Breeman Wim
Ambulance Services Rotterdam Rijnmond (AZRR), Barendrecht, The Netherlands.
Adv Emerg Nurs J. 2009 Apr-Jun;31(2):153-60. doi: 10.1097/TME.0b013e31819dca1b.
The port of Rotterdam, The Netherlands, is the world's largest container port. In 2006, one of these containers caused a chemical incident. Methylbromide is used in some countries as a pesticide for the fumigation of maritime containers. Because of an insufficiently performed detoxification, this insecticide intoxicated several employees and some of the ambulance crew and Mobile Medical Team (MMT). The victims displayed symptoms of sore throat, irritated eyes, and hypersalivation. One of the victims suffered from multiple epileptic seizures. Two victims were admitted to the intensive care unit for respiratory support. Three other employees showed milder symptoms and received supportive care but were not admitted to the hospital. This complicated case shows that the safety of the ambulance crew and MMT must be guaranteed. It also demonstrates that healthcare providers cannot always oversee the accident scene and that there are some pitfalls that are almost impossible to prevent.
荷兰鹿特丹港是世界上最大的集装箱港口。2006年，其中一个集装箱引发了一起化学事故。在一些国家，甲基溴被用作熏蒸海运集装箱的杀虫剂。由于解毒措施执行不力，这种杀虫剂致使多名员工以及部分救护人员和移动医疗队（MMT）中毒。受害者出现了喉咙疼痛、眼睛刺痛和唾液分泌过多的症状。一名受害者癫痫多次发作。两名受害者因呼吸支持被送入重症监护病房。另外三名员工症状较轻，接受了支持性治疗，但未住院。这起复杂的案例表明，必须保障救护人员和移动医疗队的安全。它还表明，医护人员并非总能监督事故现场，而且存在一些几乎无法预防的隐患。
