Science.gov

Sample records for accident emergency response

  1. Emergency preparedness and response: compensating victims of a nuclear accident.

    PubMed

    Schwartz, Julia

    2004-07-26

    The 1986 tragedy at the Chernobyl Nuclear Power Plant in Ukraine motivated the entire international nuclear community to ensure that countries would, in the future, be well prepared to manage the physical, psychological and financial consequences of a serious nuclear accident. Since that event, numerous nuclear emergency preparedness and post-emergency management programmes have been established at national and international levels to ensure that appropriate mechanisms will respond to the threat, and the aftermath, of a nuclear accident. The INEX 2000 Workshop on the Indemnification of Nuclear Damage, jointly organised by the OECD/Nuclear Energy Agency and the French Government, was the first ever international programme to address the manner in which victims of a nuclear accident with trans-boundary consequences would be compensated for damage suffered before, during and after the accident. The Workshop results revealed striking differences in the compensation principles and practices implemented in the 30 participating countries, in the co-ordination measures between different public authorities within an affected state, and in the co-operative procedures between the accident state and its neighbours. All participants agreed on the need for improvement in these areas, particularly for maintaining public confidence in governments' ability to properly manage nuclear emergencies.

  2. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    SciTech Connect

    Not Available

    1992-06-01

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses ``lessons learned`` from the response to the accident and suggests areas where improvements might be made.

  3. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    SciTech Connect

    Not Available

    1992-06-01

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses lessons learned'' from the response to the accident and suggests areas where improvements might be made.

  4. Community emergency response to nuclear power plant accidents: A selected and partially annotated bibliography

    SciTech Connect

    Youngen, G.

    1988-10-01

    The role of responding to emergencies at nuclear power plants is often considered the responsibility of the personnel onsite. This is true for most, if not all, of the incidents that may happen during the course of the plant`s operating lifetime. There is however, the possibility of a major accident occurring at anytime. Major nuclear accidents at Chernobyl and Three Mile Island have taught their respective countries and communities a significant lesson in local emergency preparedness and response. Through these accidents, the rest of the world can also learn a great deal about planning, preparing and responding to the emergencies unique to nuclear power. This bibliography contains books, journal articles, conference papers and government reports on emergency response to nuclear power plant accidents. It does not contain citations for ``onsite`` response or planning, nor does it cover the areas of radiation releases from transportation accidents. The compiler has attempted to bring together a sampling of the world`s collective written experience on dealing with nuclear reactor accidents on the sate, local and community levels. Since the accidents at Three Mile Island and Chernobyl, that written experience has grown enormously.

  5. DOE Response to the Fukushima Accident: Advancing the Science of Emergency Response

    NASA Astrophysics Data System (ADS)

    Blumenthal, Daniel

    2015-04-01

    The US Department of Energy maintains specialized technical teams to respond to radiological/nuclear emergencies. They apply well-established laboratory nuclear measurement techniques in field environments, conduct rapid analysis, and deliver data products to government leaders in support of real-time public safety decisions. Meeting these requirements, often in the face of incomplete and imperfect information, takes a great deal of training and practice to effectively translate science into operations. Since large-scale emergencies are rare, the Fukushima nuclear accident in March 2011 provided an opportunity to employ these teams. Their timely support to both US and Japanese decision makers provides an excellent case study in the application of instrumentation, analysis methods, data presentation, and training to emergency response.

  6. GIS-based emergency response system for sudden water pollution accidents

    NASA Astrophysics Data System (ADS)

    Rui, Yikang; Shen, Dingtao; Khalid, Shoaib; Yang, Zaigui; Wang, Jiechen

    The frequent occurrence of sudden water pollution accidents brings enormous risks to water environment safety. Therefore, there is great need for the modeling and development of early warning systems and rapid response procedures for current water pollution situation in China. This paper proposes an emergency response system based on the integration of Geographic Information System (GIS) technology and a hydraulic/water-quality model. Using the spatial analysis and three-dimensional visualization capabilities of GIS technology, we calculated pollutant diffusion measures, and visualized and analyzed the simulation results, in order to provide the services of early warning and emergency response for sudden water pollution accidents in the Xiangjia Dam area on the Yangtze River. The results show that the proposed system offers reliable technological support for emergency response to sudden water pollution events, and it shows good potential for wide applications in various aspects of water resources protection.

  7. ANSI/ANS-8.23-1997: nuclear criticality accident emergency planning and response.

    SciTech Connect

    Baker, J. S.

    2004-01-01

    American National Standard ANSUANS-8.23 was developed to expand upon the basic emergency response guidance given in American National Standard, 'Administrative Practices for Nuclear Criticality Safety' ANSI/ANS-8.19-1996 (Ref. 1). This standard provides guidance for minimizing risks to personnel during emergency response to a nuclear criticality accident outside reactors. This standard is intended to apply to those facilities for which a criticality accident alarm system, as specified in American National Standard, 'Criticality Accident Alarm System', ANSI/ANS-8.3-1997 (Ref. 2) is in use. The Working Group was established in 1990, with Norman L. Pruvost as chairman. The Working Group had up to twenty-three members representing a broad range of the nuclear industry, and has included members from Canada, Japan and the United Kingdom. The initial edition of ANSI/ANS-8.23 was approved by the American National Standards Institute on December 30, 1997. It provides guidance for the following topics: (1) Management and technical staff responsibilities; (2) Evaluation of a potential criticality accident; (3) Emergency plan provisions; (4) Evacuation; (5) Re-entry, rescue and stabilization; and (6) Classroom training, exercises and evacuation drills. This guidance is not for generic emergency planning issues, but is specific to nuclear criticality accidents. For example, it assumes that an Emergency Plan is already established at facilities that implement the standard. During the development of the initial edition of ANSI/ANS-8.23, each Working Group member evaluated potential use of the standard at a facility with which the member was familiar. This revealed areas where a facility could have difficulty complying with the standard. These reviews helped identify and eliminate many potential problems and ambiguities with the guidance. The Working Group has received very limited feedback from the user community since the first edition of the standard was published. Suggestions

  8. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China.

    PubMed

    Duan, Weili; He, Bin

    2015-07-10

    In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency.

  9. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China

    PubMed Central

    Duan, Weili; He, Bin

    2015-01-01

    In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency. PMID:26184260

  10. Radiation release and health effects lessons from the Three Mile Island accident. Application to emergency response planning

    SciTech Connect

    Mynatt, F.R.; Berger, C.D.

    1980-11-21

    The Three Mile Island-2 accident and the ORNL response are discussed briefly. Three documents are reviewed in relation to emergency response planning for the Zimmer Nuclear Plant: NUREG-0610, NUREG-0654, and the Sequoyah emergency response plan. Distribution of potassium iodide tablets is not recommended. (DLC)

  11. A two-stage optimization model for emergency material reserve layout planning under uncertainty in response to environmental accidents.

    PubMed

    Liu, Jie; Guo, Liang; Jiang, Jiping; Jiang, Dexun; Liu, Rentao; Wang, Peng

    2016-06-05

    In the emergency management relevant to pollution accidents, efficiency emergency rescues can be deeply influenced by a reasonable assignment of the available emergency materials to the related risk sources. In this study, a two-stage optimization framework is developed for emergency material reserve layout planning under uncertainty to identify material warehouse locations and emergency material reserve schemes in pre-accident phase coping with potential environmental accidents. This framework is based on an integration of Hierarchical clustering analysis - improved center of gravity (HCA-ICG) model and material warehouse location - emergency material allocation (MWL-EMA) model. First, decision alternatives are generated using HCA-ICG to identify newly-built emergency material warehouses for risk sources which cannot be satisfied by existing ones with a time-effective manner. Second, emergency material reserve planning is obtained using MWL-EMA to make emergency materials be prepared in advance with a cost-effective manner. The optimization framework is then applied to emergency management system planning in Jiangsu province, China. The results demonstrate that the developed framework not only could facilitate material warehouse selection but also effectively provide emergency material for emergency operations in a quick response.

  12. Emergency Responses and Health Consequences after the Fukushima Accident; Evacuation and Relocation.

    PubMed

    Hasegawa, A; Ohira, T; Maeda, M; Yasumura, S; Tanigawa, K

    2016-04-01

    The Fukushima accident was a compounding disaster following the strong earthquake and huge tsunami. The direct health effects of radiation were relatively well controlled considering the severity of the accident, not only among emergency workers but also residents. Other serious health issues include deaths during evacuation, collapse of the radiation emergency medical system, increased mortality among displaced elderly people and public healthcare issues in Fukushima residents. The Fukushima mental health and lifestyle survey disclosed that the Fukushima accident caused severe psychological distress in the residents from evacuation zones. In addition to psychiatric and mental health problems, there are lifestyle-related problems such as an increase proportion of those overweight, an increased prevalence of hypertension, diabetes mellitus and dyslipidaemia and changes in health-related behaviours among evacuees; all of which may lead to an increased cardiovascular disease risk in the future. The effects of a major nuclear accident on societies are diverse and enduring. The countermeasures should include disaster management, long-term general public health services, mental and psychological care, behavioural and societal support, in addition to efforts to mitigate the health effects attributable to radiation.

  13. Application of the Bulgarian emergency response system in case of nuclear accident in environmental assessment study

    NASA Astrophysics Data System (ADS)

    Syrakov, Dimiter; Veleva, Blagorodka; Georgievs, Emilia; Prodanova, Maria; Slavov, Kiril; Kolarova, Maria

    2014-05-01

    The development of the Bulgarian Emergency Response System (BERS) for short term forecast in case of accidental radioactive releases to the atmosphere has been started in the mid 1990's [1]. BERS comprises of two main parts - operational and accidental, for two regions 'Europe' and 'Northern Hemisphere'. The operational part runs automatically since 2001 using the 72 hours meteorological forecast from DWD Global model, resolution in space of 1.5o and in time - 12 hours. For specified Nuclear power plants (NPPs), 3 days trajectories are calculated and presented on NIMH's specialized Web-site (http://info.meteo.bg/ews/). The accidental part is applied when radioactive releases are reported or in case of emergency exercises. BERS is based on numerical weather forecast information and long-range dispersion model accounting for the transport, dispersion, and radioactive transformations of pollutants. The core of the accidental part of the system is the Eulerian 3D dispersion model EMAP calculating concentration and deposition fields [2]. The system is upgraded with a 'dose calculation module' for estimation of the prognostic dose fields of 31 important radioactive gaseous and aerosol pollutants. The prognostic doses significant for the early stage of a nuclear accident are calculated as follows: the effective doses from external irradiation (air submersion + ground shinning); effective dose from inhalation; summarized effective dose and absorbed thyroid dose [3]. The output is given as 12, 24, 36, 48, 60 and 72 hours prognostic dose fields according the updated meteorology. The BERS was upgraded to simulate the dispersion of nuclear materials from Fukushima NPP [4], and results were presented in NIMH web-site. In addition BERS took part in the respective ENSEMBLE exercises to model 131I and 137Cs in Fukushima source term. In case of governmental request for expertise BERS was applied for environmental impact assessment of hypothetical accidental transboundary

  14. INVESTIGATION OF OPEN-PATH FTIR FOR FAST DEPLOYMENT EMERGENCY RESPONSE TO CHEMICAL THREATS AND ACCIDENTS.

    EPA Science Inventory

    We have performed a series of experiments to determine the tradeoff in detection sensitivity for implementing design features for an Open-Path Fourier Transform Infrared (OP-FTIR) chemical analyzer that would be quick to deploy under emergency response conditions. The fast-deplo...

  15. The Maurice Ellis lecture for 1986. The responsibility of emergency medicine towards the prevention of road accidents.

    PubMed Central

    Rutherford, W H

    1986-01-01

    It is argued that doctors who work in accident and emergency departments should play their part in road accident prevention. It is suggested that this might be done in the field of research, by direct action, through education of the public and by influencing legislation. Examples are given of both small and simple, and major national research projects based in accident and emergency departments. The type of direct action envisaged is modelled on the work of Dr Hayle Hadeson in preventing accidents to children. Examples of the education of the public are drawn from publicity work in the seat-belt campaign, and experiences of lobbying members of parliament in relation to seat-belt legislation are described. The relative under-funding of trauma research compared with cancer of heart disease research is seen as a measure of society's lack of interest in accident prevention, and colleagues unchallenged to do more to alter this situation. PMID:3768120

  16. A radioactive waste transportation package monitoring system for normal transport and accident emergency response conditions

    SciTech Connect

    Brown, G. S.; Cashwell, J. W.; Apple, M. L.

    1991-01-01

    Shipments of radioactive material (RAM) constitute but a small fraction of the total hazardous materials shipped in the United States each year. Public perception, however, of the potential consequences of a release from a transportation package containing RAM has resulted in significant regulation of transport operations, both to ensure the integrity of a package in accident conditions and to place operational constraints on the shipper. Much of this attention has focused on shipments of spent nuclear fuel and high level wastes which, although comprising a very small number of total shipments, constitute a majority of the total curies transported on an annual basis. This report discusses the shipment of these highly radioactive materials.

