Phelps Scot
Graduate School of Public Affairs and Administration, Metropolitan College of New York, 75 Varick Street, New York City, NY 10013, USA.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):293-6. doi: 10.1017/s1049023x00004891.
Only 4% of the United States Homeland Security funding for public safety terrorism preparedness is allotted to emergency medical services (EMS), despite the primary threat from a mass-terrorism chemical weapons attack (MTCWA) being personal injury. This study examines the preparedness of the EMS to respond to, treat, and transport victims of such attacks.
It was hypothesized that US EMS agencies lack the necessary equipment to mitigate large-scale morbidity and mortality from a MTCWA.
Seventy after-action reports from full-scale, chemical weapons exercises conducted in large cities across the US were examined by the Office of Domestic Preparedness, Chemical Weapons Improved Response Program to ascertain if EMS responders had personal protective equipment sufficient to operate at the scene of a MTCWA.
Of the 50 after action reports that mentioned EMS personal protective equipment, only six (12%) EMS agencies equipped their staff with personal protective equipment.
Results indicate that EMS responders are not prepared to safely respond to MTCWAs, which may result in a significant loss of life of victims and responders.
尽管大规模恐怖主义化学武器袭击（MTCWA）造成的主要威胁是人员伤亡，但美国国土安全部用于公共安全恐怖主义防范的资金中，只有4%分配给了紧急医疗服务（EMS）。本研究调查了紧急医疗服务部门应对、治疗和运送此类袭击受害者的准备情况。
研究假设美国紧急医疗服务机构缺乏必要设备，无法减轻大规模恐怖主义化学武器袭击造成的发病率和死亡率。
美国国内防备办公室化学武器改进应对计划审查了来自美国各大城市进行的大规模化学武器演习的70份行动后报告，以确定紧急医疗服务响应人员是否拥有足以在大规模恐怖主义化学武器袭击现场开展工作的个人防护装备。
在提及紧急医疗服务个人防护装备的50份行动后报告中，只有6个（12%）紧急医疗服务机构为其工作人员配备了个人防护装备。
结果表明，紧急医疗服务响应人员没有做好安全应对大规模恐怖主义化学武器袭击的准备，这可能会导致受害者和响应人员大量死亡。
