Managing Bioterrorism Mass Casualties in an Emergency Department: Lessons Learned From a Rural Community Hospital Disaster Drill
Identifieur interne : 001875 ( Ncbi/Merge ); précédent : 001874; suivant : 001876Managing Bioterrorism Mass Casualties in an Emergency Department: Lessons Learned From a Rural Community Hospital Disaster Drill
Auteurs : Eric VinsonSource :
- Disaster Management & Response [ 1540-2487 ] ; 2007.
Abstract
Bioterrorism represents a threat for which most emergency departments (EDs) are ill prepared. In order to develop an evidence-based plan for ED and hospital management of contaminated patients, a review was conducted of the most effective strategies developed during the severe acute respiratory syndrome (SARS) epidemic, as well as Centers for Disease Control and Prevention and military guidelines on biowarfare. Six basic steps were identified: 1) lock down the hospital and control access to the ED; 2) protect emergency care personnel with appropriate personal protective equipment; 3) decontaminate and triage patients; 4) isolate patients; 5) treat patients with appropriate medications or measures, including decontamination of wounds; and 6) use restrictive admission and transfer guidelines. By emphasizing these six basic concepts, a rural ED passed an annual state-run bioterrorism mass-casualty drill. The drill provided health care personnel with the knowledge and skills necessary to prepare for future bioterrorism casualties. These same concepts could also be used to manage highly virulent viral or bacterial outbreaks.
Url:
DOI: 10.1016/j.dmr.2006.11.003
PubMed: 17306750
PubMed Central: 7110633
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Disaster Manag Response</journal-id><journal-id journal-id-type="iso-abbrev">Disaster Manag Response</journal-id><journal-title-group><journal-title>Disaster Management & Response</journal-title></journal-title-group><issn pub-type="ppub">1540-2487</issn><issn pub-type="epub">1540-2495</issn><publisher><publisher-name>Emergency Nurses Association. Published by Mosby, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17306750</article-id><article-id pub-id-type="pmc">7110633</article-id><article-id pub-id-type="publisher-id">S1540-2487(06)00094-0</article-id><article-id pub-id-type="doi">10.1016/j.dmr.2006.11.003</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Managing Bioterrorism Mass Casualties in an Emergency Department: Lessons Learned From a Rural Community Hospital Disaster Drill</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Vinson</surname><given-names>Eric</given-names></name><degrees>DO</degrees><email>edvinson@pol.net</email><xref rid="cor1" ref-type="corresp">∗</xref></contrib></contrib-group><aff>Eric Vinson is Resident Emergency Medicine, US Navy, Saint Vincent Health Center, Erie, Pennsylvania</aff><author-notes><corresp id="cor1"><label>∗</label>Reprint requests: Eric Vinson, DO, Saint Vincent Health Center, 2314 Sassafras Street, Suite 306, Erie, PA 16502. <email>edvinson@pol.net</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>14</day><month>2</month><year>2007</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub" iso-8601-date="2007-03-01"><season>January-March</season><year>2007</year></pub-date><pub-date pub-type="epub"><day>14</day><month>2</month><year>2007</year></pub-date><volume>5</volume><issue>1</issue><fpage>18</fpage><lpage>21</lpage><permissions><copyright-statement>Copyright © 2007 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.</copyright-statement><copyright-year>2007</copyright-year><copyright-holder>Emergency Nurses Association</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><p>Bioterrorism represents a threat for which most emergency departments (EDs) are ill prepared. In order to develop an evidence-based plan for ED and hospital management of contaminated patients, a review was conducted of the most effective strategies developed during the severe acute respiratory syndrome (SARS) epidemic, as well as Centers for Disease Control and Prevention and military guidelines on biowarfare. Six basic steps were identified: 1) lock down the hospital and control access to the ED; 2) protect emergency care personnel with appropriate personal protective equipment; 3) decontaminate and triage patients; 4) isolate patients; 5) treat patients with appropriate medications or measures, including decontamination of wounds; and 6) use restrictive admission and transfer guidelines. By emphasizing these six basic concepts, a rural ED passed an annual state-run bioterrorism mass-casualty drill. The drill provided health care personnel with the knowledge and skills necessary to prepare for future bioterrorism casualties. These same concepts could also be used to manage highly virulent viral or bacterial outbreaks.</p></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Vinson, Eric" sort="Vinson, Eric" uniqKey="Vinson E" first="Eric" last="Vinson">Eric Vinson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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