  17. An analysis of the effectiveness of emergency locator transmitters to reduce response time and locate wreckage in U.S. general aviation accidents

    NASA Astrophysics Data System (ADS)

    Jesudoss, Ajit

    Emergency Locator Transmitters (ELT) help search crews to locate aircraft in distress and to rescue survivors. This study analyzed ELT data from U.S. General Aviation accidents during the period 2006 to 2010. This study examined the effectiveness of ELTs in terms of ELT Success Rate (ESR) and False Negative Rate (FNR) based on ELT-Aided. This study found a significant difference between ELT-Operated and ELT-Aided. The ESR was found to be 38.58% whereas the FNR was found to be 61.42 %. The Missing Data Ratio (MDR), where accident reports had no ELT information, was found to be above 95%. Recommendations were made to include ELT information in all accident reports and to stress the importance of including response time in the accident report. Also the significant differences between ELT-Operated and ELT-Aided were explained.

  18. Guidelines for accident prevention and emergency preparedness

    SciTech Connect

    Fthenakis, V.M.; Morris, S.C.; Moskowitz, P.D.

    1993-05-01

    This report reviews recent developments in the guidelines on chemical accident prevention, risk assessment, and management of chemical emergencies, principally in the United States and Europe, and discusses aspects of their application to developing countries. Such guidelines are either in the form of laws or regulations promulgated by governments, or of recommendations from international, professional, or non governmental organizations. In many cases, these guidelines specify lists of materials of concern and methods for evaluating safe usage of these materials and recommend areas of responsibility for different organizations; procedures to be included in planning, evaluation, and response; and appropriate levels of training for different classes of workers. Guidelines frequently address the right of communities to be informed of potential hazards and address ways for them to participate in planning and decision making.

  19. Nuclear Weapon Accident Response Procedures (NARP) Manual

    DTIC Science & Technology

    1990-09-01

    SUMMARY OF SPECIALIZED CAPABILITIES 20-1 G eneral ............................................................................. 20-1 20-2 Purpose...and Analysis Form ............................... 5-E-17 5-E-7 Weapons Accident Environmental Radiation Alpha Probe Data Form ................. 5-E-19...Emergency Preparedness Responsibilities, 13 Nov 88. (j) JCS Publication 1-03.6, Joint Reporting Structure Event/Incident Report , Nov 80. (k) TP 20-11

  20. Emergency Response

    EPA Pesticide Factsheets

    Information for first responders, industry, federal, state and local governments on EPA's role and available resources for response to oil spills, chemical, biological, radiological releases, and large-scale national emergencies.

  1. Accurate dose assessment system for an exposed person utilising radiation transport calculation codes in emergency response to a radiological accident.

    PubMed

    Takahashi, F; Shigemori, Y; Seki, A

    2009-01-01

    A system has been developed to assess radiation dose distribution inside the body of exposed persons in a radiological accident by utilising radiation transport calculation codes-MCNP and MCNPX. The system consists mainly of two parts, pre-processor and post-processor of the radiation transport calculation. Programs for the pre-processor are used to set up a 'problem-dependent' input file, which defines the accident condition and dosimetric quantities to be estimated. The program developed for the post-processor part can effectively indicate dose information based upon the output file of the code. All of the programs in the dosimetry system can be executed with a generally used personal computer and accurately give the dose profile to an exposed person in a radiological accident without complicated procedures. An experiment using a physical phantom was carried out to verify the availability of the dosimetry system with the developed programs in a gamma ray irradiation field.

  2. Nuclear Weapon Accident Response Procedures (NARP)

    DTIC Science & Technology

    2005-02-22

    Fast, reliable, and accurate communications are essential for nuclear weapon accident response operations. Moreover, securing adequate internal ...activities near the scene of a nuclear weapon accident to speed the flow of information to the public and the internal audience. Although it is 183...Departments and Agencies in a nuclear weapon accident. Inherent in this event are the relationships between international , national, State, and

  3. Emergency drinking water treatment during source water pollution accidents in China: origin analysis, framework and technologies.

    PubMed

    Zhang, Xiao-Jian; Chen, Chao; Lin, Peng-Fei; Hou, Ai-Xin; Niu, Zhang-Bin; Wang, Jun

    2011-01-01

    China has suffered frequent source water contamination accidents in the past decade, which has resulted in severe consequences to the water supply of millions of residents. The origins of typical cases of contamination are discussed in this paper as well as the emergency response to these accidents. In general, excessive pursuit of rapid industrialization and the unreasonable location of factories are responsible for the increasing frequency of accidental pollution events. Moreover, insufficient attention to environmental protection and rudimentary emergency response capability has exacerbated the consequences of such accidents. These environmental accidents triggered or accelerated the promulgation of stricter environmental protection policy and the shift from economic development mode to a more sustainable direction, which should be regarded as the turning point of environmental protection in China. To guarantee water security, China is trying to establish a rapid and effective emergency response framework, build up the capability of early accident detection, and develop efficient technologies to remove contaminants from water.

  4. NASA Medical Response to Human Spacecraft Accidents

    NASA Technical Reports Server (NTRS)

    Patlach, Robert

    2010-01-01

    Manned space flight is risky business. Accidents have occurred and may occur in the future. NASA's manned space flight programs, with all their successes, have had three fatal accidents, one at the launch pad and two in flight. The Apollo fire and the Challenger and Columbia accidents resulted in a loss of seventeen crewmembers. Russia's manned space flight programs have had three fatal accidents, one ground-based and two in flight. These accidents resulted in the loss of five crewmembers. Additionally, manned spacecraft have encountered numerous close calls with potential for disaster. The NASA Johnson Space Center Flight Safety Office has documented more than 70 spacecraft incidents, many of which could have become serious accidents. At the Johnson Space Center (JSC), medical contingency personnel are assigned to a Mishap Investigation Team. The team deploys to the accident site to gather and preserve evidence for the Accident Investigation Board. The JSC Medical Operations Branch has developed a flight surgeon accident response training class to capture the lessons learned from the Columbia accident. This presentation will address the NASA Mishap Investigation Team's medical objectives, planned response, and potential issues that could arise subsequent to a manned spacecraft accident. Educational Objectives are to understand the medical objectives and issues confronting the Mishap Investigation Team medical personnel subsequent to a human space flight accident.

  5. Risk Assessment for Emergency Planning Related to Nuclear Weapons Accidents

    DTIC Science & Technology

    1985-09-25

    Nuclea, Weapons Fixed Facilities," SAI/PL-83-3, Science Applications, Inc. (March 1983). 3) NUREG -0654/FEMA-REP-1 (Rev. 1), "Criteria for Preparation and...Evaluation of Emergency Response Plans and Preparedness in Support of Nuclear Power Plants." November 1980. 4) NUREG -0396, EPA 520/1-78-016...8217 December 1978. 5) "Reactor Safety Study: An Assessment of Accident Risks in U.S. Commercial Nuclear Power Plants," NUREG -75/014, WASH-1400, USNRC, October

  6. Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 12. Water Accidents, Electrical Emergencies, Hazardous Materials and Radiation Accidents. Revised.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

    This training manual for emergency medical technicians, one of 14 modules that comprise the Emergency Victim Care textbook, covers water accidents, electrical emergencies, and hazardous materials and radiation accidents. Objectives stated for the three chapters are for the students to be able to describe: emergency care for specified water…

  7. Hazardous materials transportation and emergency response programs

    SciTech Connect

    Joy, D.S.; Fore, C.S.

    1983-01-01

    This presentation consists of the following visual aids; (1) detailed routing capabilities of truck, rail, barge; (2) legislative data base for hazardous materials; and (3) emergency response of accident site Eddyville, Kentucky (airports in vicinity of Eddyville, KY).

  8. Teaching in accident and emergency medicine: 10 commandments of accident and emergency radiology.

    PubMed Central

    Touquet, R.; Driscoll, P.; Nicholson, D.

    1995-01-01

    One of the many attractions of accident and emergency medicine is the wide and varied opportunities it provides for education. This is because of the acute nature of the work, which necessitates prompt and accurate decision making. However, in many instances the decisions have to be made by inexperienced senior house officers. Departments therefore need a safe system of practice that can be remembered and adhered to under stress. The 10 commandments is one such system for analysing emergency radiographs of all the regions of the body. This system lays down guidelines to protect both staff and hospitals from the inevitable mistakes that inexperienced doctors will make. Images FIG 1 FIG 2 FIG 3 PMID:7661941

  9. Tracking shame and humiliation in Accident and Emergency.

    PubMed

    Sanders, Karen; Pattison, Stephen; Hurwitz, Brian

    2011-04-01

    In this paper, we reflect upon shame and humiliation as threats to personal and professional integrity and moral agency within contemporary health care. A personal narrative, written by a nurse about a particular shift in a British National Health Service Accident and Emergency Department, is provided as a case study. This is critically reflected and commented upon in dialogue with insights into the nature of shame and humiliation. It is suggested that Accident and Emergency is a locus that is latently prone to dynamics of shame and humiliation, a potential exacerbated within a culture subject to externally-determined time targets that are enforced by a top-down system of surveillance and management. The result is that nurses may lose their sense of professional competence and responsibility, moral agency, and integrity, to their own personal detriment, as well as to the detriment of patients with whom they work. Insofar as examining a small part of a whole may suggest insights into the operation and ethos of a very large system, this very particular case study narrative/reflection has some important implications and lessons for the wider organization and provision of health care in Britain and beyond.

  10. Recommended Procedures for Handling Emergency Illnesses and Accidents at School.

    ERIC Educational Resources Information Center

    North Dakota State Dept. of Health, Bismarck.

    Recommended procedures for handling emergency illnesses and accidents are provided in this guide for school personnel prepared by the North Dakota State Department of Health. Following five general recommendations for steps to take in emergency situations, advice and techniques are given for handling: nose bleeds; abdominal pain; toothaches and…

  11. 40 CFR 68.95 - Emergency response program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Emergency Response § 68.95 Emergency response program. (a... changes at the stationary source and ensure that employees are informed of changes. (b) A written...

  12. Emergency Response Health Physics

    SciTech Connect

    Mena, RaJah; Pemberton, Wendy; Beal, William

    2012-05-01

    Health physics is an important discipline with regard to understanding the effects of radiation on human health; however, there are major differences between health physics for research or occupational safety and health physics during a large-scale radiological emergency. The deployment of a U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA) monitoring and assessment team to Japan in the wake of the March 2011 accident at Fukushima Daiichi Nuclear Power Plant yielded a wealth of lessons on these difference. Critical teams (CMOC (Consequence Management Outside the Continental U.S.) and CMHT (Consequence Management Home Team) ) worked together to collect, compile, review, and analyze radiological data from Japan to support the response needs of and answer questions from the Government of Japan, the U.S. military in Japan, the U.S. Embassy and U.S. citizens in Japan, and U.S. citizens in America. This paper addresses the unique challenges presented to the health physicist or analyst of radiological data in a large-scale emergency. A key lesson learned was that public perception and the availability of technology with social media requires a diligent effort to keep the public informed of the science behind the decisions in a manner that is meaningful to them.

  13. Bibliography for nuclear criticality accident experience, alarm systems, and emergency management

    SciTech Connect

    Putman, V.L.

    1995-09-01

    The characteristics, detection, and emergency management of nuclear criticality accidents outside reactors has been an important component of criticality safety for as long as the need for this specialized safety discipline has been recognized. The general interest and importance of such topics receives special emphasis because of the potentially lethal, albeit highly localized, effects of criticality accidents and because of heightened public and regulatory concerns for any undesirable event in nuclear and radiological fields. This bibliography lists references which are potentially applicable to or interesting for criticality alarm, detection, and warning systems; criticality accident emergency management; and their associated programs. The lists are annotated to assist bibliography users in identifying applicable: industry and regulatory guidance and requirements, with historical development information and comments; criticality accident characteristics, consequences, experiences, and responses; hazard-, risk-, or safety-analysis criteria; CAS design and qualification criteria; CAS calibration, maintenance, repair, and testing criteria; experiences of CAS designers and maintainers; criticality accident emergency management (planning, preparedness, response, and recovery) requirements and guidance; criticality accident emergency management experience, plans, and techniques; methods and tools for analysis; and additional bibliographies.

  14. NASA Medical Response to Human Spacecraft Accidents

    NASA Technical Reports Server (NTRS)

    Patlach, Robert

    2011-01-01

    This slide presentation reviews NASA's role in the response to spacecraft accidents that involve human fatalities or injuries. Particular attention is given to the work of the Mishap Investigation Team (MIT), the first response to the accidents and the interface to the accident investigation board. The MIT does not investigate the accident, but the objective of the MIT is to gather, guard, preserve and document the evidence. The primary medical objectives of the MIT is to receive, analyze, identify, and transport human remains, provide assistance in the recovery effort, and to provide family Casualty Coordinators with latest recovery information. The MIT while it does not determine the cause of the accident, it acts as the fact gathering arm of the Mishap Investigation Board (MIB), which when it is activated may chose to continue to use the MIT as its field investigation resource. The MIT membership and the specific responsibilities and tasks of the flight surgeon is reviewed. The current law establishing the process is also reviewed.

