WHO). Hospital emergency response checklist: an all-hazards tool for hospital administrators and emergency managers; 2011. https://www.who.int/docs/default- source/documents/publications/hospital-emergency-response- checklist.pdf
• Niska RW, Shimizu IM. Hospital preparedness for emergency response: United States, 2008. Natl Health Stat Report 2011;(37):1– 14. https://www.cdc.gov/nchs/data/nhsr/nhsr037.pdf
• Chaput CJ, Deluhery MR, Stake CE, Martens KA, Cichon ME. Disaster training for prehospital providers. Prehosp Emerg Care 2007;11:458– 465. [CrossRef]
• Davidson RK, Magalini S, Brattekas K, et al. Preparedness for chemical crisis situations: experiences from European medical response exercises. Eur Rev Med Pharmacol Sci 2019;23:1239–1247. [CrossRef]
• Kako M, Hammad K, Mitani S, Arbon P. Existing Approaches to Chemical, Biological, Radiological, and Nuclear (CBRN) Education and Training for Health Professionals: Findings from an Integrative Literature Review. Prehosp Disaster Med 2018;33:182–190. [CrossRef]
• Mortelmans LJM, Gaakeer MI, Dieltiens G, Anseeuw K, Sabbe MB. Are Dutch Hospitals Prepared for Chemical, Biological, or Radionuclear Incidents? A Survey Study. Prehosp Disaster Med 2017;32:483–491. [CrossRef]
• Jama TJ, Kuisma MJ. Preparedness of Finnish Emergency Medical Services for Chemical Emergencies. Prehosp Disaster Med 2016;31:392–396. [CrossRef]
• Biological and chemical terrorism: strategic plan for preparedness and response. Recommendations of the CDC Strategic Planning Workgroup. MMWR Recomm Rep 2000;49:1–14. https://www.cdc. gov/mmwr/preview/mmwrhtml/rr4904a1.htm