TY  - JOUR
PY  - 2018//
TI  - Should helicopters transport patients who become sick after a chemical, biological, radiological, nuclear, and explosive attack?
JO  - Air Medical Journal
A1  - Yanagawa, Youichi
A1  - Ishikawa, Kouhei
A1  - Takeuchi, Ikuto
A1  - Nagasawa, Hiroki
A1  - Jitsuiki, Kei
A1  - Ohsaka, Hiromichi
A1  - Omori, Kazuhiko
SP  - 124
EP  - 125
VL  - 37
IS  - 2
N2  - The local fire department executed a training simulation for chemical and explosive incidents at a large sports facility. In this training simulation, a physician-staffed helicopter arrived at the request of the fire department and landed just outside the cold zone in the parking area. The doctor and nurse of the helicopter were escorted to a red area in the cold zone, which was selected based on the results of postdecontamination triage. After the patients had been treated, they were air medically evacuated to the base hospital. In the Tokyo subway sarin attack in 1995, St Luke's International Hospital admitted over 600 victims. During this incident, 23.2% of medical staff suffered secondary injury from sarin exposure. If air medial crews respond with subsequent postexposure effects during flight, an affected pilot could lose control of the helicopter, resulting in a fatal crash. Based on potential safety concerns for air medical and ground personnel, our recommendation would be that air medical helicopters not be dispatched to sites of chemical, biological, radiological, nuclear, and explosive incidents.<br><br>Copyright © 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1067-991X
UR  - http://dx.doi.org/10.1016/j.amj.2017.11.010
ID  - ref1
ER  -