  15. 77 FR 23161 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... Fukushima Dai-ichi Nuclear Power Plant accident in Japan. DATES: Submit comments by June 18, 2012. Comments.... Background: Fukushima Dai-ichi and the NRC Regulatory Response III. Background: Onsite Emergency Response.... Background: Fukushima Dai-ichi and the NRC Regulatory Response On March 11, 2011, a magnitude 9.0...

  16. Reconfigurable mobile manipulation for accident response

    SciTech Connect

    ANDERSON,ROBERT J.; MORSE,WILLIAM D.; SHIREY,DAVID L.; CDEBACA,DANIEL M.; HOFFMAN JR.,JOHN P.; LUCY,WILLIAM E.

    2000-06-06

    The need for a telerobotic vehicle with hazard sensing and integral manipulation capabilities has been identified for use in transportation accidents where nuclear weapons are involved. The Accident Response Mobile Manipulation System (ARMMS) platform has been developed to provide remote dexterous manipulation and hazard sensing for the Accident Response Group (ARG) at Sandia National Laboratories. The ARMMS' mobility platform is a military HMMWV [High Mobility Multipurpose Wheeled Vehicle] that is teleoperated over RF or Fiber Optic communication channels. ARMMS is equipped with two high strength Schilling Titan II manipulators and a suite of hazardous gas and radiation sensors. Recently, a modular telerobotic control architecture call SMART (Sandia Modular Architecture for Robotic and Teleoperation) has been applied to ARMMS. SMART enables input devices and many system behaviors to be rapidly configured in the field for specific mission needs. This paper summarizes current SMART developments applied to ARMMS.

  17. State Emergency Response Commissions

    EPA Pesticide Factsheets

    The Governor of each state has designated a State Emergency Response Commission (SERC) that is responsible for implementing the Emergency Planning and Community Right-to-Know Act (EPCRA) provisions within its state.

  18. General anaesthesia in the accident and emergency department.

    PubMed

    Nee, P; Cartlidge, D; Morton, R

    1991-01-01

    This paper describes the results of a survey in 1990 which examined the practice of general anaesthesia in Accident and Emergency Departments. Data were obtained concerning the anaesthetics induced during the previous year, specifically the number of procedures undertaken, the equipment, the facilities and the personnel involved, including any complications. These findings are discussed in relation to recommendations for minimum standards in anaesthetic practice.

  19. Portable instruments for emergency response

    NASA Astrophysics Data System (ADS)

    Swinth, K. L.

    1985-05-01

    The selection and use of instruments for emergency response is complicated by lack of specific guidance, the diversity of potential conditions, and the variable performance of available instruments. The user must examine the projected radiological conditions during an accident and the environmental extremes that could exist. This should assist in determining requirements that the instruments must meet during an emergency. Due to the variable performance of available instrumentation, critical parameters (temperature dependence) should be tested prior to use to assure adequate measurements. Although it is tempting to stock emergency kits with inexpensive monitoring equipment, one should carefully consider the possible conditions (environmental, radiological) and equipment performance since inaccurate measurements could be very costly in terms of decisions regarding lifesaving and evacuation during an emergency.

  20. Radiation protection issues on preparedness and response for a severe nuclear accident: experiences of the Fukushima accident.

    PubMed

    Homma, T; Takahara, S; Kimura, M; Kinase, S

    2015-06-01

    Radiation protection issues on preparedness and response for a severe nuclear accident are discussed in this paper based on the experiences following the accident at Fukushima Daiichi nuclear power plant. The criteria for use in nuclear emergencies in the Japanese emergency preparedness guide were based on the recommendations of International Commission of Radiological Protection (ICRP) Publications 60 and 63. Although the decision-making process for implementing protective actions relied heavily on computer-based predictive models prior to the accident, urgent protective actions, such as evacuation and sheltering, were implemented effectively based on the plant conditions. As there were no recommendations and criteria for long-term protective actions in the emergency preparedness guide, the recommendations of ICRP Publications 103, 109, and 111 were taken into consideration in determining the temporary relocation of inhabitants of heavily contaminated areas. These recommendations were very useful in deciding the emergency protective actions to take in the early stages of the Fukushima accident. However, some suggestions have been made for improving emergency preparedness and response in the early stages of a severe nuclear accident.

  1. Home accidents in elderly patients presenting to an emergency department.

    PubMed

    Lee, V M; Wong, T W; Lau, C C

    1999-04-01

    A prospective study was carried out in an Accident and Emergency department (A&E) to (1) examine the pattern of home accidents in elderly patients presenting to the A&E; (2) determine the nature and mechanisms of the accidents; and (3) investigate the associated factors in these accidents. All patients aged 65 or above with a history of injury at home within one week were included. Patients who needed immediate resuscitation and patients with mental illness or violent behaviour were excluded. A convenient sample was chosen during an 8-week period. A standardized questionnaire was used to collect data on (1) demographics; (2) nature of the accident and injury; and (3) health status. Health status assessment involved three components: physical status, drug history and past health. A total of 100 subjects were included giving an average occurrence of 3.3 cases per shift. The mean age of the group was 75 with female patients (66) outnumbering the males by about two to one. The toilet was the most common site (29%) of home accident, followed by the sitting room (18%), the kitchen (14%), the bedroom (11%) and the dining room (10%). In 79 cases the patient was alone at home during the accident. Falls were the most common (75%) type of accident. The remaining 25% of injuries were categorized as sharps injury (8%), foreign body ingestion (6%), crush injury (4%), burns/scald (3%), hit by/onto fallen objects (3%) and finally, electric shock (1%). Eighteen fractures were recorded. Thirty-two patients were admitted, 16 to the surgical ward and 16 to the orthopedic ward. In the functional assessment only 34 patients could perform the get-up-and-go test satisfactorily and only 61 patients had good hand grasp. Visual and hearing impairment were common. Over 45% of the patients had more than one disease and the majority of patients (80) were taking some medication. The roles of A&E staff in the prevention of home accidents in the elderly are discussed.

  2. Developing techniques for cause-responsibility analysis of occupational accidents.

    PubMed

    Jabbari, Mousa; Ghorbani, Roghayeh

    2016-11-01

    The aim of this study was to specify the causes of occupational accidents, determine social responsibility and the role of groups involved in work-related accidents. This study develops occupational accidents causes tree, occupational accidents responsibility tree, and occupational accidents component-responsibility analysis worksheet; based on these methods, it develops cause-responsibility analysis (CRA) techniques, and for testing them, analyzes 100 fatal/disabling occupational accidents in the construction setting that were randomly selected from all the work-related accidents in Tehran, Iran, over a 5-year period (2010-2014). The main result of this study involves two techniques for CRA: occupational accidents tree analysis (OATA) and occupational accidents components analysis (OACA), used in parallel for determination of responsible groups and responsibilities rate. From the results, we find that the management group of construction projects has 74.65% responsibility of work-related accidents. The developed techniques are purposeful for occupational accidents investigation/analysis, especially for the determination of detailed list of tasks, responsibilities, and their rates. Therefore, it is useful for preventing work-related accidents by focusing on the responsible group's duties.

  3. The Fukushima Dai-ichi accident: additional lessons from a radiological emergency assistance mission.

    PubMed

    Becker, Steven M

    2013-11-01

    In response to the March 2011 earthquake-tsunami disaster and the Fukushima Dai-ichi nuclear accident, a special nongovernmental Radiological Emergency Assistance Mission flew to Japan from the United States. Invited by one of Japan's largest hospital and healthcare groups and facilitated by a New York-based international disaster relief organization, the mission included an emergency physician, a health physicist, and a disaster management specialist. During the 10 d mission, team members conducted fieldwork in areas affected by the earthquake, tsunami, and nuclear accident; went to cities and towns in the 20-30 km Emergency Evacuation Preparation Zone around the damaged nuclear plant; visited other communities affected by the nuclear accident; went to evacuation shelters; met with mayors and other local officials; met with central government officials; exchanged observations, experiences, and information with Japanese medical, emergency response, and disaster management colleagues; and provided radiological information and training to more than 1,100 Japanese hospital and healthcare personnel and first responders. The mission produced many insights with potential relevance for radiological/nuclear emergency preparedness and response. The first "lessons learned" were published in December 2011. Since that time, additional broad insights from the mission and mission followup have been identified. Five of these new lessons, which focus primarily on community impacts and responses and public communication issues, are presented and discussed in this article.

  4. Emergency Response Communications Program.

    DTIC Science & Technology

    1979-06-01

    comunications Policy to present a revised charter which addressed Federal, state, and local problems to the Executive Office of the President for approval. The...developed a program management plan for the implementation of an Emergency Response Comunications System. The Emergency Response Comunications System, as...no more complicated than those of today’s telephone or hand-held radios. iv In the second mode -- that of providing emergency comunications - the

  5. Simulation of Accident Sequences Including Emergency Operating Procedures

    SciTech Connect

    Queral, Cesar; Exposito, Antonio; Hortal, Javier

    2004-07-01

    Operator actions play an important role in accident sequences. However, design analysis (Safety Analysis Report, SAR) seldom includes consideration of operator actions, although they are required by compulsory Emergency Operating Procedures (EOP) to perform some checks and actions from the very beginning of the accident. The basic aim of the project is to develop a procedure validation system which consists of the combination of three elements: a plant transient simulation code TRETA (a C based modular program) developed by the CSN, a computerized procedure system COPMA-III (Java technology based program) developed by the OECD-Halden Reactor Project and adapted for simulation with the contribution of our group and a software interface that provides the communication between COPMA-III and TRETA. The new combined system is going to be applied in a pilot study in order to analyze sequences initiated by secondary side breaks in a Pressurized Water Reactors (PWR) plant. (authors)

  6. Organizational culture during the accident response process

    SciTech Connect

    Shurberg, D.A.; Haber, S.B. )

    1992-01-01

    A large volume of literature hypothesizes a direct relationship between organizational culture and organizational effectiveness. Culture data have been collected by the authors and others at nuclear power plants (NPPs) and other organizations that demand high reliability. In this paper, the literature and data are used to explore a critical dimension of the accident response process in an NPP: the transition from an anticipatory strategy to an ad hoc strategy. In particular, the effect of organizational culture on the implementation of each of these strategies is examined.

  7. An accident and emergency based child accident surveillance system: is it possible?

    PubMed Central

    Beattie, T F

    1996-01-01

    OBJECTIVE--To evaluate the possibility of setting up a database on childhood accidents within an accident and emergency (A&E) department. DESIGN--A proforma detailing epidemiological details about the child and details of the injury was designed and tested for accuracy. It was completed in parallel with the existing case documentation. A retrospective sample was analysed after completion of the study to determine times when data collection was poorest. SETTING--Regional paediatric hospital (total catchment population c. 500,000). RESULTS--Of 13,958 patients in whom full information was available, 65% had all the information available on the forms. Areas of discrepancy in the remainder included (1) transposition of date and time of injury with date and time of attendance (73%), (2) wrong coding (11%), (3) illegible digits (6%), (4) inaccurate data entry to computer (6%). Form completion was worst between 1800 hours and midnight. CONCLUSIONS--Data collection is feasible in the A&E department and is a necessary step in effective child accident prevention. It should be done using real time entry onto computer systems. Additional audit staff must be employed to ensure data collection is as complete as possible as close to the time of the initial attendance as possible. Regular analysis of the findings is essential. PMID:8653234

  8. USGS Emergency Response Resources

    USGS Publications Warehouse

    Bewley, Robert D.

    2011-01-01

    Every day, emergency responders are confronted with worldwide natural and manmade disasters, including earthquakes, floods, hurricanes, landslides, tsunami, volcanoes, wildfires, terrorist attacks, and accidental oil spills.The U.S. Geological Survey (USGS) is ready to coordinate the provisioning and deployment of USGS staff, equipment, geospatial data, products, and services in support of national emergency response requirements.

  9. Accident and emergency medicine--making waves on the Internet.

    PubMed Central

    Ryan, J M; Baldock, C; Lawson-Smith, R

    1997-01-01

    The internet is a communications and information tool which has recently entered the world of accident and emergency (A&E) medicine. It is a worldwide instrument facilitating the dissemination of ideas and clinical information in the specialty. It is being embraced by all disciplines involved in A&E medicine. Part I introduces the internet to those in A&E medicine unfamiliar with this technology. It describes the varied resources of the internet in A&E medicine and speculates on its future role. Part II supplies the reader with the necessary information to get on-line and explains some of the more technical aspects of the internet. PMID:9413781

  10. Preliminary evaluation of the Accident Response Mobile Manipulation System for accident site salvage operations

    SciTech Connect

    Trujillo, J.M.; Morse, W.D.; Jones, D.P.

