Preparedness of Belgian civil hospitals for chemical, biological, radiation, and nuclear incidents

Mortelmans, Luc; Boxstael, Sam Van; Cauwer, Harald De; Sabbé, Marc

doi:10.1097/mej.0000000000000072

Cited by 46 publications

(49 citation statements)

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“…Rescue operations during a disaster are extremely difficult and dangerous. Therefore, such rescue operations cannot be based solely on rigid procedures [ 37 ]. All actions and their management must be flexible to allow for a rapid response to changes in the situation.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters

Goniewicz¹,

Goniewicz

Burkle

et al. 2020

JCM

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With an increasing number of natural and man-made disasters, the need for preparedness in all levels of management is obvious. Among healthcare professionals responding to these emergencies, physicians are of particular importance due to their significant roles as leaders and frontline workers in minimizing morbidity and mortality of the affected population. This study analyses the preparedness of 549 physicians from all medical centers in Lublin, Poland to formulate their observations, suggestions, and recommendations concerning the improvement of the chain of response in disaster management. The results of this study show that the perceived preparedness of physicians for disaster management and response is not as high as it should be, and the majority of the respondents perceived their disaster preparedness insufficient. Training of physicians in disaster management and principles of disaster medicine is needed, by focusing on the specificity of rescue response to emergencies following disasters, and medical and non-medical aspects of the response with particular emphasis on a management approach covering all hazards.

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Section: Discussionmentioning

confidence: 99%

The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters

Goniewicz¹,

Goniewicz

Burkle

et al. 2020

JCM

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“…Similar reports of low-level readiness of medical personnel to act in the situations of chemical contamination have also been described. 9 It was not surprising that the majority of the respondents (90.4%) in our study expressed a need for systematic training in the procedures of chemical contamination.…”

Section: Discussionmentioning

confidence: 72%

The Evaluation of Readiness of Medical Personnel to Act Under Conditions of Chemical Contamination

Szarpak

Kurowski

2014

Disaster med. public health prep.

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“…Radiation detectors such as Geiger-Muller counters, scintillation counters, personal dosimeters, and personal protective equipment should be available in emergency departments. In addition, the whole emergency depart-ment staff should be trained to wear the PPE properly (6,22,23). The amount of radiation received by the person is quickly measured with detectors and treatment is prioritized according to the amount of radiation received.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Preparedness of Hospitals for Radiation, Nuclear Accidents, and Nuclear Terrorism: A Qualitative Study in Iran

Marzaleh

Rezaee

Rezaianzadeh

et al. 2019

Iran Red Crescent Med J

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Background:The emergency department is the entrance gate of patients to a hospital. Hospitals are confronted with major challenges in radiation, nuclear accidents, and nuclear terrorism. Iran is also at risk of disasters, accidents, and threats, so, the possibility of nuclear and radiation accidents cannot be neglected. Objectives: The present study aimed to extract the effective factors in emergency department preparedness of hospitals for radiation, nuclear accidents, and nuclear terrorism in Iran. Methods: This qualitative study was conducted using in-depth semi-structured interviews with 32 key informants selected through purposive and snowball sampling. Experts were from seven different specialties. Data were analyzed using the thematic analysis method in order to extract the effective factors in emergency department preparedness of hospitals for radiation, nuclear accidents, and nuclear terrorism in Iran in 2019. The interviews were held in the cities of Bushehr, Tehran, Shiraz, and Isfahan from September 2018 to February 2019. Results: Effective factors in emergency department preparedness of hospitals were categorized into staff preparedness, equipment preparedness, and system preparedness with 20 subcategories. The experts emphasized that training courses and exercises could enhance the preparedness and response to these accidents. Conclusions: This study showed that the emergency departments of hospitals in Iran have many challenges. When the country moves towards having nuclear technology, must also provide the infrastructure of the preparedness. There must be an attempt to reduce these challenges by providing financial and structural support. Identifying effective factors in preparation can be helpful in setting up programs for emergency department preparedness of hospitals against nuclear and radiation accidents.

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Preparedness of Belgian civil hospitals for chemical, biological, radiation, and nuclear incidents

Abstract: There are serious gaps in hospital preparedness for CBRN incidents in Belgium. Lack of financial resources is a major obstacle in achieving sufficient preparedness.

Cited by 46 publications

References 0 publications

The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters

The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters

The Evaluation of Readiness of Medical Personnel to Act Under Conditions of Chemical Contamination

Emergency Department Preparedness of Hospitals for Radiation, Nuclear Accidents, and Nuclear Terrorism: A Qualitative Study in Iran

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