tailieunhanh - Báo cáo khoa học: "Clinical review: Tokyo – protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Tokyo – protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance. | Available online http content 9 4 397 Review Clinical review Tokyo - protecting the health care worker during a chemical mass casualty event an important issue of continuing relevance Sumie Okumura1 Tetsu Okumura2 Shinichi Ishimatsu3 Kunihisa Miura1 Hiroshi Maekawa1 and Toshio Naito4 1Staff Advanced Emergency Medical Center Juntendo Izu-Nagaoka Hospital Shizuoka Japan 2Associaye Professor Department of Acute and Disaster Medicine Juntendo University Hospital Tokyo Japan 3Chief of Emergency Department St Luke s International Hospital Tokyo Japan 4Lecturer Department of General Medicine Juntendo University Tokyo Japan Corresponding author Tetsu Okumura xj2t-okmr@ Published online 17 February 2005 This article is online at http content 9 4 397 2005 BioMed Central Ltd Critical Care 2005 9 397-400 DOI cc3062 See commentary page 323 http content 9 4 323 Abstract Determine the effectiveness of decontamination and perform thorough dry or wet decontamination depending on the circumstances. Always remain cognizant of the fact that even after decontamination has been completed contamination may not have been completely eliminated. Perform periodic monitoring to determine whether secondary exposure has occurred in health care workers if it appears that secondary exposure has occurred then the PPE level must be increased and attempts must be made to identify and eliminate the source of the contamination. Finally if the victims were exposed through ingestion then consider the possibility that secondary exposure will occur during gastric lavage. Introduction In the Tokyo subway sarin attack in March 1995 many health care workers experienced secondary exposure 1 . Although the various organizations that responded to the incident were aware that the causative agent was a chemical substance many cases of secondary exposure occurred because of lack of sufficient knowledge of the decontamination and protective measures that .