    1994-10-01

    This paper describes and evaluates operational experiences with the Accident Response Mobile Manipulation System (ARMMS) during simulated accident site salvage operations which might involve nuclear weapons. The ARMMS is based upon a teleoperated mobility platform with two Schilling Titan 7F Manipulators.

  11. A general practitioner in an ophthalmology accident and emergency department.

    PubMed

    Price, M; Phillips, C I

    1976-08-28

    After a short period of intensive training, a general practitioner successfully replaced a senior house officer (SHO) in the accident and emergency department of an eye hospital on one morning a week for a year. An unbiased observer compared the performance of the general practitioner after one year with that of a full-time SHO who had had 17 months' experience; their performances were about equal. Although a sessional general practitioner costs about 28% more than an SHO, the real cost is much less because undue length of service as an SHO or change to another specialty (because of the SHO surplus) delays achievement of a permanent grade. Continuity is a great advantage of the general practitioner. Replacement of some SHOs by general practitioners would reduce the surplus of SHOs with poor promotion prospects. The commonest diagnoses were Meibomian cysts (18%), corneal foreign bodies (20%), corneal abrasions (12%), and conjunctivitis (8%).

  12. A survey of rugby injuries attending an accident & emergency department.

    PubMed

    Ryan, J M; McQuillan, R

    1992-06-01

    A prospective study was carried out on 242 patients attending an Accident & Emergency Department with injuries sustained while playing rugby football. The average age was 19.8 years. Head and neck injuries were more prevalent but less serious then in studies carried out before recent law changes. The lower limb was still the part of the body most frequently injured but again there were fewer serious injuries. There was a marked increase in upper limb injuries. Wing forward was the position most likely to give rise to injuries and prop was the least. Poor compliance is still a significant problem with rugby injuries can only lead to an improvement in the safety of the game.

  13. Designing the accident and emergency system: lessons from manufacturing

    PubMed Central

    Walley, P

    2003-01-01

    Objectives: To review the literature on manufacturing process design and demonstrate applicability in health care. Methods: Literature review and application of theory using two years activity data from two healthcare communities and extensive observation of activities over a six week period by seven researchers. Results: It was possible to identify patient flows that could be used to design treatment processes around the needs of the patient. Some queues are built into existing treatment processes and can be removed by better process design. Capacity imbalance, not capacity shortage, causes some unnecessary waiting in accident and emergency departments. Conclusions: Clinicians would find that modern manufacturing theories produce more acceptable designs of systems. In particular, good quality is seen as a necessary pre-requisite of fast, efficient services. PMID:12642523

  14. 40 CFR 68.180 - Emergency response program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 15 2010-07-01 2010-07-01 false Emergency response program. 68.180 Section 68.180 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan § 68.180 Emergency response...

  15. A Modular Telerobot Control System for Accident Response

    SciTech Connect

    Anderson, Robert J.; Shirey, David L.

    1999-07-20

    The Accident Response Mobile Manipulator System (ARMMS) is a teleoperated emergency response vehicle that deploys two hydraulic manipulators, five cameras, and an array of sensors to the scene of an incident. It is operated from a remote base station that can be situated up to four kilometers away from the site. Recently, a modular telerobot control architecture called SMART (Sandia's Modular Architecture for Robotic and Teleoperation) was applied to ARMMS to improve the precision, safety, and operability of the manipulators on board. Using SMART, a prototype manipulator control system was developed in a couple of days, and an integrated working system was demonstrated within a couple of months. New capabilities such as camera teleoperation, autonomous tool changeout and dual manipulator control have been incorporated. The final system incorporates twenty-two separate modules and implements eight different behavior modes. This paper describes the integration of SMART into the ARMMS system.

  16. Emergency planning lessons learned from a review of past major radiological accidents

    SciTech Connect

    Stephan, J.G.; Selby, J.M.; Martin, J.B.; Moeller, D.W.; Vallario, E.J.

    1987-11-01

    In examining a range of nuclear accidents from the 1950s to the present that were reported in the literature, the authors have identified a number of contributing factors which affected human judgement during these events. One common thread found in a large number of accidents is the time of occurrence; a second is the fallibility of emergency training. This paper reviews these and other major cause of accidents and suggests emergency procedures improvements. 7 refs.

  17. Hanford Emergency Response Plan

    SciTech Connect

    Wagoner, J.D.

    1994-04-01

    The Hanford Emergency Response Plan for the US Department of Energy (DOE), Richland Operations Office (RL), incorporates into one document an overview of the emergency management program for the Hanford Site. The program has been developed in accordance with DOE orders, and state and federal regulations to protect worker and public health and safety and the environment in the event of an emergency at or affecting the Hanford Site. This plan provides a description of how the Hanford Site will implement the provisions of DOE 5500 series and other applicable Orders in terms of overall policies and concept of operations. It should be used as the basis, along with DOE Orders, for the development of specific contractor and RL implementing procedures.

  18. Emergency/disaster medical support in the restoration project for the Fukushima nuclear power plant accident.

    PubMed

    Morimura, Naoto; Asari, Yasushi; Yamaguchi, Yoshihiro; Asanuma, Kazunari; Tase, Choichiro; Sakamoto, Tetsuya; Aruga, Tohru

    2013-12-01

    The Fukushima Daiichi Nuclear Power Plant (1F) suffered a series of radiation accidents after the Great East Japan Earthquake on 11 March 2011. In a situation where halting or delaying restoration work was thought to translate directly into a very serious risk for the entire country, it was of the utmost importance to strengthen the emergency and disaster medical system in addition to radiation emergency medical care for staff at the frontlines working in an environment that posed a risk of radiation exposure and a large-scale secondary disaster. The Japanese Association for Acute Medicine (JAAM) launched the 'Emergency Task Force on the Fukushima Nuclear Power Plant Accident' and sent physicians to the local response headquarters. Thirty-four physicians were dispatched as disaster medical advisors, response guidelines in the event of multitudinous injury victims were created and revised and, along with execution of drills, coordination and advice was given on transport of patients. Forty-nine physicians acted as directing physicians, taking on the tasks of triage, initial treatment and decontamination. A total of 261 patients were attended to by the dispatched physicians. None of the eight patients with external contamination developed acute radiation syndrome. In an environment where the collaboration between organisations in the framework of a vertically bound government and multiple agencies and institutions was certainly not seamless, the participation of the JAAM as the medical academic organisation in the local system presented the opportunity to laterally integrate the physicians affiliated with the respective organisations from the perspective of specialisation.

  19. Interpreter use in an inner city accident and emergency department.

    PubMed Central

    Leman, P

    1997-01-01

    OBJECTIVE: To determine the extent of communication problems that arose from patients whose primary language was non-English presenting to an inner city accident and emergency (A&E) department. METHODS: A prospective survey over seven consecutive days during September 1995. All adult patients other than those directly referred by their general practitioner to an inpatient team had a questionnaire completed by the A&E doctor first seeing the patient. The doctor recorded language ability and form of interpreter used, and estimated any prolongation of the consultation and ability to improve communication by the use of additional services. RESULTS: 103 patients (17%) did not speak English as their primary language; 55 patients (9.1% of the study population) had an English language ability rated as other than good, and 16 (29%) of these consultations could have been improved by the use of additional interpreter services; 28 patients overall (4.6% of the study population) required the use of an interpreter, who was usually a relative. CONCLUSIONS: A significant number of patients presenting to A&E have difficulty in communicating in English. These consultations could often have been improved by the use of additional interpreter services. Telephone interpreter services may provide the answer for use in A&E departments because of their instant and 24 hour availability. Images p99-a PMID:9132201

  20. Review of police inquiries to an accident and emergency department.

    PubMed Central

    Marshall, R; Rainer, T

    1996-01-01

    OBJECTIVE: To assess the workload generated by police inquiries to an accident and emergency (A&E) department and the adherence of medical staff to departmental guidelines relating to these inquiries. DESIGN: Prospective analysis of the number, nature, and timing of police inquiries and the information released by medical staff. SETTING: A&E department of an inner city teaching hospital. OUTCOME MEASURES: Number of personal and telephone requests for information from police; completion of a form of inquiry; record of patient consent for release of information. RESULTS: A daily average of 8.7 police inquiries were made, but in only 10% of cases was a form of inquiry completed. The patient's consent for release of information to the police was recorded in 4% of cases. CONCLUSIONS: Police inquiries generate a significant workload for an A&E department, often at clinically busy times. Medical staff need further education to ensure that patient confidentiality is respected while assisting the police with their investigations. Images Figure 2 PMID:8947799

  1. Risk analysis of emergent water pollution accidents based on a Bayesian Network.

    PubMed

    Tang, Caihong; Yi, Yujun; Yang, Zhifeng; Sun, Jie

    2016-01-01

    To guarantee the security of water quality in water transfer channels, especially in open channels, analysis of potential emergent pollution sources in the water transfer process is critical. It is also indispensable for forewarnings and protection from emergent pollution accidents. Bridges above open channels with large amounts of truck traffic are the main locations where emergent accidents could occur. A Bayesian Network model, which consists of six root nodes and three middle layer nodes, was developed in this paper, and was employed to identify the possibility of potential pollution risk. Dianbei Bridge is reviewed as a typical bridge on an open channel of the Middle Route of the South to North Water Transfer Project where emergent traffic accidents could occur. Risk of water pollutions caused by leakage of pollutants into water is focused in this study. The risk for potential traffic accidents at the Dianbei Bridge implies a risk for water pollution in the canal. Based on survey data, statistical analysis, and domain specialist knowledge, a Bayesian Network model was established. The human factor of emergent accidents has been considered in this model. Additionally, this model has been employed to describe the probability of accidents and the risk level. The sensitive reasons for pollution accidents have been deduced. The case has also been simulated that sensitive factors are in a state of most likely to lead to accidents.

  2. ARGX-87: Accident Response Group Exercise, 1987: A Broken Arrow mini exercise. [Training

    SciTech Connect

    Schuld, E.P.; Cruff, D.F.

    1987-07-01

    A Broken Arrow mini exercise dubbed ''Accident Response Group Exercise - 1987'' (ARGX-87) was conducted on June 1, 1987 at the Lawrence Livermore National Laboratory (LLNL) and Sandia National Laboratories, Livermore (SNLL). The exercise started at 0445 PDT with a call from the Department of Energy (DOE) - EOC in Washington, DC, to the Albuquerque Operations (AL - ) - EOC. AL, in turn, called the Laboratory off-hour emergency number (Fire Dispatcher), who called the Laboratory Emergency Duty Officer (LEDO). The LEDO then contacted the Accident Response Group (ARG) Senior Scientific Advisor. Calls were placed to assemble appropriate members of the ARG in the ALERT Center. No phone number for SNLL was available at the Albuquerque Operations EOC, so a controller injected a message to SNLL to get them involved in the exercise. The messages received at the Laboratory identified the Air Force line item weapon system involved in the accident and the accident location. As people arrived at the ALERT Center they began discussing the details of the accident. They also started working the deployment logistics and other issues. Travel arrangements for the HOT SPOT equipment and ARG personnel were made for immediate deployment to the accident site in North Dakota. The exercise was terminated at 0840 as planned. While certain procedural deficiencies were noted, the exercise was considered a valuable learning experience. The results and observations from this experience will be used to refine the operating procedures and the training program.

  3. Emergency Response Guideline Development

    SciTech Connect

    Gary D. Storrick

    2007-09-30

    Task 5 of the collaborative effort between ORNL, Brazil, and Westinghouse for the International Nuclear Energy Research Initiative entitled “Development of Advanced Instrumentation and Control for an Integrated Primary System Reactor” focuses on operator control and protection system interaction, with particular emphasis on developing emergency response guidelines (ERGs). As in the earlier tasks, we will use the IRIS plant as a specific example of an integrated primary system reactor (IPSR) design. The present state of the IRIS plant design – specifically, the lack of a detailed secondary system design – precludes establishing detailed emergency procedures at this time. However, we can create a structure for their eventual development. This report summarizes our progress to date. Section 1.2 describes the scope of this effort. Section 2 compares IPSR ERG development to the recent AP1000 effort, and identifies three key plant differences that affect the ERGs and control room designs. The next three sections investigate these differences in more detail. Section 3 reviews the IRIS Safety-by-Design™ philosophy and its impact on the ERGs. Section 4 looks at differences between the IRIS and traditional loop PWR I&C Systems, and considers their implications for both control room design and ERG development. Section 5 examines the implications of having one operating staff control multiple reactor units. Section 6 provides sample IRIS emergency operating procedures (EOPs). Section 7 summarizes our conclusions.

