BIODOSIMETRY: MEDICINE, SCIENCE, AND SYSTEMS TO SUPPORT THE MEDICAL DECISION-MAKER FOLLOWING A LARGE SCALE NUCLEAR OR RADIATION INCIDENT
BIODOSIMETRY: MEDICINE, SCIENCE, AND SYSTEMS TO SUPPORT THE MEDICAL DECISION-MAKER FOLLOWING A LARGE SCALE NUCLEAR OR RADIATION INCIDENT
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DOI：
10.1093/rpd/ncw155
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发表时间：
2016-12-01
影响因子：
1
通讯作者：
Koerner, John F.
中科院分区：
文献类型：
--
作者：
Coleman, C. Norman;Koerner, John F.
对放射性或核事故的公共卫生和医疗反应需要有能力进行分类、评估、治疗、分诊，并最终使人们出院、转诊或运送他们接受下一步医疗护理。事件的规模和每个医疗决策点所在地的资源稀缺程度将决定如何对患者进行分流和治疗。这将是一个迅速变化的情况，影响区域、国家和国际层面的医疗救援人员。随着能力、诊断和医疗对策的提高，需要一种基于动态系统的方法来规划和管理事件，并真实的有效地适应。由于概念和术语可能不熟悉，而且可能令人困惑，因此必须提前考虑资源和行动概念。一个基本的基本原则是，医疗评价和护理将由医疗保健专业人员管理，生物剂量测定试验提供关键的支持数据。
The public health and medical response to a radiological or nuclear incident requires the capability to sort, assess, treat, triage and to ultimately discharge, refer or transport people to their next step in medical care. The size of the incident and scarcity of resources at the location of each medical decision point will determine how patients are triaged and treated. This will be a rapidly evolving situation impacting medical responders at regional, national and international levels. As capabilities, diagnostics and medical countermeasures improve, a dynamic system-based approach is needed to plan for and manage the incident, and to adapt effectively in real time. In that the concepts and terms can be unfamiliar and possibly confusing, resources and a concept of operations must be considered well in advance. An essential underlying tenet is that medical evaluation and care will be managed by healthcare professionals with biodosimetry assays providing critical supporting data.