Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Science and the CBRNE Science Medical Operations Science Support Expert (CMOSSE)
Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Science and the CBRNE Science Medical Operations Science Support Expert (CMOSSE)
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DOI：
10.1017/dmp.2018.163
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发表时间：
2019-12-01
影响因子：
2.7
通讯作者：
Hatchett, Richard
中科院分区：
文献类型：
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作者：
Coleman, C. Norman;Bader, Judith L.;Hatchett, Richard
国家需要做好准备并应对化学、生物、放射性、核或爆炸 (CBRNE) 等意外或故意灾难。这些事件需要特定主题的专业知识，但也有共性。我们确定了构成 CBRNE 科学的 7 个核心要素，需要将这些要素整合起来以实现有效的准备规划以及公共卫生和医疗响应和恢复。这些核心要素是（1）基础和临床科学，（2）建模和系统管理，（3）规划，（4）响应和事件管理，（5）恢复和弹性，（6）经验教训，以及（7）持续改进。一个关键特征是相关主题专家能够将信息整合到响应操作中。我们建议 CBRNE 医疗行动科学支持专家作为专业人员，(1) 了解 CBRNE 事件需要采用综合系统方法，(2) 了解 CBRNE 科学从业者的关键职能和贡献，(3) 通过第一手经验帮助指导战略和战术 CBRNE 规划和响应，以及 (4) 为管理响应活动的高级决策者提供建议。对 CBRNE 科学作为一种独特能力的认可以及 CBRNE 医疗操作科学支持专家的建立，向公众通报了所取得的巨大进展，传播了新人才的机会，并提高了规划和响应 CBRNE 事件的高级管理人员的复杂性和分析专业知识。
A national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.