Emergency Department Response to Chemical Biological Radiological Nuclear and Explosive Events A Systematic Review

Razak, S., Hignett, S., and Barnes, J. (2018). Emergency Department Response to Chemical, Biological, Radiological, Nuclear, and Explosive Events: A Systematic Review. Prehospital Disaster Medicine. 33(5):543–549.
The authors conducted a literature review to identify challenges associated with Emergency Department (ED) CBRNE response. They concluded that “response planning and preparation should be considered at three levels: organizational (policies and procedures); technological (decontamination, communication, security, clinical care, and treatment); and individual (willingness to respond, PPE, knowledge, and competence),” and that there is a gap “specific to detection and diagnosis of CBRNE exposure on self-presenting patients in the ED.”
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