Reilly Michael J, Markenson David, DiMaggio Charles
Center for Disaster Medicine, New York Medical College, School of Public Health, New York, New York, USA.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):297-303. doi: 10.1017/s1049023x00004908.
Numerous studies have suggested that emergency medical services (EMS) providers are ill-prepared in the areas of training and equipment for response to events due to weapons of mass destruction (WMD) and other public health emergencies (epidemics, etc.).
A nationally representative sample of basic and paramedic EMS providers in the United States was surveyed to assess whether they had received training in WMD and/or public health emergencies as part of their initial provider training and as continuing medical education within the past 24 months. Providers also were surveyed as to whether their primary EMS agency had the necessary specialty equipment to respond to these specific events.
More than half of EMS providers had some training in WMD response. Hands-on training was associated with EMS provider comfort in responding to chemical, biological, and/or radiological events and public health emergencies (odds ratio (OR) = 3.2, 95% confidence interval (CI) 3.1, 3.3). Only 18.1% of providers surveyed indicated that their agencies had the necessary equipment to respond to a WMD event. Emergency medical service providers who only received WMD training reported higher comfort levels than those who had equipment, but no training.
Lack of training and education as well as the lack of necessary equipment to respond to WMD events is associated with decreased comfort among emergency medical services providers in responding to chemical, biological, and/or radiological incidents. Better training and access to appropriate equipment may increase provider comfort in responding to these types of incidents.
众多研究表明，紧急医疗服务（EMS）提供者在应对大规模杀伤性武器（WMD）及其他公共卫生紧急事件（流行病等）时，在培训和设备方面准备不足。
对美国基础和护理急救医疗服务提供者的全国代表性样本进行调查，以评估他们在初始提供者培训期间以及过去24个月内作为继续医学教育的一部分，是否接受过应对大规模杀伤性武器和/或公共卫生紧急事件的培训。还对提供者进行了调查，询问其主要急救医疗服务机构是否拥有应对这些特定事件所需的专业设备。
超过一半的急救医疗服务提供者接受过一些应对大规模杀伤性武器事件的培训。实践培训与急救医疗服务提供者应对化学、生物和/或放射性事件及公共卫生紧急事件时的舒适度相关（优势比（OR）= 3.2，95%置信区间（CI）3.1，3.3）。接受调查的提供者中只有18.1%表示其机构拥有应对大规模杀伤性武器事件所需的设备。仅接受过应对大规模杀伤性武器培训的急救医疗服务提供者报告的舒适度高于那些有设备但未接受培训的提供者。
缺乏培训教育以及缺乏应对大规模杀伤性武器事件所需的必要设备，与急救医疗服务提供者应对化学、生物和/或放射性事件时舒适度降低有关。更好的培训和获得适当设备可能会提高提供者应对此类事件的舒适度。
