Optimization of Nonambulant Mass Casualty Decontamination Protocols as Part of an Initial or Specialist Operational Response to Chemical Incidents

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Robert P ChilcottHazem Matar

Abstract

Objective: The UK's Initial Operational Response (IOR) is a new process for improving the survival of multiple casualties following a chemical, biological, radiological or nuclear incident. Whilst the introduction of IOR represents a patient-focused response for ambulant casualties, there is currently no provision for disrobe and dry decontamination of nonambulant casualties. Moreover, the current specialist operational response (SOR) protocol for nonambulant casualty decontamination (also referred to as "clinical decontamination") has not been subject to rigorous evaluation or development. Therefore, the aim of this study was to confirm the effectiveness of putatively optimized dry (IOR) and wet (SOR) protocols for nonambulant decontamination in human volunteers. Methods: Dry and wet decontamination protocols were objectively evaluated using human volunteers. Decontamination effectiveness was quantified by liquid chromatography-mass spectrometry analysis of the recovery of a chemical warfare agent simulant (methylsalicylate) from skin and hair of volunteers, with whole-body fluorescence imaging to quantify the skin distribution of residual simulant. Results: Both the dry and wet decontamination processes were rapid (3 and 4 mi...Continue Reading

References

Mar 1, 1985·British Journal of Anaesthesia·M P Boidin
May 14, 2009·Radiation Protection Dosimetry·Jing ChenBarbara Waruszynski
Nov 6, 2010·Prehospital and Disaster Medicine·Richard AmlotRobert P Chilcott
Jun 30, 2012·Nature Methods·Johannes SchindelinAlbert Cardona
Apr 2, 2014·Environment International·Robert P Chilcott

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Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Samuel CollinsRichard Amlôt
Dec 2, 2021·Journal of Applied Toxicology : JAT·Lina ThorsAnders Bucht

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