Castro Delgado R, Arcos González P
Universidad de Oviedo, Departamento de Medicina, España.
Rev Esp Salud Publica. 1998 Nov-Dec;72(6):481-500.
This revision is aimed at providing health care personnel, particularly those who may be involved in planning and/or responding to a chemical accident, with an overview of the subject of major industrial accidents. In the introduction, a brief presentation is made of some data concerning the main industrial disasters which have occurred in the past in addition to some accidents which have occurred in our area that could have evolved into a major accident. A review is also provided of Spanish and European laws currently in effect regarding this matter, in addition to summarizing the main consequences which may result from explosions, phenomena of a thermal type and the leakage of hazardous substances, particularly stressing the third of these three cases. A brief summary is also given of the main steps to be taken for a correct risk analysis in a given geographical area. Lastly, the overall organization of the Chemical Industry Emergency Plans and the functions of the different groups taking part therein, including the main functions of the medical team, is provided. Planning and responding to an industrial disaster is markedly multi-disciplinary endeavor, and this document is aimed at providing health care professionals with an overview of the main aspects involved in order to thus contribute to a more in-depth knowledge of a subject which we consider to be of importance for health care personnel and a better-integrated response, given that were an industrial disaster to occur, we would have to deal with a serious public health care problem on the spot.
本次修订旨在为医护人员,尤其是那些可能参与化学事故规划和/或应对工作的人员,提供有关重大工业事故主题的概述。在引言部分,除了介绍我们所在地区发生的一些本可能演变成重大事故的事故外,还简要介绍了过去发生的一些主要工业灾难的相关数据。此外,还回顾了西班牙和欧洲目前生效的有关此事的法律,并总结了爆炸、热现象和有害物质泄漏可能导致的主要后果,尤其强调了这三种情况中的第三种。还简要总结了在特定地理区域进行正确风险分析应采取的主要步骤。最后,介绍了化学工业应急预案的总体架构以及参与其中的不同小组的职能,包括医疗团队的主要职能。规划和应对工业灾难是一项明显的多学科工作,本文件旨在为医护专业人员提供所涉主要方面的概述,从而有助于更深入地了解我们认为对医护人员很重要的一个主题,并实现更协调一致的应对,因为一旦发生工业灾难,我们将不得不当场应对严重的公共卫生问题。