head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2019, vol. 25, issue3
Subject Area: Medicine
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DOI: 10.5272/jimab.2019253.2640
Published online: 30 July 2019

Original article

J of IMAB. 2019 Jul-Sep;25(3):2640-2643;
HEALTHCARE PROVIDERS' READINESS FOR MANAGEMENT OF INCIDENTS WITH WEAPONS OF MASS DESTRUCTION
Elena ValkanovaORCID logo Corresponding Autoremail, Rostislav KostadinovORCID logo, Rumyana EtovaORCID logo, Mariya GeorgievaORCID logo,
Department Epidemiology and Disaster Medicine, Medical University Plovdiv, Bulgaria.

ABSTRACT:
The world has witnessed an increasing number of incidents where weapons of mass destruction (WMD) were used. Disparity between the available and required medical means and capabilities poses a serious challenge for the hospitals in vicinity of the area of damage. Their ability to withstand the disaster and provide efficient response depends on several indicators, including healthcare providers’ knowledge and skills to perform their duties in contaminated environment.
The purpose of this study is to analyse hospital staff readiness in case of incidents with WMD.
Materials and methods: 5-question dichotomous survey was performed among 52 healthcare providers working in hospitals in Plovdiv region. Results are analysed and presented by descriptive, comparative and graphic methods.
Results: Performed analyses reveals the low level of awareness among healthcare providers, regarding the planning, organization and execution of medical support in case of incident with weapons of mass destruction. Main concern is related to the high number of medical professionals that are not familiar with the hospital plan for reaction in CBRN (Chemical, Biological, Radiological and Nuclear) contamination. Almost the same number of respondents has no information regarding hospital resources. 69,23% of the respondents are not informed about their tasks, and the same percentage are not sure what medical information is required.
Conclusions: The results highlight the need for information exchange on issues related to the medical support plan, activities and resources management among hospital stuff. Practical drills are also recommended.

Keywords: disasters, disaster medical support, hospitals, weapons of mass destruction,

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Please cite this article as: Valkanova E, Kostadinov R, Etova R, Georgieva M. Healthcare providers' readiness for management of incidents with weapons of mass destruction. J of IMAB. 2019 Jul-Sep;25(3):2640-2643. DOI: 10.5272/jimab.2019253.2640

Corresponding AutorCorrespondence to: Elena Valkanova, Department of Epidemiology and Disaster medicine, Disaster medicine section, Faculty of Public Health/Medical University, Plovdiv, Bulgaria; 15A, Vasil Aprilov blvd., 4002 Plovdiv, Bulgaria; E-mail: e.v.valkanova@gmail.bg

REFERENCES:
1. Science in emergencies: chemical, biological, radiological or nuclear incidents, Twelfth Report of Session 2016–17, Published on 5 April 2017 by authority of the House of Commons.
2. ama TJ, Kuisma MJ. Preparedness of Finnish Emergency Medical Services for Chemical Emergencies. Prehosp Disaster Med. 2016 Aug;31(4):392-6. [PubMed] [Crossref]
3. Zhong S, Clark M, Hou XY, Zang Y, FitzGerald G. Validation of a framework for measuring hospital disaster resilience using factor analysis. Int J Environ Res Public Health. 2014 Jun 18;11(6):6335-53. [PubMed] [Crossref]
4. Zhong S, Clark M, Hou X, Zang Y, FitzGerald G. Development of key indicators of hospital resilience: a modified Delphi study. J Health Serv Res Policy. 2015 Apr;20(2):74-82. [PubMed] [Crossref]
5. NATO Allied Medical Publication (AMedP) 7.1 (Edition A) – The Medical Management of CBRN Casualties (NATO, Brussels) 2018.
6. Calder A, Bland S. CBRN considerations in a major incident. Surgery (Oxford). 2018 June; 36(8): 417-23.
7. Perry RW, Lindell MK. Hospital planning for weapons of mass destruction incidents. J Healthc Prot Manage. 2007; 23(1):27-39. [PubMed]
8. Milstein A. Hospital responses to acute-onset disasters: a review. Prehosp Disaster Med. 2000 Jan-Mar;15(1):32-45. [PubMed]
9. Chi CH, Chao WH, Chuang CC, Tsai MC, Tsai LM. Emergency medical technicians' disaster training by tabletop exercise. Am J Emerg Med. 2001 Sep;19(5):433-6. [PubMed] [Crossref]
10. Ohbu S, Yamashina A, Takasu N, Yamaguchi T, Murai T, Nakano K et al. Sarin poisoning on Tokyo subway. South Med J. 1997 Jun;90(6):587-93. [PubMed]
11. Haverkort JJ, Biesheuvel TH, Bloemers FW, de Jong MB, Hietbrink F, van Spengler LL, et al. Hospital evacuation: Exercise versus reality. Injury. 2016 Sep;47(9):2012-7. [PubMed] [Crossref].

Received: 12 February 2019
Published online: 30 July 2019

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