Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T02:35:13.298Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  02 February 2016

Justin B. Belsky ,
Howard A. Klausner ,
Jeffrey Karson  and
Robert B. Dunne
Justin B. Belsky*
Affiliation:
Massachusetts General Hospital, Department of Emergency Medicine, Harvard Medical School, Boston, MassachusettsUSA
Howard A. Klausner
Affiliation:
Henry Ford Hospital, Department of Emergency Medicine, Detroit, MichiganUSA
Jeffrey Karson
Affiliation:
Henry Ford Hospital, Department of Emergency Medicine, Detroit, MichiganUSA
Robert B. Dunne
Affiliation:
St. John Hospital, Department of Emergency Medicine, Detroit, MichiganUSA
*
Correspondence: Justin Belsky, MD 55 Fruit Street Zero Emerson Place, Suite 3B Boston, Massachusetts 02114 USA E-mail: jbelsky@partners.org
Get access Rights & Permissions [Opens in a new window]

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.

BelskyJB, KlausnerHA, KarsonJ, DunneRB. Survey of Emergency Department Chemical Hazard Preparedness in Michigan, USA: A Seven Year Comparison. Prehosp Disaster Med. 2016;31(2):224–227.

Keywords

disasterdisaster planninghazardous substances
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 31 , Supplement 2 , April 2016 , pp. 224 - 227
Copyright
© World Association for Disaster and Emergency Medicine 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

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.Google ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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.Google ScholarPubMed
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.CrossRefGoogle ScholarPubMed
5. Stacey, R, Morfey, D, Payne, S. Secondary contamination in organophosphate: analysis of an incident. QJM. 2004;97(2):75-80.CrossRefGoogle ScholarPubMed
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.Google ScholarPubMed
Supplementary material: File

Belsky supplementary material

Belsky supplementary material 1

Download Belsky supplementary material(File)
File 55.3 KB