@article{ref1,
title="Managing CBRN mass casualty incidents at hospitals-find a simple solution for a complex problem: a pilot study",
journal="American journal of disaster medicine",
year="2024",
author="Kippnich, Maximilian and Schorscher, Nora and Sattler, Helmut and Kippnich, Uwe and Meybohm, Patrick and Wurmb, Thomas",
volume="19",
number="1",
pages="25-31",
abstract="OBJECTIVE: Chemical, biological, radiological, and nuclear (CBRN) incidents are a major challenge for emergency medical services and the involved hospitals, especially if decontamination needs to be performed nearby or even within the hospital campus. The University Hospital Wuerzburg has developed a comprehensive and alternative CBRN response plan. The focus of this study was to proof the practicability of the concept, the duration of the decontamination process, and the temperature management. <br><br>METHODS: The entire decontamination area can be deployed 24/7 by the hospitals technical staff. Fire and rescue services are responsible for the decontamination process itself. This study was designed as full-scale exercise with 30 participants. <br><br>RESULTS: The decontamination area was ready for operation within 30 minutes. The decontamination of the four simulated patients took 5.5 ± 0.6 minutes (mean ± SD). At the end of the decontamination process, the temperature of the undressed upper body of the training patients was 27.25 ± 1°C (81.05 ± 2°F) (mean ± SD) and the water in the shower was about 35°C (95°F). <br><br>CONCLUSION: The presented concept is comprehensive and simple for a best possible care during CBRN incidents at hospitals. It ensures wet decontamination by Special Forces, while the technical requirements are created by the hospital.<p /> <p>Language: en</p>",
language="en",
issn="1932-149X",
doi="10.5055/ajdm.0471",
url="http://dx.doi.org/10.5055/ajdm.0471"
}