Lack of hospital preparedness for chemical terrorism in a major US City: 1996-2000

Prehospital and Disaster Medicine

Volumn 18, Issue 3, 2003, Pages 193-199

  Keim, Mark E ^a,b,c,d   Pesik, Nicki ^a   Twum Danso, Nana A Y ^a  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b TULANE UNIVERSITY   (United States)

^c JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d Department of Emergency Medicine Emory University School of Medicine ^*  (United States)

Author keywords

antidotes; decontamination; disaster medicine; emergency department; hazardous materials; hospital preparedness; mass casualties; personal protection equipment; public health preparedness; terrorism; weapons of mass destruction

Indexed keywords

ARTICLE; COMPARATIVE STUDY; DANGEROUS GOODS; DISASTER PLANNING; HOSPITAL MANAGEMENT; ORGANIZATION AND MANAGEMENT; QUESTIONNAIRE; STANDARD; TERRORISM; TOTAL QUALITY MANAGEMENT; UNITED STATES;

DISASTER PLANNING; HAZARDOUS SUBSTANCES; HOSPITAL ADMINISTRATION; QUESTIONNAIRES; TERRORISM; TOTAL QUALITY MANAGEMENT; UNITED STATES;

EID: 3042781702     PISSN: 1049023X     EISSN: 19451938     Source Type: Journal    
DOI: 10.1017/S1049023X00001059     Document Type: Review

References (53)