  4. Analysis of Construction Accidents in Turkey and Responsible Parties

    PubMed Central

    GÜRCANLI, G. Emre; MÜNGEN, Uğur

    2013-01-01

    Construction is one of the world’s biggest industry that includes jobs as diverse as building, civil engineering, demolition, renovation, repair and maintenance. Construction workers are exposed to a wide variety of hazards. This study analyzes 1,117 expert witness reports which were submitted to criminal and labour courts. These reports are from all regions of the country and cover the period 1972–2008. Accidents were classified by the consequence of the incident, time and main causes of the accident, construction type, occupation of the victim, activity at time of the accident and party responsible for the accident. Falls (54.1%), struck by thrown/falling object (12.9%), structural collapses (9.9%) and electrocutions (7.5%) rank first four places. The accidents were most likely between the hours 15:00 and 17:00 (22.6%), 10:00–12:00 (18.7%) and just after the lunchtime (9.9%). Additionally, the most common accidents were further divided into sub-types. Expert-witness assessments were used to identify the parties at fault and what acts of negligence typically lead to accidents. Nearly two thirds of the faulty and negligent acts are carried out by the employers and employees are responsible for almost one third of all cases. PMID:24077446

  5. Analysis of construction accidents in Turkey and responsible parties.

    PubMed

    Gürcanli, G Emre; Müngen, Uğur

    2013-01-01

    Construction is one of the world's biggest industry that includes jobs as diverse as building, civil engineering, demolition, renovation, repair and maintenance. Construction workers are exposed to a wide variety of hazards. This study analyzes 1,117 expert witness reports which were submitted to criminal and labour courts. These reports are from all regions of the country and cover the period 1972-2008. Accidents were classified by the consequence of the incident, time and main causes of the accident, construction type, occupation of the victim, activity at time of the accident and party responsible for the accident. Falls (54.1%), struck by thrown/falling object (12.9%), structural collapses (9.9%) and electrocutions (7.5%) rank first four places. The accidents were most likely between the hours 15:00 and 17:00 (22.6%), 10:00-12:00 (18.7%) and just after the lunchtime (9.9%). Additionally, the most common accidents were further divided into sub-types. Expert-witness assessments were used to identify the parties at fault and what acts of negligence typically lead to accidents. Nearly two thirds of the faulty and negligent acts are carried out by the employers and employees are responsible for almost one third of all cases.

  6. Emergency Response Manual

    NASA Technical Reports Server (NTRS)

    Barnett, Traci M.

    2004-01-01

    Safety and security is very important at NASA. The Security Management and Safeguards Office goal is ensure safety and security for all NASA Lewis and Plum Brook Station visitors and workers. The office protects against theft, sabotage, malicious damage, espionage, and other threats or acts of violence. There are three types of security at NASA: physical, IT, and personnel. IT is concerned with sensitive and classified information and computers. Physical security includes the officers who check visitors and workers in and patrol the facility. Personnel security is concerned with background checks during hiring. During my internship, I met people from and gained knowledge about all three types of security. I primarily worked with Dr. Richard Soppet in physical security. During my experience with physical security, I observed and worked with many aspects of it. I attended various security meetings at both NASA Lewis and Plum Brook. The meetings were about homeland security and other improvements that will be made to both facilities. I also spent time with a locksmith. The locksmith makes copies of keys and unlocks doors for people who need them. I rode around in a security vehicle with an officer as he patrolled. I also observed the officer make a search of a visitor s vehicle. All visitors vehicles are searched upon entering NASA. I spent time and observed in the dispatch office. The officer answers calls and sends out officers when needed. The officer also monitors the security cameras. My primary task was completing an emergency response manual. This manual would assist local law enforcement and fire agencies in case of an emergency. The manual has pictures and descriptions of the buildings. It also contains the information about hazards inside of the buildings. This information will be very helpul to law enforcement so that when called upon during an emergency, they will not create an even bigger problem with collateral damage.

  7. Alcohol and radiographs in the accident and emergency department

    PubMed Central

    Rust, P; Hunt, I; Wallis, D; Jowett, A; Rottenberg, G

    2001-01-01

    Objective—To investigate the contribution of alcohol ingestion to the radiological workload of an inner city accident and emergency (A&E) department. Methods—A prospective survey of patients presenting to A&E who required radiographs was performed over a seven day period. The A&E clinician questioned patients about alcohol intake during the six hours before the onset of the presenting complaint or injury, and made an objective assessment of signs of alcohol ingestion or intoxication. An assessment was made also of the relative contribution of alcohol as a cause of patients' injuries. Results—A total of 419 patients who had radiography fulfilled the inclusion criteria, and a questionnaire was completed for 351 (84%). Forty (11%) of 351 were found to have ingested alcohol. Thirty five (87%) of 40 patients who had ingested alcohol were radiographed for trauma, as compared with 171 (55%) of the 311 who had not (p<0.001). Alcohol was considered to have been causative of injury in 30% and a contributory factor in an additional 58%. Radiographs of the skull, face and jaw accounted for 18 (33%) of 55 radiographs from trauma patients who had ingested alcohol compared with 20 (9%) of 212 radiographs from those who had not (p<0.001). There was no significant difference in the proportion of abnormal radiographs between these two groups (27% of radiographs from trauma patients who had ingested alcohol compared with 23% of radiographs from those who had not, p>0.2). Conclusion—Patients with alcohol related injuries requiring radiography have a significant impact on the radiological workload of an A&E department, although the prevalence of alcohol ingestion detected in this study was less than expected from previous studies. PMID:11696496

  8. Primary care and accident and emergency departments in an urban area

    PubMed Central

    Reilly, Philip M.

    1981-01-01

    During one year all initial attendance from one Belfast general practice to local accident and emergency departments was studied. Of the 784 attenders, 616 (78.4 per cent) referred themselves; the remaining 168 (21.6 per cent) were referred by the general practitioners. The clinical and social characteristics of both groups are compared. The discussion focuses on the appropriate use of primary care and accident and emergency services. PMID:7277300

  9. Experience of domestic violence by women attending an inner city accident and emergency department

    PubMed Central

    Sethi, D; Watts, S; Zwi, A; Watson, J; McCarthy, C

    2004-01-01

    Objectives: To identify the prevalence of domestic violence (DV) (defined as physical abuse perpetrated by intimate partners) in women attending an inner city accident and emergency department and to elicit women's response about being asked routinely about domestic violence in this setting. Methods: 22 nursing shifts were purposefully sampled to be representative of day, night, and weekends. A questionnaire was administered to 198 consenting women who were not intoxicated, confused, or critically ill. Results: The prevalence of acute trauma in women attributable to DV was 1% (95%CI 0.14 to 3.6), the prevalence of lifetime physical abuse was 34.8% (95%CI 28.2 to 41.5), of past year physical abuse was 6.1% (95%CI 3.2 to 10.3), and of lifetime life threatening physical abuse was 10.6% (95%CI 6.3 to 14.9). Seventy six per cent of women felt comfortable about being asked about DV and 60.5% of women felt that they should always or usually be asked about DV in this setting. Conclusion: This cross sectional survey adds to the body of knowledge showing that the prevalence of DV in women attending an accident and emergency department is high. Most women were in favour of being asked, and disclosure was associated with discomfort in few women. This sensitive area of history taking and referral could be undertaken by health professionals using a supportive approach. PMID:14988343

  10. Perception of risk and the attribution of responsibility for accidents.

    PubMed

    Rickard, Laura N

    2014-03-01

    Accidents, one often hears, "happen"; we accept, and even expect, that they will be part of daily life. But in situations in which injury or death result, judgments of responsibility become critical. How might our perceptions of risk influence the ways in which we allocate responsibility for an accident? Drawing from attribution and risk perception theory, this study investigates how perceived controllability and desirability of risk, in addition to perceived danger and recreational risk-taking, relate to attributions of responsibility for the cause of unintentional injury in a unique setting: U.S. national parks. Three parks, Mount Rainier, Olympic, and Delaware Water Gap, provide the setting for this survey-based study, which considers how park visitors (N = 447) attribute responsibility for the cause of a hypothetical visitor accident. Results suggest that respondents tended to make more internal (i.e., related to characteristics of the victim), rather than external (i.e., related to characteristics of the park, or park management) attributions. As respondents viewed park-related risk as controllable, they were more likely to attribute the cause of the accident to the victim. Moreover, among other significant variables, having experienced a similar accident predicted lower internal causal attribution. Opportunities for future research linking risk perception and attribution variables, as well as practical implications for the management of public outdoor settings, are presented.

  11. The TOPAZ II space reactor response under accident conditions

    SciTech Connect

    Voss, S.S.

    1993-12-31

    The TOPAZ II is a single-cell thermionic space reactor power system developed by the Russians during the period of time from {approximately}1969 to 1989. The TOPAZ II has never been flight demonstrated, but the system was extensively tested on the ground. As part of the development and test program, the response of the TOPAZ II under accident conditions was analyzed and characterized. The US TOPAZ II team has been working closely with the Russian specialists to understand the TOPAZ II system, its operational characteristics, and its response under potential accident conditions. The purpose of the technical exchange is to enable a potential launch of a TOPAZ II by the US. The information is required to integrate the system with a US spacecraft and to support the safety review process. The purpose of this paper is to provide a brief overview of the system and its response under actual and postulated accident conditions.

  12. Emergency Response Improvement Act

    THOMAS, 113th Congress

    Rep. Andrews, Robert E. [D-NJ-1

    2013-11-20

    11/21/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  13. Characteristics of the Violence and Accidents Survey Conducted in Brazilian Sentinel Emergency Departments.

    PubMed

    Silva, Marta Maria Alves da; Mascarenhas, Márcio Dênis Medeiros; Lima, Cheila Marina; Malta, Deborah Carvalho; Monteiro, Rosane Aparecida; Freitas, Mariana Gonçalves de; Melo, Alice Cristina Medeiros; Bahia, Camila Alves; Bernal, Regina Tomie Ivata

    2017-01-01

    The Violence and Accidents Survey Conducted in Sentinel Emergency Departments (VIVA Survey) is the sentinel surveillance component of the Violence and Accidents Surveillance System (VIVA). It was conducted for the first time in 2006 and again in 2007, 2009, 2011 and 2014. The sample is comprised of victims of accidents and violence treated in Emergency Departments linked to the Brazilian National Health System (SUS). The services are selected intentionally. This isfollowed by probability sampling of 12-hour shifts by conglomerates in single-stage selection. Data is collected by trained interviewers using a standard form. The variables include data about the service site, the victim, the event, injury and case development. The VIVA Survey provides key information for the implementation of policies for addressing violence and accidents as well as for health and peace promotion policies.

  14. [Accidents and violence among women attended in Sentinel Emergency Services--Brazil, 2009].

    PubMed

    Rodrigues, Celeste de Souza; Malta, Deborah Carvalho; Godinho, Tatau; Mascarenhas, Márcio Dênis Medeiros; da Silva, Marta Maria Alves; Silva, Rurany Ester

    2012-09-01

    Accidents from external causes affect the human population in different ways. This article seeks to analyze emergency care for women who are victims of accidents and violence. Data from the Surveillance System for Violence and Accidents were analyzed. This study was carried out in 74 emergency units of 23 state capitals and the Federal District in 2009 and included 6,965 women aged from 20-59 years. The age groups of 20-39 and 40-59 years were compared for the occurrence of accidents and violence. Accidents were more frequent among young black women (20-39 years) with more than nine years of schooling. The occurrence of violence was also prevalent in young black women but with less schooling. Falls were the most frequent accidents (38.6%), followed by traffic accidents. The occurrence of violence was more frequent in the home (p <0.000) and the mention of alcohol abuse among victims of violence was predominant. The most frequent type of violence was aggression (84.6%), in which the aggressor was male (79.1%) and identified as an intimate partner (44.1%). It is increasingly important that services are able to provide comprehensive and humanized care to the victims of this important public health problem.

  15. [Accidents and violence in childhood: survey evidence of emergency care for external causes--Brazil, 2009].

    PubMed

    Malta, Deborah Carvalho; Mascarenhas, Márcio Dênis Medeiros; Bernal, Regina Tomie Ivata; Viegas, Anna Paula Bise; de Sá, Naiza Nayla Bandeira; da Silva Junior, Jarbas Barbosa

    2012-09-01

    Understanding the characteristics and magnitude of accidents and violence due to external causes in children from 0 to 9 years of age is becoming ever more important in Public Health. The scope of this paper was to analyze emergency care for accidents due to external causes in children. The Sentinel Urgency and Emergency Services of the Violence and Accident Vigilance System (VIVA Survey), performed in 74 urgency services in the Federal District and 23 State capitals in 2009 was used. Data of 7,123 children were analyzed: 6,897 (96.7%) victims of accidents and 226 (3.3%) of violence. In comparison with victims of violence, the visits for accidents were more frequent among white children from 2 to 5 years old occurring in the home (p < 0.05). Among the accidents, falls and burns predominated in the 0 to 1group, while traffic accidents were most frequent in the 6 to 9-year-old age group (p < 0.001). With respect to violence, the visits for neglect and physical assault predominated, respectively, in extreme age groups, with someone in the family being the perpetrator (p < 0.001). Information on the occurrence of external causes in children may support health promotion policies, besides guiding health professionals, teachers and families in the prevention of such causes.

