Weapons of mass destruction events with contaminated casualties: Effective planning for health care facilities

JAMA

Volumn 283, Issue 2, 2000, Pages 242-249

  Macintyre, Anthony G ^a,e   Christopher, George W ^b   Eitzen, Edward ^b   Gum, Robert ^c   Weir, Scott ^a   DeAtley, Craig ^a   Tonat, Kevin ^d   Barbera, Joseph A ^a  

^a GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER   (United States)

^b UNITED STATES ARMY MEDICAL RESEARCH INSTITUTE OF INFECTIOUS DISEASES   (United States)

^c LANDSTUHL REGIONAL MEDICAL CENTER   (Germany)

^d U S PUBLIC HEALTH SERVICE   (United States)

^e NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCIDENT; ARTICLE; BIOLOGICAL WARFARE; CHEMICAL WARFARE; CONTAMINATION; EMERGENCY HEALTH SERVICE; HEALTH CARE FACILITY; HEALTH CARE PLANNING; LIFE EVENT; PRIORITY JOURNAL; RECOGNITION; WEAPON;

EID: 0034639489     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.283.2.242     Document Type: Article

References (78)

1. US Congress, Office of Technology Assessment. Proliferation of Weapons of Mass Destruction: Assessing the Risks. Washington, DC: US Government Printing Office; 1993. Publication OTA-ISC-559.
2. The Emergency Regarding Weapons of Mass Destruction. Congressional Record; November 8, 1995: S16818-16820. Executive order 12938.
3. Flanagin A, Lederberg J. The threat of biological weapons. JAMA. 1996;275:1714-1715.
4. Christen H, Maniscalco P. The EMS Incident Management System. Upper Saddle River, NJ: Prentice-Hall Inc; 1998:1-15.
5. Nozaki H, Aikawa N, Shinozawa Y, et al. Sarin gas poisoning in the Tokyo subway. Lancet. 1995;345: 980-981.
6. Sidell F, Urbanetti J, Smith W, Hurst C. Vesicants. In: Zatchuk R, ed. Textbook of Military Medicine. Washington, DC: US Dept of Army, Surgeon General, and the Borden Institute; 1997:197-228.
7. Carmeli A, Liberman N, Mevorach L. Anxiety-related somatic reactions during missile attacks. Isr J Med Sci. 1991;27:677-680.
8. Nozaki H, Hori S, Shinozawa Y, et al. Secondary exposure of medical staff to sarin vapor in the emergency room. Intensive Care Med. 1995;21:1032-1035.
9. Merritt N, Anderson M. Malathion overdose. J Emerg Nurs. 1989;15:463-465.
10. Birenzvige A. Inhalation Hazard from Reaerosolized Biological Agents: A Review. Aberdeen, Md: US Army Chemical Research, Development and Engineering Center; 1992. Report TR-413.
11. Association for Professionals in Infection Control and Epidemiology Bioterrorism Task Force and Centers for Disease Control and Prevention Bioterrorism Working Group. Bioterrorism Readiness Plan: A Template for Healthcare Facilities. April 13, 1999. Available at: http://www.apic.org/html/resc/biomain .html. Accessed November 12, 1999.
12. Keim M, Kaufmann A. Principles for emergency response to bioterrorism. Ann Emerg Med. 1999;34: 177-182.
13. Hurst C. Decontamination. In: Zatchuk R, ed. Textbook of Military Medicine. Washington, DC: US Dept of Army, Surgeon General, and the Borden Institute; 1992:351-359.
14. Franz D, Jahrling P, Friedlander A, et al. Clinical recognition and management of patients exposed to biological warfare agents. JAMA. 1997;278:399-411.
15. Inglesby TV, Henderson DA, Bartlett JG, et al, for the Working Group on Civilian Biodefense Anthrax as a biological weapon. JAMA. 1999;281:1735-1745.
16. Henderson DA, Inglesby TV, Bartlett JG, et al, for the Working Group on Civilian Biodefense Smallpox as a biological weapon. JAMA. 1999;283:2037-2137.
17. US Army Soldier Biological and Chemical Command. Biological Warfare Improved Response Proggram. March 10, 1999. Available at: http://dp.decom .army.ind/fs/index.html. Accessed November 29, 1993.
18. Hall H, Dhara V, Price-Green P, Kaye W. Surveillance for emergency events involving hazardous substances - United States, 1990-1992. MMWR Morb Mortal Wkly Rep. 1994;43(SS-3):4-6.
19. Burdie S. Deaths, injuries and evaluations from acute hazardous material releases. Am J Public Health. 1989;39:1042-1044.
