Hospital response to chemical terrorism: Personal protective equipment, training, and operations planning

Panos G. Georgopoulos, Paul Fedele, Pamela Shade, Paul J. Lioy, Michael Hodgson, Atkinson Longmire, Melody Sands, Mark A. Brown

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Hospitals distant from the immediate site of an incident involving a hazardous materials (HAZMATs) release which could include chemical warfare agents, must develop emergency response plans (ERPs) to protect healthcare professionals if they receive potentially contaminated victims. The ERP must address OSHA, EPA, and JCAHO requirements. Methods: The VHA convened groups to develop a hazard and exposure assessment, identify actions for compliance with existing regulatory standards, and review site and operational planning issues. Exposure modeling results were used to derive relationships between operational parameters (time and distance from sites/sources) and potential exposure for healthcare workers. Results: According to exposure modeling, level C personal protective equipment is adequate to protect hospital staff distant from the chemical release site. Decontamination runoff and contaminated clothing should also be controlled to limit exposure. Conclusions: Development and coordination of ERPs must include the local emergency planning committee, with clear assignment of tasks, locations, and training in order to prevent exposures to healthcare workers.

Original languageEnglish (US)
Pages (from-to)432-445
Number of pages14
JournalAmerican journal of industrial medicine
Volume46
Issue number5
DOIs
StatePublished - Nov 1 2004

Fingerprint

Chemical Terrorism
Emergencies
Delivery of Health Care
Chemical Warfare Agents
Joint Commission on Accreditation of Healthcare Organizations
United States Occupational Safety and Health Administration
Hazardous Substances
Clothing
Decontamination
Personal Protective Equipment

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • Chemical warfare agent
  • Hospital emergency response plans
  • Personal protective equipment

Cite this

Georgopoulos, Panos G. ; Fedele, Paul ; Shade, Pamela ; Lioy, Paul J. ; Hodgson, Michael ; Longmire, Atkinson ; Sands, Melody ; Brown, Mark A. / Hospital response to chemical terrorism : Personal protective equipment, training, and operations planning. In: American journal of industrial medicine. 2004 ; Vol. 46, No. 5. pp. 432-445.
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Hospital response to chemical terrorism : Personal protective equipment, training, and operations planning. / Georgopoulos, Panos G.; Fedele, Paul; Shade, Pamela; Lioy, Paul J.; Hodgson, Michael; Longmire, Atkinson; Sands, Melody; Brown, Mark A.

In: American journal of industrial medicine, Vol. 46, No. 5, 01.11.2004, p. 432-445.

Research output: Contribution to journalArticle

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AU - Fedele, Paul

AU - Shade, Pamela

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