Chilcott, R., Larner, J., Durrant, A., et al. (2019). Evaluation of US Federal Guidelines (Primary Response Incident Scene Management [PRISM]) for Mass Decontamination of Casualties During the Initial Operational Response to a Chemical Incident. Annals of Emergency Medicine. 73(6): 671-684.
The authors evaluated the clinical and operational effectiveness of PRISM through an exercise and found that the triple combination of dry, ladder pipe system, and technical decontamination attained an average decontamination efficiency of approximately 100% on exposed hair and skin sites.