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Assessing Medical Preparedness to Respond to a Terrorist by Institute of Medicine, Board on Health Sciences Policy,

By Institute of Medicine, Board on Health Sciences Policy, Committee on Medical Preparedness for a Terrorist Nuclear Event, Susan R. McCutchen, Michael McGeary, Georges C. Benjamin

A nuclear assault on a wide U.S. urban through terrorists--even with a low-yield improvised nuclear machine (IND) of 10 kilotons or less--would reason a great number of deaths and critical accidents. the massive variety of injured from the detonation and radioactive fallout that may persist with will be overwhelming for neighborhood emergency reaction and healthiness care structures to rescue and deal with, even assuming that those structures and their body of workers weren't themselves incapacitated via the development. the USA has been suffering for a while to handle and plan for the specter of nuclear terrorism and different guns of mass destruction that terrorists may perhaps receive and use. the dep. of place of birth safety lately shrunk with the Institute of medication to carry a workshop, summarized during this quantity, to evaluate clinical preparedness for a nuclear detonation of as much as 10 kilotons. This e-book offers a candid and sobering examine our present country of preparedness for an IND, and identifies a number of key parts within which we'd start to concentration our nationwide efforts in a fashion that might increase the final point of preparedness.

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Extra info for Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report

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Determine if it would be more effective to move hospitals to the impacted area to free up limited patient evacuation assets. 3. Determine methods for rapid evacuation of patients to tertiary care centers that can provide appropriate care. 4. Conserve limited medical resources: • Those expected to live have the highest priority for resources, but provide comfort care to those expected to die. 28 medical preparedness for a terrorist nuclear event • • • Avoid procedures that would reduce any patient’s ability to care for himself or herself.

Determine methods for rapid evacuation of patients to tertiary care centers that can provide appropriate care. 4. Conserve limited medical resources: • Those expected to live have the highest priority for resources, but provide comfort care to those expected to die. 28 medical preparedness for a terrorist nuclear event • • • Avoid procedures that would reduce any patient’s ability to care for himself or herself. Do not use trained medical personnel for first aid or rescue operations. Train all nonmedical personnel and rescue teams in first aid (applying dressings, controlling hemorrhages, applying field splints, handling the injured).

Someone in the core of the building several floors up would have a PF of 100 and receive only one one-hundredth (or 1 percent) of the outdoor exposure. Sheltering in the basement of the one-, two-, or three-story dwellings pictured would give a person 10, 5, or 2 percent, respectively, of the exposure that someone outside would receive. SOURCE: Reprinted, with permission, from Lawrence Livermore National Labora­ tory, 2009. Copyright 2008 by Lawrence Livermore National Laboratory. that decisions made in the first few hours have the greatest public health and medical impact.

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