Skip to main content Accessibility help
×
Home

Survey of Emergency Department Chemical Hazard Preparedness in Michigan, USA: A Seven Year Comparison

  • Justin B. Belsky (a1), Howard A. Klausner (a2), Jeffrey Karson (a2) and Robert B. Dunne (a3)

Abstract

Objective

To compare the state of chemical hazard preparedness in emergency departments (EDs) in Michigan, USA between 2005 and 2012.

Methods

This was a longitudinal study involving a 30 question survey sent to ED directors at each hospital listed in the Michigan College of Emergency Physician (MCEP) Directory in 2005 and in 2012. The surveys contained questions relating to chemical, biological, radiological, nuclear, and explosive events with a focus on hazardous material capabilities.

Results

One hundred twelve of 139 EDs responded to the 2005 survey compared to 99/136 in 2012. Ten of 27 responses were statistically significant, all favoring an enhancement in disaster preparedness in 2012 when compared to 2005. Questions with improvement included: EDs with employees participating in the Michigan voluntary registry; EDs with decontamination rooms; MARK 1 and cyanide kits available; those planning to use dry decontamination, powered air purifiers, surgical masks, chemical gloves, and surgical gowns; and those wishing for better coordination with local and regional resources. Forty-two percent of EDs in 2012 had greater than one-half of their staff trained in decontamination and 81% of respondents wished for more training opportunities in disaster preparedness. Eighty-four percent of respondents believed that they were more prepared in disaster preparedness in 2012 versus seven years prior.

Conclusions

Emergency departments in Michigan have made significant advances in chemical hazard preparedness between 2005 and 2012 based on survey responses. Despite these improvements, staff training in decontamination and hazardous material events remains a weakness among EDs in the state of Michigan.

Belsky JB , Klausner HA , Karson J , Dunne RB . Survey of Emergency Department Chemical Hazard Preparedness in Michigan, USA: A Seven Year Comparison. Prehosp Disaster Med. 2016;31(2):224227.

Copyright

Corresponding author

Correspondence: Justin Belsky, MD 55 Fruit Street Zero Emerson Place, Suite 3B Boston, Massachusetts 02114 USA E-mail: jbelsky@partners.org

References

Hide All
1. Duncan, M, Wu, J, Neu, M, et al. Persons injured during acute chemical incidents – hazardous substances emergency events surveillance, nine states. MMWR Surveill Summ. 2015;64(2):18-24.
2. Okumura, T, Takasu, N, Ishimatsu, S, et al. Report on 640 victims of the Tokyo subway Sarin attack. Ann Emerg Med. 1996;28(2):129-135.
3. Burgess, J, Blackmon, G, Brodkin, A, et al. Hospital preparedness for hazardous material incidents and treatment of contaminated patients. West J Med. 1997;167:387-391.
4. Higgins, W, Wainright, C, Lu, N, et al. Assessing hospital preparedness using an instrument based on the mass casualty disaster plan checklist: results of a statewide survey. Am J Infect Control. 2004;32(5):327-332.
5. Stacey, R, Morfey, D, Payne, S. Secondary contamination in organophosphate: analysis of an incident. QJM. 2004;97(2):75-80.
6. Wetter, DC, Daniell, WE, Treser, CD. Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health. 2001;91(5):710-716.

Keywords

Type Description Title
WORD
Supplementary materials

Belsky supplementary material
Belsky supplementary material 1

 Word (55 KB)
55 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed