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dc.contributor.authorPower, Sarah
dc.contributor.authorSymons, Charles
dc.contributor.authorCarter, Holly
dc.contributor.authorJones, Emma
dc.contributor.authorAmlôt, Richard
dc.contributor.authorLarner, Joanne
dc.contributor.authorMatar, Hazem
dc.contributor.authorChilcott, Robert P
dc.date.accessioned2017-08-09T11:56:05Z
dc.date.available2017-08-09T11:56:05Z
dc.date.issued2016-08-01
dc.identifier.citationPower , S , Symons , C , Carter , H , Jones , E , Amlôt , R , Larner , J , Matar , H & Chilcott , R P 2016 , ' Mass Casualty Decontamination in the United States : An Online Survey of Current Practice ' , Health Security , vol. 14 , no. 4 , pp. 226-236 . https://doi.org/10.1089/hs.2016.0047
dc.identifier.issn2326-5094
dc.identifier.otherPURE: 10334461
dc.identifier.otherPURE UUID: 44f899ad-120f-4fe6-bd7e-c314c14bff74
dc.identifier.otherPubMed: 27442794
dc.identifier.otherScopus: 85021858041
dc.identifier.urihttp://hdl.handle.net/2299/19184
dc.descriptionFinal publication is available from Mary Ann Liebert, Inc., publishers https://doi.org/10.1089/hs.2016.0047.
dc.description.abstractMass casualty decontamination is a public health intervention that would be employed by emergency responders following a chemical, biological, or radiological incident. The decontamination of large numbers of casualties is currently most often performed with water to remove contaminants from the skin surface. An online survey was conducted to explore US fire departments' decontamination practices and their preparedness for responding to incidents involving mass casualty decontamination. Survey respondents were asked to provide details of various aspects of their decontamination procedures, including expected response times to reach casualties, disrobing procedures, approaches to decontamination, characteristics of the decontamination showering process, provision for special populations, and any actions taken following decontamination. The aim of the survey was to identify any differences in the way in which decontamination guidance is implemented across US states. Results revealed that, in line with current guidance, many US fire departments routinely use the "ladder-pipe system" for conducting rapid, gross decontamination of casualties. The survey revealed significant variability in ladder-pipe construction, such as the position and number of fire hoses used. There was also variability in decontamination characteristics, such as water temperature and water pressure, detergent use, and shower duration. The results presented here provide important insights into the ways in which implementation of decontamination guidance can vary between US states. These inconsistencies are thought to reflect established perceived best practices and local adaptation of response plans to address practical and logistical constraints. These outcomes highlight the need for evidence-based national guidelines for conducting mass casualty decontamination.en
dc.format.extent11
dc.language.isoeng
dc.relation.ispartofHealth Security
dc.rightsEmbargoed
dc.titleMass Casualty Decontamination in the United States : An Online Survey of Current Practiceen
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Pharmacy, Pharmacology and Postgraduate Medicine
dc.contributor.institutionCentre for Research into Topical Drug Delivery and Toxicology
dc.contributor.institutionPharmaceutics
dc.contributor.institutionToxicology
dc.description.statusPeer reviewed
dc.date.embargoedUntil2017-07-21
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2016-08-01
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1089/hs.2016.0047
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeEmbargoed


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