Medical Preparedness Against Chemical and Biological Incidents for the NATO Summit in Istanbul and Lessons Learned
Medical Preparedness Against Chemical and Biological Incidents for the NATO Summit in Istanbul and Lessons Learned
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DOI：
10.1017/s1049023x00003812
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发表时间：
2006-08-01
影响因子：
2.2
通讯作者：
Karayilanoglu, Turan
中科院分区：
文献类型：
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作者：
Kenar, Levent;Karayilanoglu, Turan
引言：在2004年北大西洋公约组织（北约）峰会期间，采取了包括医疗准备在内的重要应对措施，以应对任何疑似恐怖主义案件或事件，包括化学或生物（CB）武器的使用。峰会在连接两大洲的伊斯坦布尔举行，有来自26个北约国家的许多国家元首、总理和国防部长参加。
方法：包括医疗化学、生物、放射和核（CBRN）小组在内的第一响应者接受了特殊培训。提供并储备了包括药品、解毒剂、探测器等在内的关键设备。医疗当局通过设立净化单元以及采购医疗设备、解毒剂、药品和个人防护服，增强了识别和控制伤害以及任何突发CB事件的能力。此外，新近组建的北约 - CBRN营的一小部分人员被安排参与峰会，并准备对可疑样本中发现的制剂进行检测和识别。
结果：尽管峰会期间没有CB事件的报告，但在针对CB恐怖主义的医疗准备方面获得了丰富经验。在医疗管理中考虑了有毒物质的采样、检测和分析。在随后的时间段内进行了大量与实验室相关的工作。实验室工作包括采样和运输程序的标准化、移动实验室和参考实验室的建设，以及旨在提高CB分析效率的研究活动。尽管医务人员的培训已经很先进，但培训应该持续进行，并通过全国范围内的教育项目、会议、会面以及桌面演练和医院医疗演习来提供支持。
结论：作为旨在完善检测和监测、实验室分析以及应急响应的医疗规划的一部分，应该向基层医疗护理单位和中心提供多学科合作、培训和准备。
Introduction: During the 2004 North Atlantic Treaty Organization (NATO) Summit, essential counter-measures, including medical preparedness, were taken to cope with any suspected terrorist case or events including the use of chemical or biological (CB) weapons. The Summit was held in Istanbul, a city that bridges two continents, and involved the participation of many Heads of State, Prime Ministers, and Defense Ministers from 26 NATO countries.Methods: First responders, including medical Chemical, Biological, Radiological, and Nuclear (CBRN) teams, received special training. Essential equipment, including drugs, antidotes, detectors, etc., was provided and stockpiled. Medical authorities augmented the capacity for identifying and controlling the injuries and any emerging CB incident through the set-up of decontamination units and the procurement of medical devices, antidotes, drugs, and personal protective suits. Additionally, a small part of the recently established NATO-CBRN battalion was welcomed to the Summit and was prepared to perform detection and identification of the agent found in suspicious appearing samples.Results: Although no CB incident was reported during the Summit, extensive experience was gained with respect to medical preparedness against CB terrorism. Sampling, detection, and analysis of toxic materials were taken into account in the medical management. Much laboratory-related work was conducted in the following time period. The laboratory work involved the standardization of sampling and transportation procedures, development of both mobile and reference laboratories, and performing research activities aimed to make the CB analysis more efficient.Although the training of the medical staff was advanced, training should be continuous and supported with educational programs, conferences, meetings, and tabletop and hospital medical exercises throughout the country.Conclusion: Multidisciplinary cooperation, training, and preparedness should be provided to basic medical care units and centers as part of the medical planning aimed at perfect detection and surveillance, laboratory analysis, and emergency response.