20. US Department of Health and Human Services. Managing Hazardous Materials Incidents. Washington, DC: Agency for Toxic Substance and Disease Registry. 1992.
21. Centers for Disease Control and Prevention CDC recommendations for civilian communities new chemical weapons depots. 60 Federal Register 33307-33318 (1999).
22. Carron S, Watson A. Disposing at the US chemical weapon depots. JAMA. 1983;262:623-638.
23. Mexicandrum 35 from President Richard M. Nixon regarding national security decision: November 23, 1968.
24. Mexicandrum 44 from President Richard M. Nixon regarding national security decision: February 28, 1970.
25. Fullerton C, Ursano R. Health care delivery in the high stress environment of chemical and biological warfare. Mil Med. 1994;159:524-528.
26. Bietch A, Shmuel K, Margarit C, et al. Israeli psychological casualties of the Persian Gulf War. Isr J Med Sci. 1991;27:673-676.
27. Okumara T, Takusa N, Ishimatsu S, et al. Report on 640 victims of the Tokyo subway sarin attack. Ann Emerg Med. 1996;28:129-135.
28. Lillibridge S, Liddle J, Leffingwell S, Sidell F. Report of the American Medical Delegation to Japan. Atlanta, Ga: Centers for Disease Control and Prevention; 1995.
29. Haynes V, Coates J. Motive unclear for 2 charged in germ plot. Chicago Tribune. February 22, 1998:E98.
30. United States v Wheeler, 98 F3d 330 (8th Cir 1996).
31. Torok TJ, Tauxe RV, Wise RP, et al. Large community outbreak of salmonellosis caused by intentional contamination of restaurant salad bars. JAMA. 1997;278:389-395.
32. Horowitz S. B'nai B'rith package contained common bacteria. Washington Post. April 29, 1997:B2.
33. Bioterrorism alleging use of anthrax and interim guidelines for management - United States, 1998. MMWR Morb Mortal Wkly Rep. 1999;48:69-74.
34. Cone D, Davidson S. Hazardous materials preparedness in the emergency department. Prehosp Emerg Care. 1997;1:85-90.
35. Landesman L, Leonard R. SARA three years later. J Prehosp Disaster Med. 1993;8:39-44.
36. Sorokin E. Mystery mail sickens, briefly shuts Fairfax ER. Fairfax Journal. May 2, 1997:A11.
37. Waldron R, Danielson R, Schultz H, et al. Radiation decontamination unit for the community hospital. AJR Am J Roentgenol. 1981;136:977-981.
38. General Description and Discussion of the Levels of Protection and Protective Gear, 29 USC §1910, 120B (1989).
39. El Sanadi N, Grove C, Takacs M, Daly S, Ellenberger D. A hospital-based, hazardous materials decontamination and treatment unit. J Prehosp Disaster Med. 1993;8:337-340.
40. Cancio LC. Chemical casualty decontamination by medical platoons in the 82d Airborne Division. Mil Med. 1993;158:1-5.
41. Rivkind A, Barach P, Israeli A, Berdugo M, Richter E. Emergency preparedness and response in Israel during the Gulf War. Ann Emerg Med. 1997;30:513-521.
42. Karsenty E, Shemer J, Alschech J, et al. Medical aspects of the Iraqi missile attacks on Israel. Isr J Med Sci. 1991;27:603-607.
43. Fehr S. Strike team proposed for quick response to terrorist attack. Washington Post. Nov 7, 1995:B3.
44. Nunn-Lugar-Domenici Amendment to the FY 97 Defense Authorization Act, Pub L No. 104-301, Title XIV: Defense Against Weapons of Mass Destruction, Subtitle A; Domestic Preparednes. US Congress, June 27, 1996.
45. Report to Congress: Response to Threats of Terrorist Use of Weapons of Mass Destruction, Washington, DC: US Dept of Defense; January 23, 1997.
46. Domestic Preparedness Program, Defense Against Weapons of Mass Destruction. Technician-Hospital Provider Course Manual. Aberdeen, Md: US Army CB-DCOM, Domestic Preparedness Office; 1997.
47. Graham B. Anti-terrorism plans termed inadequate. Washington Post. October 3, 1998:A9.
48. Hauer JM. Preparing for terrorism involving weapons of mass destruction. Presented at US Capitol Police Board; February 26, 1998; Washington, DC.
49. HAZ/MAT DOE involved in national preparedness. HAZ/MAT DOE News, 1998;6:2.
50. Burgess J, Kirk M, Borren S, Cisek J. Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med. 1999;34:205-212.
