This article describes a visualization experiment that tests hypotheses based on the social identity approach about effectiveness of communication strategies during mass decontamination. Specifically, the mediating role of social identity processes between effective responder communication and relevant outcome variables (e.g., public compliance), is examined. After visualizing that they had been involved in a hypothetical incident involving decontamination, participants (N = 129) received one of three different communication strategies: (1) health‐focused information about decontamination, sufficient practical information; (2) no health‐focused information, sufficient practical information; and (3) no health‐focused information, low practical information. The communication strategy perceived as most effective included health‐focused information and practical information; this resulted in the highest levels of expected compliance, mediated by social identity variables. Implications for management of mass decontamination are discussed.
Mass casualty decontamination is a public health intervention that would be employed by emergency responders following a chemical, biological, or radiological incident. The decontamination of large numbers of casualties is currently most often performed with water to remove contaminants from the skin surface. An online survey was conducted to explore US fire departments' decontamination practices and their preparedness for responding to incidents involving mass casualty decontamination. Survey respondents were asked to provide details of various aspects of their decontamination procedures, including expected response times to reach casualties, disrobing procedures, approaches to decontamination, characteristics of the decontamination showering process, provision for special populations, and any actions taken following decontamination. The aim of the survey was to identify any differences in the way in which decontamination guidance is implemented across US states. Results revealed that, in line with current guidance, many US fire departments routinely use the ''ladder-pipe system'' for conducting rapid, gross decontamination of casualties.The survey revealed significant variability in ladder-pipe construction, such as the position and number of fire hoses used.There was also variability in decontamination characteristics, such as water temperature and water pressure, detergent use, and shower duration. The results presented here provide important insights into the ways in which implementation of decontamination guidance can vary between US states. These inconsistencies are thought to reflect established perceived best practices and local adaptation of response plans to address practical and logistical constraints. These outcomes highlight the need for evidence-based national guidelines for conducting mass casualty decontamination.
Purpose In the event of a hazardous chemical release incident in the UK, affected members of the public would undergo improvised and interim forms of decontamination (the “Initial Operational Response” (IOR)). To enable members of the public to take recommended actions quickly, the Home Office and National Chemical, Biological, Radiological and Nuclear Centre have developed the “Remove, Remove, Remove” pre-incident information campaign. This is designed to raise awareness amongst a broad range of people with a public safety role, as well as members of the general public. The paper aims to discuss these issues. Design/methodology/approach Public perceptions of the utility of “Remove, Remove, Remove” pre-incident information materials were assessed using focus group discussions and questionnaires. Findings Perceptions of the “Remove, Remove, Remove” campaign poster were generally positive, and the groups agreed that releasing this type of information prior to an incident occurring is a positive step. There was consensus that the poster contains useful information, and that members of the public would benefit from receiving this information prior to a chemical incident occurring. Originality/value The findings from this study have been used to inform the development of the “Remove, Remove, Remove” materials. These materials have been disseminated to all emergency services in the UK to further embed IOR principles, as well as to crowd safety professionals.
Purpose -There is an assumption in emergency planning that the public will "panic" or refuse to comply in the event of mass decontamination. This assumption has serious implications for how the public will be managed. The paper aims to discuss these issues. Design/methodology/approach -The authors carried out semi-structured interviews with 13 emergency responders, six of whom had experience of incidents involving decontamination. The authors asked them, first, about their experiences of these events and, second, about their expectations for decontamination involving a large crowd. The aim was to explore the extent to which responders perceived non-compliance and anxiety as (crowd) problems during decontamination, and if so, how they felt that they could be addressed. Findings -Responders with experience of decontamination perceived non-compliance and excessive anxiety to be rare, and suggested that orderly behaviour was more common. However, the majority of emergency responders with no experience of decontamination said they expected panic and non-compliance. They therefore emphasised the importance of "controlling", rather than communicating with, the public.Research limitations/implications -The authors argue that "control"-based emergency management strategies can impact negatively on the relationship between the public and responders, and hence hinder effective management of an incident. It would therefore be beneficial to provide training for emergency responders on likely public behaviour during incidents involving decontamination. Originality/value -This research extends previous research by facilitating a detailed understanding of emergency responders' experiences and perceptions of managing incidents involving decontamination, and showing how these experiences and perceptions can affect the way in which such incidents are managed.
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