  16. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING...; (3) Risks of fire or explosion; (4) Immediate precautions to be taken in the event of an accident or... members, and bridge personnel on vessels for use in the event of incidents involving hazardous...

  17. Fire Department Emergency Response

    SciTech Connect

    Blanchard, A.; Bell, K.; Kelly, J.; Hudson, J.

    1997-09-01

    In 1995 the SRS Fire Department published the initial Operations Basis Document (OBD). This document was one of the first of its kind in the DOE complex and was widely distributed and reviewed. This plan described a multi-mission Fire Department which provided fire, emergency medical, hazardous material spill, and technical rescue services.

  18. A poison center's emergency response plan.

    PubMed

    Mrvos, R; Dean, B S; Krenzelok, E P

    1988-04-01

    Over 30 major chemical accidents have occurred in the tri-state area during the last decade. A recent incident involved a train which was carrying at least 5 toxic chemicals and was derailed in a heavily populated area causing 20,000 residents to be evacuated from their homes twice in 24 hr. In a 30-hr period over 900 calls were received at the poison center and approximately 80 people were examined at local health care facilities and treated for symptoms of toxic fume inhalation. This incident prompted the poison center to evaluate our emergency response capabilities. A strategy was developed to enable the poison center to deal with an increased call volume rapidly and effectively. Our Emergency Response Plan includes a chain of command for notification in the event of an anticipated increase in call volume; delineated responsibilities for medical, administrative, and professional staff members; designation of phone lines for incoming and outgoing calls; and a means of documenting both poison exposures and inquiries regarding the chemicals. So that staff members may report to the center without delay, child care provisions are also included. The development of the Emergency Response Plan, potential applications, and a synopsis of the aforementioned chemical spill will be discussed in detail.

  19. EMERGENCY RESPONSE HEALTH PHYSICS

    SciTech Connect

    Mena, RaJah; Pemberton, Wendy; Beal, William

    2012-01-01

    Health physics is an important discipline with regard to understanding the effects of radiation on human health. Topics of discussion included in this manuscript are related to responding to a radiation emergency, and the necessary balance between desired high accuracy laboratory results and rapid turnaround requirements. Considerations are addressed for methodology with which to provide the most competent solutions despite challenges presented from incomplete datasets and, at times, limited methodology. An emphasis is placed on error and uncertainty of sample analysis results, how error affects products, and what is communicated in the final product.

  20. Chemical and nuclear emergencies: Interchanging lessons learned from planning and accident experience

    SciTech Connect

    Adler, V.; Sorensen, J.H.; Rogers, G.O.

    1989-01-01

    Because the goal of emergency preparedness for both chemical and nuclear hazards is to reduce human exposure to hazardous materials, this paper examines the interchange of lessons learned from emergency planning and accident experience in both industries. While the concerns are slightly different, sufficient similarity is found for each to draw implications from the others experience. Principally the chemical industry can learn from the dominant planning experience associated with nuclear power plants, while the nuclear industry can chiefly learn from the chemical industry's accident experience. 23 refs.

  1. Emergency Response Breathing Apparatus

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Aerospace Design & Development, Inc.'s (ADD's) SCAMP was developed under an SBIR contract through Kennedy Space Center. SCAMP stands for Supercritical Air Mobility Pack. The technology came from the life support fuel cell support systems used for the Apollo and Space Shuttle programs. It uses supercritical cryogenic air and is able to function in microgravity environments. SCAMP's self-contained breathing apparatus(SCBA) systems are also ground-based and can provide twice as much air than traditional SCBA's due to its high-density capacity. The SCAMP system was designed for use in launch pad emergency rescues. ADD also developed a protective suit for use with SCAMP that is smaller and lighter system than the old ones. ADD's SCAMP allows for body cooling and breathing from the supercritical cryogenic air, requiring no extra systems. The improvement over the traditional SCBA allows for a reduction of injuries, such as heat stress, and makes it easier for rescuers to save lives.

  2. Emergency Response and Management Activities

    EPA Pesticide Factsheets

    This quarterly report, highlighting accomplishments over the past several months, showcases EPA’s unique emergency response capabilities through the use of cutting-edge technologies and innovative cleanup strategies.

  3. Galileo - Responses to the Challenger accident

    NASA Technical Reports Server (NTRS)

    Casani, John R.

    1986-01-01

    The Galileo mission to Jupiter will make the first direct sampling of the atmosphere of the solar system's largest planet and will spend as long as 22 months orbiting Jupiter. Launch date, trajectory, Jupiter arrival, and number of orbits of that planet depend on NASA's flight schedules since destruction of the Space Shuttle Challenger on Jan. 28, 1986. Galileo's responses to the schedule changes caused by the Challenger explosion are discussed.

  4. [Emergency care for traffic accidents in Bavaria: current process analysis depending on hospital and emergency service structures].

    PubMed

    Lackner, C K; Bielmeier, S; Burghofer, K

    2010-03-01

    A change is emerging in the hospital landscape due to health political measures, which in consequence also influences the prehospital medical care in emergencies. The main focus of this study was to gather information about emergency medical care after traffic accidents on the basis of data from Bavarian emergency medical services. In 2006 there were 14,261 traffic accidents in Bavaria where an emergency doctor attended the scene. The patients were primarily cared for by land-based rescue services and air rescue services were only used in 19.1% of the cases. Of the patients involved in a traffic accident 47.6% were transported to a primary health care hospital. A prehospital interval of more than 60 min occurred in 20% of the missions. Of the patients 96.2% were transported to tertiary or maximum care hospital by air rescue services but emergency facilities were, however restricted to daylight hours. There was a further limitation due to the routine duty hours in hospitals as only 36.7% of accidents occurred during this time intervall. An increase of admission post trauma in maximum care clinics occurred from 2002 until 2006 while simultaneously the prehospital period was extended. In order to assure sufficient trauma care for seriously injured persons a continuous 24 h availability of emergency trauma facilities is necessary. For this purpose it is necessary to establish regional trauma networks between receiving hospitals as well as air rescue services at night time. Furthermore, a cost-efficient compensation of the structural, personnel and logistic expenses for the treatment of the severely injured has to be assured.

  5. [Accidents with caterpillar Lonomia obliqua (Walker, 1855). An emerging problem].

    PubMed

    Sánchez, Matías N; Mignone Chagas, Mariana A; Casertano, Sergio A; Cavagnaro, Luis E; Peichoto, María E

    2015-01-01

    Lonomia obliqua (Walker, 1855) is a moth from the family Saturniidae, widely distributed in tropical rainforests of South America. In its larval stage (caterpillar) it is characterized by bristles that cover the animal's body. These structures are hard and branched spiny evaginations of the cuticle, underneath which a complex mixture of toxic molecules is stored. When spicules are brought into contact with the skin of people, toxins enter passively through the injury, causing not only local but also systemic poisoning (primarily hemorrhagic manifestations). When the whole animal is accidentally crushed, the insect's chitinous bristles are broken and the venomous secretions penetrate the human skin, reaching the blood circulation. Due to the numerous registered cases of erucism in Southern Brazil, the Butantan Institute has produced an antivenom able to neutralize the deleterious effects produced by contact with L. obliqua caterpillar bristles. In Argentina, these kinds of accidents are rare and restricted to the province of Misiones. Taking into account that to date there is no report in this country about clinical cases submitted to a specific treatment (antivenom), our aim is to communicate here six cases of Lonomia caterpillar-induced bleeding syndrome that were treated in the Hospital SAMIC of Puerto Iguazú (Misiones, Argentina) during 2014 with the antilonomic serum produced in Brazil. It is worthy to note that all patients evolved favorably within the first few hours, and for this reason, the use of this antivenom is recommended to treat the cases of Lonomia erucism in Argentina.

  6. Investigation of air cleaning system response to accident conditions

    SciTech Connect

    Andrae, R.W.; Bolstad, J.W.; Foster, R.D.; Gregory, W.S.; Horak, H.L.; Idar, E.S.; Martin, R.A.; Ricketts, C.I.; Smith, P.R.; Tang, P.K.

    1980-01-01

    Air cleaning system response to the stress of accident conditions are being investigated. A program overview and hghlight recent results of our investigation are presented. The program includes both analytical and experimental investigations. Computer codes for predicting effects of tornados, explosions, fires, and material transport are described. The test facilities used to obtain supportive experimental data to define structural integrity and confinement effectiveness of ventilation system components are described. Examples of experimental results for code verification, blower response to tornado transients, and filter response to tornado and explosion transients are reported.

  7. Typical pedestrian accident scenarios for the development of autonomous emergency braking test protocols.

    PubMed

    Lenard, James; Badea-Romero, Alexandro; Danton, Russell

    2014-12-01

    An increasing proportion of new vehicles are being fitted with autonomous emergency braking systems. It is difficult for consumers to judge the effectiveness of these safety systems for individual models unless their performance is evaluated through track testing under controlled conditions. This paper aimed to contribute to the development of relevant test conditions by describing typical circumstances of pedestrian accidents. Cluster analysis was applied to two large British databases and both highlighted an urban scenario in daylight and fine weather where a small pedestrian walks across the road, especially from the near kerb, in clear view of a driver who is travelling straight ahead. For each dataset a main test configuration was defined to represent the conditions of the most common accident scenario along with test variations to reflect the characteristics of less common accident scenarios. Some of the variations pertaining to less common accident circumstances or to a minority of casualties in these scenarios were proposed as optional or supplementary test elements for an outstanding performance rating. Many considerations are incorporated into the final design and implementation of an actual testing regime, such as cost and the state of development of technology; only the representation of accident data lay within the scope of this paper. It would be desirable to ascertain the wider representativeness of the results by analysing accident data from other countries in a similar manner.

  8. Characteristics of motorcyclists involved in road traffic accidents attended at public urgent and emergency services.

    PubMed

    Mascarenhas, Márcio Dênis Medeiros; Souto, Rayone Moreira Costa Veloso; Malta, Deborah Carvalho; Silva, Marta Maria Alves da; Lima, Cheila Marina de; Montenegro, Marli de Mesquita Silva

    2016-12-01

    Injuries resulting from motorcycle road traffic accidents are an important public health issue in Brazil. This study aimed to describe the characteristics of motorcyclists involved in traffic accidents attended in public urgent and emergency services in the state capitals and the Federal District. This is a cross-sectional study based on data from the Violence and Accident Surveillance System (VIVA Survey) in 2014. Data were analyzed according to sociodemographic, event and attendance characteristics. Proportional differences between genders were analyzed by chi-square test (Rao-Scott) with 5% significance level. Motorcyclist-related attendances (n = 9,673) reported a prevalence of men (gender ratio = 3.2), young people aged 20-39 years (65.7%), black / brown (73.6%), paid work (76.4%). Helmet use was reported by 79.1% of the victims, 13.3% had consumed alcohol in the six hours prior to the accident, 41.4% of the events were related to the victim's work. Accidents were more frequent on weekends, in the morning and late afternoon. These characteristics can support the development of public accident prevention policies and health promotion.