51. Londorf D. Hospital application of the incident arrangement system. J Prehosp Disaster Med. 1995; 10:184-188.
52. Access to PPE. In: Chemical and Biological Terrorism; Research and Development to Improve Civilian Medical Response, Washington, DC: National Academy Press: 1999:35-36.
53. Protective measures and handling of casualties. In: Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries. Washington, DC: US Government Printing Office; 1990. FM 8-285, NAVMED P-5041, AFM 160-11.
54. Eitzen E, Pavlin J, Cieslak T, et al, eds. Medical Management of Biological Casualties Handbook. 3rd ed. Fort Detrick, Md: US Army Medical Research Institute of Infectious Disease; 1998:appendix B.
55. PPE specifically for biologic agents. In: Chemical and Biological Terrorism; Research and Development to Improve Civilian Medical Response. Washington, DC: National Academy Press; 1999: 41-42.
56. Adler J. Missile attacks on Israel during the Gulf War. Handout prepared for: National Disaster Medical System Conference on Lifesaving Intervention; May 4-7, 1997; Tampa, Fla.
57. Gong E, Dauber W. Policewomen win settlement. Seattle Times. July 11, 1996:B1.
58. Stokes J, Banderet L. Psychological aspects of chemical defense and warfare. Mil Psychol. 1997;9: 395-415.
59. Sidell F. What to do in case of the unthinkable chemical warfare attack or accident. Postgrad Med. 1990;88:70-84.
60. Medical Management of Chemical Casualties Handbook. Aberdeen, Md: US Army Medical Research Institute of Chemical Defense; 1995.
61. Medical Management of Biological Casualties Handbook. Fort Detrick, Md: US Army Medical Research Institute of Infectious Diseases; 1996.
62. Woolf A, Chrisanthus K. On-site availability of selected antidotes. Am J Emerg Med. 1997;15:62-66.
63. Graham B. Clinton to order reserves of germ weapon antidotes. Washington Post. May 21, 1998:A1.
64. McClain D. Smallpox. In: Zatchuk R, ed. Textbook of Military Medicine. Washington, DC: US Dept of Army, Surgeon General, and the Borden Institute; 1997;539-559.
65. Hospital Mutual Aid Emergency Preparedness Plan. Washington, DC: District of Columbia Hospital Association; 1996.
66. Metropolitan Medical Strike Team Field Operations Guide. Rockville, Md: United States Public Health Service. Office of Emergency Preparedness. 1997.
67. Health and Medical Services Support Plan for the Federal Response to Acts of Chemical/Biological (C/B) Terrorism. Washington, DC: US Dept of Health and Human Services; 1998.
68. Sullivan J, Krieger G. Hazardous Materials Toxicology. Baltimore, Md: Williams & Witkins; 1993.
69. Shanita Y, Bar Y, Barkenstadt H., Atmon J, Danon Y. Outcome of hospital organization for a chemical warfare attack. Isr J Med Sci. 1991;27:618-637.
70. Levitin H, Siegelson H. Hazardous materials. Emerg Med Clin. 1996;14:333-348.
71. Cox R. Decontamination and management of hazardous materials exposure victims in the emergeny department. Ann Emergy Med. 1994;23:761-770.
72. Neil G, Hildebrand M, Yvorra J. Personal protective clothing and equipment. In: Daly P, ed. Hazardous Materials. Stillwater: Fire Protection Publications, Carcinoma State University; 1998;388-322.
73. Gold M, Bongiovanni R, Scharf B, Gresham V, Woodward C. Hypochiorite solution as a decontaminant in suffer mustard contaminated skin defects in the euthynix hairless guinea pig. Drug Chem Toxicol. 1994;33:499-527.
74. Brand I, Callan M, Abbott W. Hazardous Materials Response. Englewood Cliffs, NJ: Brady Publication; 1993:345.
75. Sullivan F, Wang R, Fertouri I. Principles and protocol in prevention, evaluation, and management of exposition to hazardous materials. Emerg Med Rep. 1998;19:33-32.
76. Barbera J, Macintyre A. Urban search and rescue. Emerg Med Clin North Am. 1996;14:399-412.
77. Frykberg E, Tepas J. Terrorist bombings. Ann Surg. 1988;208:569-576.
78. Mallonee S, Shariat S, Stennies G, et al. Physical injuries and fatalities resulting from the Oklahoma City bombing. JAMA. 1996;276:382-390.