Development of a statewide hospital plan for radiologic emergencies

Dainiak, Nicholas; Carpini, D. Delli; Bohan, Michael; Werdmann, Michael; Wilds, E. L.; Barlow, A; Beck, C.; Cheng, De; Daly, Nancy Riese; Glazer, Peter M.; Mas, Peter; Nath, Ravinder; Piontek, Gregory; Price, Kenneth W.; Albanese, Joseph; Roberts, Kenneth B.; Salner, Andrew L.; Rockwell, Sara

doi:10.1016/j.ijrobp.2005.12.047

Cited by 16 publications

(12 citation statements)

References 16 publications

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“…Classification of casualties of radiological incident is performed by emergency physicians and radiation safety officer. [ 19 ] Generally, depending on intensity of incident, available resources, and intensity of incident consequences, there are three levels of treatment for radiation incident patients:…”

Section: Discussionmentioning

confidence: 99%

A management plan for hospitals and medical centers facing radiation incidents

Davari

Zahed

2015

J Res Med Sci

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Background:Nowadays, application of nuclear technology in different industries has largely expanded worldwide. Proportionately, the risk of nuclear incidents and the resulting injuries have, therefore, increased in recent years. Preparedness is an important part of the crisis management cycle; therefore efficient preplanning seems crucial to any crisis management plan. Equipped with facilities and experienced personnel, hospitals naturally engage with the response to disasters. The main purpose of our study was to present a practical management pattern for hospitals and medical centers in case they encounter a nuclear emergency.Materials and Methods:In this descriptive qualitative study, data were collected through experimental observations, sources like Safety manuals released by the International Atomic Energy Agency and interviews with experts to gather their ideas along with Delphi method for polling, and brainstorming. In addition, the 45 experts were interviewed on three targeted using brainstorming and Delphi method.Results:We finally proposed a management plan along with a set of practicality standards for hospitals and medical centers to optimally respond to nuclear medical emergencies when a radiation incident happens nearby.Conclusion:With respect to the great importance of preparedness against nuclear incidents adoption and regular practice of nuclear crisis management codes for hospitals and medical centers seems quite necessary.

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Section: Discussionmentioning

confidence: 99%

A management plan for hospitals and medical centers facing radiation incidents

Davari

Zahed

2015

J Res Med Sci

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“…A special REAC/TS course was recently designed for radiation oncologists from Connecticut which focused on recognition and management of ARS. The objective was to prepare these physicians for the implementation of a state-wide, 24 h/7 d per week on-call schedule for radiation emergencies (Dainiak et al 2006). Therefore, REAC/TS has demonstrated the feasibility of designing educational curricula for groups of specialized physicians.…”

Section: Development Of An Advanced Training Curriculummentioning

confidence: 99%

Radiation Accident Preparedness: A European Approach to Train Physicians to Manage Mass Radiation Casualties

Hotz

Fliedner²,

Meineke³

2010

Health Physics

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Mass casualties after radiation exposure pose an enormous logistical challenge for national health services worldwide. Successful medical treatment of radiation victims requires that a plan for medical radiation accident management be established, that the plan be tested in regular exercises, and that it be found to be effective in the management of actual victims of a radiological incident. These activities must be provided by a critical mass of clinicians who are knowledgeable in the diagnosis and management of radiation injury. Here, we describe efforts to provide education to physicians engaged in clinical transplantation. Following intensive discussion among European experts at the International Center for Advanced Studies in Health Sciences and Services, University of Ulm, Germany, an advanced training program on "radiation syndromes" was developed for physicians with experience in the management of patients with pancytopenia and multi-organ failure occurring in a transplant setting. The first European advanced training course using this educational tool took place at Oberschleissheim, Germany, on 28-30 November 2007. Small group discussions and practical exercises were employed to teach general principles and unique features of whole body radiation exposure. Topics included the biological effects of contamination, incorporation of radionuclides, clinical consequences of exposure to radiation, and approaches to medical management. Recommendations resulting from this initial educational experience include (1) provision of funding for attending, conducting and updating the curriculum, and (2) development of an educational program that is harmonized among European and non-European experts in medical management of mass casualties from a radionuclear incident.

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“…Planners in the military, local and state governments, 14 and other healthcare organizations are preparing their responses to radiation events (Table 1). A conceptual model ( Figure 2) for triage, transportation, and treatment of victims after an IND, the RTR For personal use only.…”

Section: Org Frommentioning

confidence: 99%