  9. Pediatric Motor Vehicle-Pedestrian Accident: a Simulation Scenario for Emergency Medicine Trainees

    PubMed Central

    Mathieson, Sarah; Dubrowski, Adam

    2017-01-01

    Simulation-based medical education is an evolving field that allows trainees to practice skills in a safe environment with no risk to patients. Recently, technology-enhanced simulation for emergency medicine learners has been shown to have favorable effects on learner knowledge and patient outcomes. In this report, a human patient simulator is used to familiarize emergency medicine trainees with the presentation and management of a pediatric motor vehicle-pedestrian accident is described. PMID:28367390

  10. The epidemiology and cost analysis of patients presented to Emergency Department following traffic accidents

    PubMed Central

    Karadana, Gökçe Akgül; Aksu, Nalan Metin; Akkaş, Meltem; Akman, Canan; Üzümcügil, Akın; Özmen, M. Mahir

    2013-01-01

    Background Traffic accidents are ranked first as the cause of personal injury throughout the world. The high number of traffic accidents yielding injuries and fatalities makes them of great importance to Emergency Departments. Material/Methods Patients admitted to Hacettepe University Faculty of Medicine Adult Emergency Department due to traffic accidents were investigated epidemiologically. Differences between groups were evaluated by Kruskall-Wallis, Mann-Whitney, and Wilcoxon tests. A value of p<0.05 was accepted as statistically significant. Results We included 2003 patients over 16 years of age. The mean age was 39.6±16.1 and 55% were males. Admissions by ambulance and due to motor vehicle accidents were the most common. In 2004 the rate of traffic accidents (15.3%) was higher than the other years, the most common month was May (10.8%), and the most common time period was 6 pm to 12 am (midnight). About half of the patients (51.5%) were admitted in the first 30 minutes. Life-threatening condition was present in 9.6% of the patients. Head trauma was the most common type of trauma, with the rate of 18.3%. Mortality rate was 81.8%. The average length of hospital stay was 403 minutes (6.7 hours) and the average cost per patient was 983±4364 TL. Conclusions Further studies are needed to compare the cost found in this study with the mean cost for Turkey. However, the most important step to reduce the direct and indirect costs due to traffic accidents is the prevention of these accidents. PMID:24316815

  11. Emergency/disaster medical support in the restoration project for the Fukushima nuclear power plant accident

    PubMed Central

    Morimura, Naoto; Asari, Yasushi; Yamaguchi, Yoshihiro; Asanuma, Kazunari; Tase, Choichiro; Sakamoto, Tetsuya; Aruga, Tohru

    2013-01-01

    The Fukushima Daiichi Nuclear Power Plant (1F) suffered a series of radiation accidents after the Great East Japan Earthquake on 11 March 2011. In a situation where halting or delaying restoration work was thought to translate directly into a very serious risk for the entire country, it was of the utmost importance to strengthen the emergency and disaster medical system in addition to radiation emergency medical care for staff at the frontlines working in an environment that posed a risk of radiation exposure and a large-scale secondary disaster. The Japanese Association for Acute Medicine (JAAM) launched the ‘Emergency Task Force on the Fukushima Nuclear Power Plant Accident’ and sent physicians to the local response headquarters. Thirty-four physicians were dispatched as disaster medical advisors, response guidelines in the event of multitudinous injury victims were created and revised and, along with execution of drills, coordination and advice was given on transport of patients. Forty-nine physicians acted as directing physicians, taking on the tasks of triage, initial treatment and decontamination. A total of 261 patients were attended to by the dispatched physicians. None of the eight patients with external contamination developed acute radiation syndrome. In an environment where the collaboration between organisations in the framework of a vertically bound government and multiple agencies and institutions was certainly not seamless, the participation of the JAAM as the medical academic organisation in the local system presented the opportunity to laterally integrate the physicians affiliated with the respective organisations from the perspective of specialisation. PMID:23184925

  12. 14 CFR 91.1021 - Internal safety reporting and incident/accident response.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .../accident response. 91.1021 Section 91.1021 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... incident/accident response. (a) Each program manager must establish an internal anonymous safety reporting.... (b) Each program manager must establish procedures to respond to an aviation incident/accident....

  13. 14 CFR 91.1021 - Internal safety reporting and incident/accident response.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .../accident response. 91.1021 Section 91.1021 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... incident/accident response. (a) Each program manager must establish an internal anonymous safety reporting.... (b) Each program manager must establish procedures to respond to an aviation incident/accident....

  14. 14 CFR 91.1021 - Internal safety reporting and incident/accident response.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .../accident response. 91.1021 Section 91.1021 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... incident/accident response. (a) Each program manager must establish an internal anonymous safety reporting.... (b) Each program manager must establish procedures to respond to an aviation incident/accident....

  15. 14 CFR 91.1021 - Internal safety reporting and incident/accident response.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .../accident response. 91.1021 Section 91.1021 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... incident/accident response. (a) Each program manager must establish an internal anonymous safety reporting.... (b) Each program manager must establish procedures to respond to an aviation incident/accident....

  16. 14 CFR 91.1021 - Internal safety reporting and incident/accident response.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .../accident response. 91.1021 Section 91.1021 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... incident/accident response. (a) Each program manager must establish an internal anonymous safety reporting.... (b) Each program manager must establish procedures to respond to an aviation incident/accident....

  17. ARAC: a centralized computer assisted emergency planning, response, and assessment system for atmospheric releases of toxic material

    SciTech Connect

    Dickerson, M.H.; Knox, J.B.

    1986-10-01

    The Atmospheric Release Advisory Capability (ARAC) is an emergency planning, response, and assessment service, developed by the US Departments of Energy and Defense, and focused, thus far, on atmospheric releases of nuclear material. For the past 14 years ARAC has responded to over 150 accidents, potential accidents, and major exercises. The most notable accident responses are the COSMOS 954 reentry, the Three Mile Island (TMI-2) accident and subsequent purge of /sup 85/Kr from the containment vessel, the recent UF/sub 6/ accident at the Kerr-McGee Plant, Gore, Oklahoma, and the Chernobyl nuclear reactor accident in the Soviet Union. Based on experience in the area of emergency response, developed during the past 14 years, this paper describes the cost effectiveness and other advantages of a centralized emergency planning, response, and assessment service for atmospheric releases of nuclear material.

  18. A major outbreak of asthma associated with a thunderstorm: experience of accident and emergency departments and patients' characteristics. Thames Regions Accident and Emergency Trainees Association.

    PubMed Central

    Davidson, A. C.; Emberlin, J.; Cook, A. D.; Venables, K. M.

    1996-01-01

    OBJECTIVE--To investigate the time course of an epidemic of asthma after a thunderstorm, characteristics of patients affected, and the demand on emergency medical resources. DESIGN--Study of registers and records in accident and emergency departments and questionnaire to staff. SETTING--London area. SUBJECTS--All patients presenting at 12 accident and emergency departments with asthma or other airway disease. MAIN OUTCOME MEASURES--Numbers of patients, clinical features, information on shortage of resources--equipment, drugs and staff. RESULTS--The epidemic had a sudden onset on 24 June 1994; 640 patients with asthma or other airways disease attended during 30 hours from 1800 on 24 June, nearly 10 times the expected number. Over half (365) the patients were aged 21 to 40 years. A history of hay fever was recorded in 403 patients; for 283 patients this was the first known attack of asthma; a history of chronic obstructive airways disease was recorded in 12 patients. In all, 104 patients were admitted (including five to an intensive care unit). Several departments ran out of equipment or drugs, called in additional doctors, or both. CONCLUSIONS--This study supports the view that this epidemic was larger than previously reported epidemics and the hypothesis that "thunderstorm associated asthma' is related to aeroallergens. Demands on resources were considerable; a larger proportion of patients needing intensive care would have caused greater problems. PMID:8595332

  19. Effects of Actor's Causal Role, Outcome Severity, and Knowledge of Prior Accidents upon Attribution of Responsibility

    ERIC Educational Resources Information Center

    Schroeder, David A.; Linder, Darwyn E.

    1976-01-01

    Investigates two factors as determinants of defensive attributions of responsibility for accidents and provides some clarification of the role of outcome severity in responsibility assignments. (Author/RK)

  20. The atmospheric release advisory capability (ARAC): A federal emergency response capability

    SciTech Connect

    Dickerson, M.H.; Sullivan, T.J.

    1988-03-01

    The Atmospheric Release Capability (ARAC) is a Department of Energy (DOE)-sponsored emergency-response service set up to provide real-time prediction of the dose levels and the extent of surface contamination resulting from a broad range of possible occurrences (accidents, spills, extortion threats involving nuclear material, reentry of nuclear-powered satellites, and atmospheric nuclear tests) that could involve the release of airborne radioactive material. During the past decade, ARAC has responded to more than 150 real-time situations, including exercises. The most notable responses include the Three Mile Island accident in Pennsylvania, the Titan II missile accident in Arkansas, the reentry of the USSR's COSMOS-954 into the atmosphere over Canada, the accidental release of uranium hexafluoride from the Sequoyah Facility accident in Oklahoma, and, most recently, the Chernobyl reactor accident in the Soviet Union. ARAC currently supports the emergency-preparedness plans at 50 Department of Defense (DOD) and DOE sites within the US and also responds to accidents that happen elsewhere. Our ARAC center serves as the focal point for data acquisition, data analysis and assessments during a response, using a computer-based communication network to acquire real-time weather data from the accident site and the surrounding region, as well as pertinent accident information. Its three-dimensional computer models for atmospheric dispersion, MATHEW and ADPIC, digest all this information and produce the predictions used in accident assessment. 9 refs., 6 figs., 1 tab.

  1. Accidents involving Brazilian indigenous treated at urgent and emergency services of the Unified Health System.

    PubMed

    Souza, Edinilsa Ramos de; Njaine, Kathie; Mascarenhas, Márcio Dênis Medeiros; Oliveira, Maria Conceição de

    2016-12-01

    Abstract We analyzed the accidents with Brazilian indigenous treated at urgent and emergency services of the Unified Health System (SUS). Data were obtained from the 2014 Viva Survey, which included 86 services from 24 capitals and the Federal District. The demographic profile of the indigenous, the event and the attendance were characterized. Most of the attended people were male in the 20-39 years age group. Falls and traffic accidents were the main reasons for attendance. Alcohol use was informed by 5.6% of the attended people, a figure that increases to 19.1% in traffic accidents, 26.1% among drivers and 22.8% among motorcyclists. There was a statistical difference between genders in relation to age, disability, place of occurrence of the event, work-related event and victim's condition in the traffic accident. We emphasize the importance of providing visibility to accidents with indigenous and engage them in the prevention of such events. Data reliability depends on the adequate completion in indigenous health information systems.

  2. Road Accident Prevention with Instant Emergency Warning Message Dissemination in Vehicular Ad-Hoc Network.

    PubMed

    Gokulakrishnan, P; Ganeshkumar, P

    2015-01-01

    A Road Accident Prevention (RAP) scheme based on Vehicular Backbone Network (VBN) structure is proposed in this paper for Vehicular Ad-hoc Network (VANET). The RAP scheme attempts to prevent vehicles from highway road traffic accidents and thereby reduces death and injury rates. Once the possibility of an emergency situation (i.e. an accident) is predicted in advance, instantly RAP initiates a highway road traffic accident prevention scheme. The RAP scheme constitutes the following activities: (i) the Road Side Unit (RSU) constructs a Prediction Report (PR) based on the status of the vehicles and traffic in the highway roads, (ii) the RSU generates an Emergency Warning Message (EWM) based on an abnormal PR, (iii) the RSU forms a VBN structure and (iv) the RSU disseminates the EWM to the vehicles that holds the high Risk Factor (RF) and travels in High Risk Zone (HRZ). These vehicles might reside either within the RSU's coverage area or outside RSU's coverage area (reached using VBN structure). The RAP scheme improves the performance of EWM dissemination in terms of increase in notification and decrease in end-to-end delay. The RAP scheme also reduces infrastructure cost (number of RSUs) by formulating and deploying the VBN structure. The RAP scheme with VBN structure improves notification by 19 percent and end-to-end delay by 14.38 percent for a vehicle density of 160 vehicles. It is also proved from the simulation experiment that the performance of RAP scheme is promising in 4-lane highway roads.

  3. Fact-finding Survey in Response to the Manipulation of Personal Alarm Dosimeter Collection Efficiency: Lessons Learned About Post-Emergency Radiation Protection from the TEPCO Fukushima Daiichi APP Accident.

    PubMed

    Yasui, Shojiro

    2015-01-01

    During emergency work at TEPCO Fukushima Daiichi Atomic Power Plant on December 1, 2011 a subcontractor demanded that its contracted workers cover their personal alarm dosimeters (PAD) with 3-cm-thick lead plates to lower dosimeter readings. As a response, the Ministry of Health, Labour and Welfare (MHLW) conducted a fact-finding survey to identify similar cases and devise measures to prevent a recurrence of this incident. To screen the suspected cases, the MHLW extracted: a) cases in which a PAD reading was at least 15% higher than the reading obtained from a radio-photolumine-scence dosimeter (RPD), where the dose was greater than 5 mSv in a month (1813 data points), and b) dose data in which PAD readings were less than 50% of the expected dose, where exposure dose may exceed 1 mSv in a day (56 workers, 17,148 data points). From these screenings, the MHLW identified 50 instances from TEPCO and nine primary contractors, including four general contractors, two plant manufacturers, and three plant maintenance companies as the subjects of the due diligence study of exposure data, including interviews. The results of the survey provide lessons that can also be applied to transition from emergency radiation protection to normal operation, as the application of emergency dose limits had ceased on December 16, 2011, in the affected plant. Based on the results of the survey, the MHLW provided administrative guidance documents to TEPCO and 37 primary contractors. The major points of these documents include: a) identification of recorded dose values by comparison of PAD readings to RPD readings, b) storage and management of RPDs and control badges, c) circulation management of PADs and access control to the affected plant, d) estimation of planned doses and setting of alarm values of PADs, e) actions to be taken by contractors if worker dose limits are reached, and f) physical measures to prevent recurrence of the incident.

