Seaton Melissa G, Maier Andrew, Sachdeva Sonny, Barton Charles, Ngai Eugene, Lentz Thomas J, Rane Pranav D, McKernan Lauralynn Taylor
Industrial Hygienist, Division of Science Integration, National Institute for Occupational Safety and Health, Cincinnati, Ohio.
Senior Managing Health Scientist, Cardno ChemRisk, Cincinnati, Ohio.
Am J Disaster Med. 2019;14(1):33-49. doi: 10.5055/ajdm.2019.0314.
Effective emergency management and response require appropriate utilization of various resources as an incident evolves. This manuscript describes the information resources used in chemical emergency management and operations and how their utility evolves from the initial response phase to recovery to event close out. The authors address chemical hazard guidance in the context of four different phases of emergency response: preparedness, emergency response (both initial and ongoing), recovery, and mitigation. Immediately following a chemical incident, during the initial response, responders often use readily available, broad-spectrum guidance to make rapid decisions in the face of uncertainties regarding potential exposure to physical and health hazards. Physical hazards are described as the hazards caused by chemicals that can cause harm with or without direct contact. Examples of physical hazards include explosives, flammables, and gases under pressure. This first line of resources may not be chemical-specific in nature, but it can provide guidance related to isolation distances, protective actions, and the most important physical and health threats. During the ongoing response phase, an array of resources can provide detailed information on physical and health hazards related to specific chemicals of concern. Consequently, risk management and mitigation actions evolve as well. When the incident stabilizes to a recovery phase, the types of information resources that facilitate safe and effective incident management evolve. Health and physical concerns transition from acute toxicity and immediate hazards to both immediate and latent health effects. Finally, the information inputs utilized during the preparedness phase include response evaluations of past events, emergency preparedness planning, and chemical-specific guidance about chemicals present. This manuscript details a framework for identifying the effective use of information resources at each phase and provides case study examples from chemical hazard emergencies.
有效的应急管理与响应需要随着事件的发展适当利用各种资源。本文描述了化学应急管理与行动中使用的信息资源,以及这些资源的效用如何从初始响应阶段发展到恢复阶段直至事件结束。作者在应急响应的四个不同阶段的背景下阐述化学危害指南:准备阶段、应急响应(包括初始响应和持续响应)、恢复阶段和缓解阶段。在化学事件发生后紧接着的初始响应阶段,应急人员通常会使用现成的、广谱的指南,以便在面对潜在的物理和健康危害暴露的不确定性时迅速做出决策。物理危害被描述为化学物质造成的危害,无论是否直接接触都可能导致伤害。物理危害的例子包括爆炸物、易燃物和受压气体。这些第一类资源本质上可能不是特定于化学物质的,但它可以提供与隔离距离、防护行动以及最重要的物理和健康威胁相关的指南。在持续响应阶段,一系列资源可以提供与特定关注化学物质相关的物理和健康危害的详细信息。因此,风险管理和缓解行动也会随之发展。当事件稳定到恢复阶段时,有助于安全有效地进行事件管理的信息资源类型也会发生变化。健康和物理方面的关注点从急性毒性和即时危害转变为即时和潜在的健康影响。最后,准备阶段使用的信息输入包括对过去事件的响应评估、应急准备计划以及关于存在的化学物质的特定化学指南。本文详细介绍了一个在每个阶段识别信息资源有效利用的框架,并提供了化学危害紧急事件的案例研究示例。