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伊朗应对化学、生物、放射和核事件的准备要求的定性研究。

A qualitative study on preparedness requirements for responding to chemical, biological, radiological, and nuclear incidents in Iran.

作者信息

Kivi Hamid Karimi, Hadi Vahid, Nazari Saeed, Namdar Peyman, Afzali Mahboobeh

机构信息

Research Center for Emergency and Disaster Resilience, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran.

Iran-Helal Applied-Science Higher Education Institute, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran.

出版信息

BMC Res Notes. 2025 May 13;18(1):214. doi: 10.1186/s13104-025-07272-6.

Abstract

BACKGROUND AND PURPOSE

The sudden increase in the number of exposed individuals, diverse injuries, damage to health equipment, and disruptions in health services highlight the need for a structured response to radiological and nuclear incidents. This study aims to identify the requirements for responding to CBRN incidents in Iran. This research contributes to a deeper understanding of the complexities involved in CBRN preparedness and response in Iran, highlighting areas for potential improvement and policy development.

METHODOLOGY

This qualitative research conducted in 2023 involved semi-structured interviews with 32 specialists selected through purposive sampling until data saturation was reached. Thematic analysis was employed to analyze the data.

FINDINGS

The requirements for responding to CBRN incidents were categorized into three main classes with nine subcategories: TRAINING: Effective training content, establishment of specialized training centers, identification of target audiences, educational needs assessment, and continuous education.

DRILLS

Implementation of various operational drills and their content.

EMERGENCY RESPONSE PLANNING

Elements of response plans and evaluation of these plans.

CONCLUSION

Timely and appropriate responses from the health system during critical phases after such incidents are crucial for mitigating adverse health effects. This study provides insights into the necessary requirements for enhancing readiness in the health sector as Iran progresses towards adopting modern technologies.

摘要

背景与目的

受辐射人员数量的突然增加、多样的损伤、医疗设备的损坏以及卫生服务的中断凸显了对放射性和核事件做出结构化应对的必要性。本研究旨在确定伊朗应对化学、生物、放射和核(CBRN)事件的要求。本研究有助于更深入地理解伊朗CBRN防范与应对中涉及的复杂性,突出潜在改进和政策制定的领域。

方法

2023年开展的这项定性研究涉及通过目的抽样选取32名专家进行半结构化访谈,直至达到数据饱和。采用主题分析法对数据进行分析。

结果

应对CBRN事件的要求分为三大类,共九个子类:培训:有效的培训内容、设立专业培训中心、确定目标受众、教育需求评估以及持续教育。

演练

开展各类操作演练及其内容。

应急响应规划

响应计划的要素以及对这些计划的评估。

结论

在此类事件后的关键阶段,卫生系统及时、恰当的应对对于减轻不良健康影响至关重要。随着伊朗朝着采用现代技术迈进,本研究为增强卫生部门的应对能力所需的要求提供了见解。

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Pre-hospital critical care at major incidents.重大事故现场的院前危重病救护。
Br J Anaesth. 2022 Feb;128(2):e82-e85. doi: 10.1016/j.bja.2021.10.002. Epub 2021 Nov 12.

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