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Georgopoulos PG, Fedele P, Shade P, et al. Hospital response to chemical terrorism: personal protective equipment, training, and operations planning. Am J Ind Med. Kirk MA, Cisek J, Rose SR. Emergency department response to hazardous materials incidents. Improve Med Clin North Am.

Levitin HW, Siegelson HJ. Disaster medical planning and response. Pons P, Dart RC. Chemical incidents in the emergency department: if and when. Schultz M, Cisek J, Wabeke R. Simulated exposure of hospital Divalproex Sodium (Depakote ER)- FDA personnel to solvent vapors and respirable Divalproex Sodium (Depakote ER)- FDA during decontamination of chemically exposed patients.

Centers for Disease Control and Prevention (CDC). Improper disposal of hazardous substances and resulting injuries--selected States, January 2001-March 2005. Monteith RG, Pearce LD. Self-care Decontamination within a Chemical Divalproex Sodium (Depakote ER)- FDA Mass-casualty Incident. Holland MG, Cawthon D. Personal protective equipment and decontamination of adults and children.

Leary AD, Schwartz MD, Kirk, MA, Ignacio JS, Wencil EB, et al. Evidence-based patient decontamination: an integral component of mass exposure chemical incident planning and response.

Disaster Med Public Health Prep. Scheepers PT, Otezla (Apremilast Tablets)- Multum Brederode NE, Bos PM, Nijhuis NJ, van de Weerdt RH, van der Woude I, et al.

Human biological monitoring for exposure assessment in response to an incident involving hazardous materials. Robert D Cox, MD, PhD Professor, Department of Emergency Medicine, Associate Professor, Department of Pharmacology and Toxicology, University of Mississippi Medical Center; Medical Director, Mississippi Regional Poison Control Center Robert D Cox, MD, PhD is a member of the following medical societies: American College of Emergency Physicians, American College of Medical ToxicologyDisclosure: Nothing to disclose.

Amin Antoine Kazzi, MD Professor of Clinical Emergency Medicine, Department of Emergency Medicine, American University of Beirut, Lebanon Amin Antoine Kazzi, MD is a member of the following medical societies: American Academy of Emergency MedicineDisclosure: Nothing to disclose.

Zygmunt F Dembek, PhD, MPH, MS, LHD Associate Professor, Department of Military and Emergency Medicine, Adjunct Assistant Professor, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine Zygmunt F Dembek, PhD, MPH, MS, LHD is a member of the following medical societies: American Chemical Society, New York Academy of SciencesDisclosure: Nothing to disclose.

David C Lee, MD Research Director, Department of Emergency Medicine, Associate Professor, North Shore University Hospital and New York University Medical School David C Lee, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Medical Toxicology, Society for Academic Emergency MedicineDisclosure: Nothing to disclose.

Image courtesy of the WHO. Note: the white areas correspond to silver ointment. This is a satellite image showing damage at 9:35am on March 16, 2011, 5 days after the earthquake struck. Image diphen of DigitalGlobe-Imagery and licensed under the Creative Commons Attribution-Share Alike 3.

Hospital and Community Planning for Hazmat Incidents There are requirements by several different federal agencies, as well as the Joint Commission for Accreditation of Healthcare Organizations (JCAHO), for hospitals to participate in community planning for HAZMAT incidents. EP3: The hospital has written procedures, including the Divalproex Sodium (Depakote ER)- FDA of precautions Divalproex Sodium (Depakote ER)- FDA personal protective equipment, to follow in response to hazardous material and waste spills or exposures.

Hazmat Incident Management Chain of command The HAZMAT disaster plan for a community clearly should define who is in charge of a situation.

View Media Gallery The contaminated area is known as the hot zone. Radioactive materials (half white, half yellow with black radiation symbol) Personal Protective Equipment Specialized equipment, known as personal protective equipment (PPE), is required to adequately protect rescue personnel Divalproex Sodium (Depakote ER)- FDA healthcare providers from secondary contamination.

Image courtesy of Wikimedia. Image courtesy of A. View Divalproex Sodium (Depakote ER)- FDA Gallery Decontamination Decontamination is the process of removing or neutralizing hazardous materials on people or equipment.

View Media Gallery Hospital Protocol for Hazmat Incidents Hospital care for a person exposed to hazardous materials should begin with adequate planning well before the incident occurs. Betnovate cream Media Gallery Conclusions Hospitals are required to participate in community disaster planning for HAZMAT incidents according to SARA Title III.

Additional Information This article is an overview of issues attending to individuals who have been exposed to hazardous materials.



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