Department of Anesthesiology, Intensive Care, Emergency and Pain Medicine, Subsection Emergency and Disaster Relief Medicine, University Hospital Wuerzburg, Wuerzburg, Germany.
Department of Anesthesiology, Intensive Care, Emergency and Pain Medicine, Subsection Emergency and Disaster Relief Medi-cine, University Hospital Wuerzburg, Wuerzburg, Germany.
J Emerg Manag. 2021 Jan-Feb;20(1):23-29. doi: 10.5055/jem.0650.
Chemical, biological, radiological, and nuclear (CBRN) incidents are a major challenge for emergency medical services and the involved hospitals, especially if decontamination needs to be performed nearby or even within the hospital campus. The University Hospital Wuerzburg has developed a comprehensive and alternative CBRN response plan. The focus of this study was to proof the practicability of the concept, the duration of the decontamination process, and the temperature management.
The entire decontamination area can be deployed 24/7 by the hospitals technical staff. Fire and rescue services are responsible for the decontamination process itself. This study was designed as full-scale exercise with 30 participants.
The decontamination area was ready for operation within 30 minutes. The decontamination of the four simulated patients took 5.5 ± 0.6 minutes (mean ± SD). At the end of the decontamination process, the temperature of the undressed upper body of the training patients was 27.25 ± 1°C (81.05 ± 2°F) (mean ± SD) and the water in the shower was about 35°C (95°F).
The presented concept is comprehensive and simple for a best possible care during CBRN incidents at hospitals. It ensures wet decontamination by Special Forces, while the technical requirements are created by the hospital.
化学、生物、放射性和核（CBRN）事件对紧急医疗服务和相关医院来说是一个重大挑战，特别是如果需要在附近甚至在医院校园内进行去污。维尔茨堡大学医院制定了一项全面且替代的 CBRN 应对计划。本研究的重点是证明该概念的实用性、去污过程的持续时间以及温度管理。
医院的技术人员可以 24/7 部署整个去污区。消防和救援服务负责去污过程本身。这项研究是一项有 30 名参与者的全面演习设计。
去污区在 30 分钟内即可投入使用。对 4 名模拟患者的去污过程耗时 5.5 ± 0.6 分钟（平均值 ± 标准差）。在去污过程结束时，未穿衣服的受训患者上半身的温度为 27.25 ± 1°C（81.05 ± 2°F）（平均值 ± 标准差），淋浴中的水约为 35°C（95°F）。
所提出的概念全面且简单，可在医院发生 CBRN 事件时提供最佳护理。它确保了特种部队的湿法去污，而技术要求则由医院创建。
