Karayilanoğlu Turan, Kenar Levent, Gulec Mahir
Department of NBC Defense, Gulhane Military Medical Academy, 06018 Ankara, Turkey.
Mil Med. 2003 Aug;168(8):591-4.
The use of chemical warfare agents intentionally has become a great concern in the arena of the cold war. On the other hand, there has always been a threat on civilian population due to their mass destruction effects, including psychological damage and a great deal of discussion how to respond to it in terms of medical management. It is very important to provide the best lifesaving medical care and triage in a chemical-contaminated area. Mass casualties exposed to chemical agents require immediate medical intervention to save their lives and should be classified in accordance to medical care priorities and available medical sources, including antidotes and sophisticated health facilities. Establishing the decontamination area for chemical casualties where it is located at the suitable place with respect to the wind direction is necessary. To overcome the mass destruction effects of chemical warfare agents following the terrorist attack, we must have the emergency medical response plan involving experienced triage officers and medical care providers to be able to perform medical management in the chemical-contaminated area and health facilities.
蓄意使用化学战剂已成为冷战时期备受关注的问题。另一方面,由于其大规模杀伤效应,包括心理伤害,平民一直面临威胁,并且针对如何在医疗管理方面应对这一问题存在大量讨论。在化学污染区域提供最佳的救生医疗护理和伤员分类非常重要。暴露于化学战剂的大量伤员需要立即进行医疗干预以挽救生命,并且应根据医疗护理优先级和可用医疗资源(包括解毒剂和先进的医疗设施)进行分类。在相对于风向合适的位置设立化学伤员去污区是必要的。为了应对恐怖袭击后化学战剂的大规模杀伤效应,我们必须制定应急医疗响应计划,其中包括经验丰富的伤员分类官员和医疗护理人员,以便能够在化学污染区域和医疗设施中进行医疗管理。