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 journalArticlepeer-review

23 Scopus citations


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
Issue number5
StatePublished - Nov 2004

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


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

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