| | Chemical Accidents and Disasters: Medical Care Planning |
| | 0,23 | | MB | Guidance |
| | 94 | | stron |
| | 3522 | | ID | National Board of Health and Welfare |
| | 2000 | | rok |
| | Contents |
| | Foreword..3 |
| | Background.7 |
| | Examples of accidents and disaster simulations 10 |
| | Ammonia ..10 |
| | Fires .11 |
| | Dioxins (Seveso) 12 |
| | Phenol .12 |
| | Chlorine .13 |
| | Methylisocyanate (Bhopal) ..14 |
| | Nerve gases ..15 |
| | Nitrogen oxides ..16 |
| | Smoke shells 17 |
| | General remarks on chemical substances.. 18 |
| | Hazardous Substances 19 |
| | Industry ..19 |
| | Transport 19 |
| | Sports installations etc 20 |
| | Injury potential ..20 |
| | New Threats .21 |
| | Special features and requirements in a chemical accident 23 |
| | Risk area 23 |
| | Decontamination24 |
| | Uniform casualty profile and standardised treatment .24 |
| | ‘Knocked out’ hospital 25 |
| | Observation units ..25 |
| | Information ..25 |
| | Inventory 25 |
| | Information .. 26 |
| | General ..26 |
| | Medical care 27 |
| | Labelling and placarding systems, classification, material safety data sheets 32 |
| | Decontamination of persons, personal protective equipment . 36 |
| | Decontamination of persons 36 |
| | Personal protective equipment 37 |
| | Responsibility and planning 42 |
| | Responsibility and co-ordination in peace time .42 |
| | Responsibility and co-ordination during raised alert states .43 |
| | Responsibility and planning in the health and medical services 43 |
| | Training .45 |
| | Organisation. 47 |
| | Organisation at the accident scene and in transport .47 |
| | Decontamination station/decontamination area .51 |
| | Casualty assembly point 53 |
| | Health care facilities 54 |
| | Follow-up.. 56 |
| | Registration ..56 |
| | Sampling 56 |
| | Effects of exposure, general treatment and triage . 57 |
| | Acute effects of exposure..57 |
| | Treatment – first aid .60 |
| | Triage ..63 |
| | Hypochondriac reactions ..65 |
| | Particular poisonous substances (including chemical weapons) 66 |
| | Chemical weapons 73 |
| | Literature .. 82 |
| | Appendix 1 ..85 |
| | Functional requirements for chemical protection in health care facilities 85 |
| | Functional requirements for decontamination stations ..86 |
| | The entire hospital should meet the following functional requirements, among others ..88 |
| | Other measures ..88 |
| | Appendix 2 ..89 |
| | Emergency stocks at hospitals 89 |
| | Disaster stocks for transport to the scene of the accident ..90 |
| | Appendix 3 ..91 |
| | Decontamination of casualties from chemical weapons during raised alert states 91 |