1. Institute of Medicine & National Research Council: Chemical and Biological Terrorism: Research and Development to Improve Civilian Medical Response. Washington, DC: National Academy Press, 1999, pp 15-29.
2. Kadivar H, Adams SC: Treatment of chemical and biological warfare injuries: Insights derived from the 1984 Iraqi attack on Majnoon island. Military Medicine 1991;156:171-177.
3. Mehta PS, Mehta AS, Mehta SJ, et at. Bhopal tragedy's health effects. JAMA 1990;264:2781-2787.
4. Hurst CG: Decontamination. In: Sidell FR et al (eds), Medical Aspects of Chemical and Biological Warfare. Washington, DC: Office of the Surgeon General atTMM Publications, 1997, pp 351-359.
5. Gum R: Healthcare and the Chemical Surety Mission. In: Sidell FR et al (eds) Medical Aspects of Chemical and Biological Warfare. Washington, DC: Office of the Surgeon General atTMM Publications, 1997, pp 397-413.
6. OkumuraT.Takasu N, Ishimatsu S, et ah Report on 640 victims of the Tokyo subway sarin attack. Ann Emerg Med 1996;28:129-135.
7. Sharp TW, Brennan RJ, Keim ME, et al: Medical preparedness for a terrorist incident involving chemical or biological agents during the 1996 Atlanta Olympic Games. Ann Emerg Med 1998;32:214-223.
8. Anonymous: Averted New Years attack included use of poison gas bombs. PRNewswire, 30 January 1999.
9. U.S. Centers for Disease Control and Prevention: Update: Investigation of bioterrorism-related anthrax. Connecticut, 2001. MMWR 2001;48: 1077-1079.
10. U.S. Coast Guard. National Response Center, Incident Types. Available at http://www.nrc.uscg.mil/incident.htm. Accessed 05 March 04.
11. Parachini J: Combating Terrorism: Assessing Threats, Risk Management, and Establishing Priorities. Testimony before House Subcommittee on National Security, Veteran Affairs and International Relations, on behalf of the Center for Nonproliferation Studies, 26 July 2000, Washington, DC USA.
12. U.S. General Accounting Office: Combating Terrorism: Spending on Government-wide Programs Requires Better Management and Coordination. Washington, DC: U.S. General Accounting Office, 1997, Publication No. GAO/NSIAD-98-39.
13. Sidel VW, Cohen HW, Gould RM: Good intentions and the road to bioterrorism preparedness. Am J Public Health 2001;91:716-718.
14. Cone DC, Davidson SJ: HAZMAT preparedness: Sufficient or so-so? Prehosp Disast Med 1995;10:S62. Abstract.
15. Leonard M: Community planning for hazardous materials disasters. In: Topics in Emergency Medicine. Aspen Systems Inc., 1986, pp 55-64.
16. Anonymous: Hundreds flee deliberate poison cloud in Missouri. Reuters. 28 February 2000.
17. Anonymous: Minnesota protesters left poison. Associated Press/Washington Post. 25 July 2000.
18. Matthews M, Bowman T: Apparent plan to gas Disneyland during Easter foiled: Japan cult suspected in sarin plot. The Baltimore Sun. 22 April 1995: p 1A.9A.
19. Eckstein M: The medical response to modern terrorism: Why the "rules of engagement" have changed. Ann Emerg Med 1999;34:219-221.
20. Spaid E, Bowers F: Atlanta bombings usher in a new form of terrorism. The Christian Science Monitor. 26 February 1997;89:4.
21. Thomas P: Atlanta authorities convinced blasts most likely aimed at officers. The Washington Post. 23 March 1997;120:A3.
22. Nordberg M: Terrorisms bloody trail: Learning tragic lessons in scene safety from the Israelis. Emergency Medical Services 1996;25:70-74.
23. Laurent JF, Richter F, Michel A: Management of victims of urban chemical attack: The French approach. Resuscitation 1999;42:141-149.
24. NakajamaT, Sato S, Morita H, et al: Sarin poisoning of a rescue team in the Matsumoto sarin incident in Japan. Occupational and Environmental Medicine 1997;54:697-701.
25. Nozaki H, Hori S, Shinosawa Y, et al: Secondary exposure of medical staff to sarin vapor in the emergency room. Intensive Care Medicine 1995;21: 1032-1035.
26. Simon JT: Biological terrorism: Preparing to meet the threat. JAMA 1997;278:428-430.
27. Joint Commission on Accreditation of Healthcare Organizations: Comprehensive Accreditation Manual for Hospitals. Oakbrook Terrace: Joint Commission on Accreditation of Healthcare Organizations, 2000. 28. 29 CFR Part 1910.120. Washington, DC: U.S. Government Printing Office, 1995.
28. Kai T, Ukai T, Ohta M, Pretto E: Hospital disaster preparedness in Osaka, Japan. Prehosp Disast Med 1994;9:29-34.
29. Cone DC, Davidson SJ: Hazardous materials preparedness in the emergency department. Prehospital Emergency Care 1997;l:85-90.
30. Burgess JL, Blackmun GM, Bodkin CA: Hospital preparedness for hazardous materials incidents and treatment of contaminated patients. West J M/1997;167:387-391.
31. Ghilarducci DP, Pirrallo RG, Hegmann KT: Hazardous materials readiness of United States Level 1 trauma centers. Journal of Occupational csf Environmental Medicine 2000;42:683-692.
32. Wetter DC, Daniell WE, Treser CD: Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health 2001;91:710-716.
33. Chyka, PA, Conner HG: Availability of antidotes in rural and urban hospitals in Tennessee. Am J Hosp Pharm 1994;51:1346-1348.
34. Dart RC, Stark Y, Fulton B: Insufficient stocking of poisoning antidotes in hospital pharmacies. JAMA 1996;276:1508-1510.
35. Woolf AD, Chrisanthus K: On-site availability of selected antidotes: Results of a survey of Massachusetts hospitals. American Journal of Emergency Medicine 1997;15:62-66.
36. Teresi WM, rung WD: Survey of the stocking of poison antidotes in Alabama hospitals. Southern Medical Journal 1999;92:1151-1156.
37. U.S. Centers for Disease Control and Prevention: CDC recommendations for civilian communities near chemical weapons depots: Guidelines for medical preparedness. Federal Regulation 1995;60:33308.
38. Hall HI, Dhara VR, Green PP: Surveillance for emergency events involving hazardous substances-United States, 1990-1992. MMWR 1994;43:SS-2.
39. Department of Health and Human Services, Public Health Service: Hazardous Substances Emergency Event Surveillance, Annual Report 1993. Adanta: U.S. Agency for Toxic Substances and Disease Registry, 1993.
40. Holly, D: Experts: States unprepared for bioterrorism. Associated Press, 11 July 2001.
41. Sidell FR: Civil Emergencies Involving Chemical Warfare Agents: Medical Considerations. In: Somani SM (ed), Chemical Warfare Agents. San Diego: Academic Press, Inc. 1992.
42. Kirk MA, Cisek J, Rose SR: Emergency department response to hazardous materials incidents. Emerg Med C/in NAmer 1994;12:461-481.
43. Milsten A: Hospital responses to acute-onset disasters: A review. Prehosp Disast Med 2000;15:32-45.
44. AdlerJ:The protection and sheltering policy in hospitals. Prehosp Disast Med 1990;5:265-267.
45. Burgess JL: Hospital evacuations due to hazardous materials incidents. Am J Emerg Med 1999;17:50-52.
46. Brennan RJ, Waeckerle JF, Sharp TW, LiUibridge SR: Chemical warfare agents: Emergency medical and emergency public health issues. Ann Emerg Med 1999;34:191-204.
47. U.S. Army Medical Research Institute of Chemical Defense (USAMRICD): Medical Management of Chemical Casualties. Aberdeen Proving Ground: USAMRICD, 2000, pp 51-54,118-126.
48. Haz/Mat DQE, Inc.: All hospitals must be HazMat prepared. HazMat News. 1995;3:150.
49. Gough AR, Markus K: Hazardous materials protections in ED practice: Laws and Jogistics. J Emerg Nurs 1989;15:477-480.
50. Landesmann LY, Markowitz SB, Rosenberg SN: Hospital preparedness for chemical accidents: The effect of environmental legislation on health care services. Prehosp Disast Med 1994;9:154-159.
51. American Hospital Association: Hospital Preparedness for Mass Casualties: Summary of an Invitational Forum, Final Report. Washington, DC: American Hospital Association, 2000.
52. Agency for Toxic Substances and Disease Registry: Hospital Emergency Departments: A Planning Guide for Management of Contaminated Patients. In: Managing Hazardous Materials Accidents, Volume 2. Atlanta: US Department of Health and Human Services, Public Health Service, 1991.
53. Auf der Heide E: Community Medical Disaster Planning and Evaluation Guide: An Interrogatory Format. American College of Emergency Physicians Publication, 1995.