Support to triage and public risk perception considering long-term response to a Cs-137 radiological dispersive device scenario

dc.contributor.authorAndrade, Cristiane P. S.
dc.contributor.authorSouza, Cláudio J.
dc.contributor.authorCamerini, Eduardo S. N.
dc.date.accessioned2020-01-10T15:17:43Z
dc.date.available2020-01-10T15:17:43Z
dc.date.issued2018-04-17
dc.description.abstractA radiological dispersive device (RDD) spreads radioactive material, complicates the treatment of physical injuries, raises cancer risk, and induces disproportionate fear. Simulating such an event enables more effective and efficient utilization of the triage and treatment resources of staff, facilities, and space. Fast simulation can give detail on events in progress or future events. The resources for triage and treatment of contaminated trauma victims can differ for pure exposure individuals, while discouraging the “worried well” from presenting in the crisis phase by media announcement would relieve pressure on hospital facilities. The proposed methodology integrates capabilities from different platforms in a convergent way composed of three phases: (a) scenario simulation, (b) data generation, and (c) risk assessment for triage focused on follow-up epidemiological assessment. Simulations typically indicate that most of the affected population does not require immediate medical assistance. Medical triage for the few severely injured and the radiological triage to diminish the contamination with radioactivity will always be the priority. For this study, however, higher priorities should be given to individuals from radiological “warm” and “hot” zones as required by risk criteria. The proposed methodology could thus help to (a) filter and reduce the number of individuals to be attended, (b) optimize the prioritization of medical care, (c) reduce or prepare for future costs, (d) effectively locate the operational triage site to avoid possible contamination on the main facility, and (e) provide the scientific data needed to develop an adequate approach to risk and its proper communication.en_UK
dc.identifier.citationAndrade CPS, Souza CJ, Camerini ESN, et al., (2018) Support to triage and public risk perception considering long-term response to a Cs-137 radiological dispersive device scenario. Toxicology and Industrial Health, Volume 34, Issue 6, June 2018, pp. 433-438en_UK
dc.identifier.cris21407461
dc.identifier.issn0748-2337
dc.identifier.urihttps://doi.org/10.1177/0748233718762920
dc.identifier.urihttp://dspace.lib.cranfield.ac.uk/handle/1826/14907
dc.language.isoenen_UK
dc.publisherSageen_UK
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectConsequencesen_UK
dc.subjectpublic healthen_UK
dc.subjectradiationen_UK
dc.subjectTriageen_UK
dc.subjectEnvironmenten_UK
dc.titleSupport to triage and public risk perception considering long-term response to a Cs-137 radiological dispersive device scenarioen_UK
dc.typeArticleen_UK

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