Document Detail


Assessing surge capacity for radiation victims with marrow toxicity.
MedLine Citation:
PMID:  20399880     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hematologists/oncologists would provide essential care for victims of a catastrophic radiation incident, such as the detonation of an improvised nuclear device (IND). The US Radiation Injury Treatment Network (RITN) is a voluntary consortium of 37 academic medical centers, 8 blood donor centers, and 7 umbilical cord banks focused on preparedness for radiation incidents. The RITN conducted 2 tabletop exercises to evaluate response capability after a hypothetical IND detonation in a U.S. city. In the 2008 exercise, medical centers voluntarily accepted 1757 victims at their institutions, a small fraction of the number in need. In the 2009 exercise, each center was required to accept 300 victims. In response, the centers outlined multiple strategies to increase bed availability, extend staff and resources, and support family and friends accompanying transferred victims. The exercises highlighted shortcomings in current planning and future steps for improving surge capacity that are applicable to various mass casualty scenarios.
Authors:
Matthew S Davids; Cullen Case; Raymond Hornung; Nelson J Chao; John P Chute; C Norman Coleman; Daniel Weisdorf; Dennis L Confer; David M Weinstock
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2010-04-24
Journal Detail:
Title:  Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation     Volume:  16     ISSN:  1523-6536     ISO Abbreviation:  Biol. Blood Marrow Transplant.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9600628     Medline TA:  Biol Blood Marrow Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1436-41     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Society for Blood and Marrow Transplantation. All rights reserved.
Affiliation:
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. DavidM_Weinstock@dfci.harvard
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MeSH Terms
Descriptor/Qualifier:
Academic Medical Centers
Adult
Blood Banks
Bone Marrow Diseases / etiology,  surgery*
Bone Marrow Transplantation*
Child
Disaster Planning / organization & administration*
Fetal Blood
Health Services Needs and Demand*
Hospital Bed Capacity
Humans
Interinstitutional Relations
Mass Casualty Incidents*
Nuclear Weapons*
Patient Simulation*
Radioactive Hazard Release*
Stem Cell Transplantation*
Terrorism*
Triage
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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