  4. The Student Volunteer Army: a 'repeat emergent' emergency response organisation.

    PubMed

    Carlton, Sally; Mills, Colleen E

    2017-01-17

    This paper seeks to contribute to understanding of the factors associated with an effective emergent emergency response organisation and to provide new insights into this understudied area. It examines, through an analysis of a range of textual resources, the emergence and re-emergence of the Student Volunteer Army (SVA) during the devastating earthquakes in Canterbury, New Zealand, in 2010-11. This evaluation is conducted in relation to the four key features of an effective emergency response organisation: adaptability; direction; leadership; and communication. In addition, the paper aims to further understanding of 'emergency entrepreneurship' and thus of the values and strategies that underpin social entrepreneur organisations in times of normalcy. The paper concludes that the unique position of the SVA as a 'repeat emergent' emergency response organisation enabled it to innovate continually and to improve repeatedly its systems, relationships, and image, such that it exhibited features common to emergent and established emergency response organisations.

  5. WHO's public health agenda in response to the Fukushima Daiichi nuclear accident.

    PubMed

    van Deventer, Emilie; Del Rosario Perez, Maria; Tritscher, Angelika; Fukushima, Kazuko; Carr, Zhanat

    2012-03-01

    The World Health Organization (WHO) has responded to the 2011 East-Japan earthquake and tsunami through the three levels of its decentralised structure. It has provided public health advice regarding a number of issues relating to protective measures, potassium iodide use, as well as safety of food and drinking water, mental health, travel, tourism, and trade. WHO is currently developing an initial health risk assessment linked to a preliminary evaluation of radiation exposure around the world from the Fukushima Daiichi nuclear accident. Lessons learned from this disaster are likely to help future emergency response to multi-faceted disasters.

  6. Attendance at a hospital emergency department by drivers involved in automobile accidents in Italy

    PubMed Central

    Pileggi, C; Nicotera, G; Angelillo, I

    2005-01-01

    Objective: This study investigated the profile of drivers involved in automobile accidents attending a hospital emergency department (ED) in Catanzaro (Italy). Methods: Car drivers involved in automobile accidents who were registered for emergency care between May 2003 and February 2004 were included in the study. Demographics and details of the accident were collected immediately after admittance, before examination by the medical staff. For each patient, the medical staff completed a form including diagnostic investigations and medical/surgical examination in the ED. Results: Of a total of 424 drivers included in the study 27.4% had conditions that were definitely non-urgent problems. Multiple logistic regression analysis indicated that the use of the ED as a source of non-urgent care was significantly higher among patients who were driving at a lower speed when the accident occurred, among those who presented to the ED before the implementation of the new Italian traffic code, and among those who underwent fewer diagnostic investigations and medical/surgical examinations in the ED. Most of the automobile related lesions occurred in the neck (43.9%) followed by multiple body regions (12.5%) and the upper extremities (10.4%). According to the nature of the injury a third were contusions (34%), followed by pain without physical signs and symptoms (28.8%), and dislocation, sprains, and strains (22.9%). Conclusions: Development of health promotion and education campaigns is required to prevent the use of the ED as a source of non-urgent care by those involved in automobile accidents. PMID:15788821

  7. ASPECT Emergency Response Chemical and Radiological Mapping

    SciTech Connect

    LANL

    2008-05-12

    A unique airborne emergency response tool, ASPECT is a Los Alamos/U.S. Environmental Protection Agency project that can put chemical and radiological mapping tools in the air over an accident scene. The name ASPECT is an acronym for Airborne Spectral Photometric Environmental Collection Technology. Update, Sept. 19, 2008: Flying over storm-damaged refineries and chemical factories, a twin-engine plane carrying the ASPECT (Airborne Spectral Photometric Environmental Collection Technology) system has been on duty throughout the recent hurricanes that have swept the Florida and Gulf Coast areas. ASPECT is a project of the U.S. U.S. Environmental Protection Agencys National Decontamination Team. Los Alamos National Laboratory leads a science and technology program supporting the EPA and the ASPECT aircraft. Casting about with a combination of airborne photography and infrared spectroscopy, the highly instrumented plane provides emergency responders on the ground with a clear concept of where danger lies, and the nature of the sometimes-invisible plumes that could otherwise kill them. ASPECT is the nations only 24/7 emergency response aircraft with chemical plume mapping capability. Bob Kroutil of Bioscience Division is the project leader, and while he said the team has put in long hours, both on the ground and in the air, its a worthwhile effort. The plane flew over 320 targeted sites in four days, he noted. Prior to the deployment to the Gulf Coast, the plane had been monitoring the Democratic National Convention in Denver, Colorado. Los Alamos National Laboratory Divisions that are supporting ASPECT include, in addition to B-Division, CTN-5: Networking Engineering and IRM-CAS: Communication, Arts, and Services. Leslie Mansell, CTN-5, and Marilyn Pruitt, IRM-CAS, were recognized the the U.S. EPA for their outstanding support to the hurricane response of Gustav in Louisiana and Ike in Texas. The information from the data collected in the most recent event, Hurricane

  8. ASPECT Emergency Response Chemical and Radiological Mapping

    ScienceCinema

    LANL

    2016-07-12

    A unique airborne emergency response tool, ASPECT is a Los Alamos/U.S. Environmental Protection Agency project that can put chemical and radiological mapping tools in the air over an accident scene. The name ASPECT is an acronym for Airborne Spectral Photometric Environmental Collection Technology. Update, Sept. 19, 2008: Flying over storm-damaged refineries and chemical factories, a twin-engine plane carrying the ASPECT (Airborne Spectral Photometric Environmental Collection Technology) system has been on duty throughout the recent hurricanes that have swept the Florida and Gulf Coast areas. ASPECT is a project of the U.S. U.S. Environmental Protection Agencys National Decontamination Team. Los Alamos National Laboratory leads a science and technology program supporting the EPA and the ASPECT aircraft. Casting about with a combination of airborne photography and infrared spectroscopy, the highly instrumented plane provides emergency responders on the ground with a clear concept of where danger lies, and the nature of the sometimes-invisible plumes that could otherwise kill them. ASPECT is the nations only 24/7 emergency response aircraft with chemical plume mapping capability. Bob Kroutil of Bioscience Division is the project leader, and while he said the team has put in long hours, both on the ground and in the air, its a worthwhile effort. The plane flew over 320 targeted sites in four days, he noted. Prior to the deployment to the Gulf Coast, the plane had been monitoring the Democratic National Convention in Denver, Colorado. Los Alamos National Laboratory Divisions that are supporting ASPECT include, in addition to B-Division, CTN-5: Networking Engineering and IRM-CAS: Communication, Arts, and Services. Leslie Mansell, CTN-5, and Marilyn Pruitt, IRM-CAS, were recognized the the U.S. EPA for their outstanding support to the hurricane response of Gustav in Louisiana and Ike in Texas. The information from the data collected in the most recent event, Hurricane

  9. Use of radiological accident experience in establishing appropriate perspectives in emergency planning

    SciTech Connect

    Selby, J.M.; Vallario, E.J.; Moeller, D.W.; Stephan, J.G.

    1987-08-01

    Within a nuclear facility, an emergency can range from a situation that only involves the employees of that facility to a series of events that have both onsite and offsite consequences. Analyses of nuclear and non-nuclear emergencies can provide valuable information on the causes of, as well as the problems encountered during emergencies. Reports on facility emergencies indicate that up to 90% involve human error. Such events occur more frequently during the night shifts or on weekends. These occurrences may result from the absence of experienced personnel as well as the reduced alertness of onsite personnel. Therefore, this paper emphasizes the human element in a review of accidents that have occurred at nuclear facilities including Windscale, SL-1, the Recuplex criticality, the Wood River Junction criticality, the Browns Ferry fire, Three Mile Island, and Chernobyl. These accidents are described, and their consequences are evaluated. The information obtained from these evaluations may be useful for inclusion in nuclear plant operating and testing procedures. 21 refs.

  10. Road Accident Prevention with Instant Emergency Warning Message Dissemination in Vehicular Ad-Hoc Network

    PubMed Central

    P, Gokulakrishnan; P, Ganeshkumar

    2015-01-01

    A Road Accident Prevention (RAP) scheme based on Vehicular Backbone Network (VBN) structure is proposed in this paper for Vehicular Ad-hoc Network (VANET). The RAP scheme attempts to prevent vehicles from highway road traffic accidents and thereby reduces death and injury rates. Once the possibility of an emergency situation (i.e. an accident) is predicted in advance, instantly RAP initiates a highway road traffic accident prevention scheme. The RAP scheme constitutes the following activities: (i) the Road Side Unit (RSU) constructs a Prediction Report (PR) based on the status of the vehicles and traffic in the highway roads, (ii) the RSU generates an Emergency Warning Message (EWM) based on an abnormal PR, (iii) the RSU forms a VBN structure and (iv) the RSU disseminates the EWM to the vehicles that holds the high Risk Factor (RF) and travels in High Risk Zone (HRZ). These vehicles might reside either within the RSU’s coverage area or outside RSU’s coverage area (reached using VBN structure). The RAP scheme improves the performance of EWM dissemination in terms of increase in notification and decrease in end-to-end delay. The RAP scheme also reduces infrastructure cost (number of RSUs) by formulating and deploying the VBN structure. The RAP scheme with VBN structure improves notification by 19 percent and end-to-end delay by 14.38 percent for a vehicle density of 160 vehicles. It is also proved from the simulation experiment that the performance of RAP scheme is promising in 4-lane highway roads. PMID:26636576

  11. Automated emergency meteorological response system

    SciTech Connect

    Pepper, D W

    1980-01-01

    A sophisticated emergency response system was developed to aid in the evaluation of accidental releases of hazardous materials from the Savannah River Plant to the environment. A minicomputer system collects and archives data from both onsite meteorological towers and the National Weather Service. In the event of an accidental release, the computer rapidly calculates the trajectory and dispersion of pollutants in the atmosphere. Computer codes have been developed which provide a graphic display of predicted concentration profiles downwind from the source, as functions of time and distance.

  12. Agriculture: Critical issues in planning for an effective radiological emergency response

    SciTech Connect

    Bickerton, G.E.

    1995-12-31

    This paper highlights the significant agricultural issues involved in an effective emergency response to radiation accidents. Topics included are the following: planning for ingestion exercises; ingestion pathway exercise issues of concern; recovering from an emergency - the critical issues often not sufficently address in an exercise including social, political and economic.

  13. Human Response to Emergency Warning

    NASA Astrophysics Data System (ADS)

    Sorensen, J.

    2009-12-01

    Almost every day people evacuate from their homes, businesses or other sites, even ships, in response to actual or predicted threats or hazards. Evacuation is the primary protective action utilized in large-scale emergencies such as hurricanes, floods, tornados, tsunamis, volcanic eruptions, or wildfires. Although often precautionary, protecting human lives by temporally relocating populations before or during times of threat remains a major emergency management strategy. One of the most formidable challenges facing emergency officials is evacuating residents for a fast-moving and largely unpredictable event such as a wildfire or a local tsunami. How to issue effective warnings to those at risk in time for residents to take appropriate action is an on-going problem. To do so, some communities have instituted advanced communications systems that include reverse telephone call-down systems or other alerting systems to notify at-risk residents of imminent threats. This presentation examines the effectiveness of using reverse telephone call-down systems for warning San Diego residents of wildfires in the October of 2007. This is the first systematic study conducted on this topic and is based on interviews with 1200 households in the evacuation areas.

  14. Behavioural accident avoidance science: understanding response in collision incipient conditions.

    PubMed

    Hancock, P A; de Ridder, S N

    2003-10-10

    Road traffic accidents are the single greatest cause of fatality in the workplace and the primary cause of all accidental death in the US to the age of 78. However, behavioural analysis of response in the final seconds and milliseconds before collision has been a most difficult proposition since the quantitative recording of such events has largely been beyond cost feasibility for road transportation. Here, a new and innovative research strategy is reported that permits just such a form of investigation to be conducted in a safe and effective manner. Specifically, a linked simulation environment has been constructed in which drivers are physically located in two adjacent, full-vehicle simulators acting within a shared single virtual driving world. As reported here for the first time, this innovative technology creates situations that provide avoidance responses paralleling those observed in real-world conditions. Within this shared virtual world 46 participants (25 female, 21 male) were tested who met in two ambiguous traffic situations: an intersection and a hill scenario. At the intersection the two drivers approached each other at an angle of 135 degrees and buildings placed at the intersection blocked the view of both drivers from early detection of the opposing vehicle. The second condition represented a 'wrong' way conflict. Each driver proceeded along a three-lane highway from opposite directions. A hill impeded the oncoming view of each driver who only saw the conflicting vehicle briefly as it crested the brow of the hill. Driver avoidance responses of steering wheel, brake, and accelerator activation were recorded to the nearest millisecond. Qualitative results were obtained through a post-experience questionnaire in which participants were asked about their driving habits, simulator experience and their particular response to the experimental events which they had encountered. The results indicated that: (1) situations have been created which provided

  15. Shipping container response to severe highway and railway accident conditions: Main report

    SciTech Connect

    Fischer, L.E.; Chou, C.K.; Gerhard, M.A.; Kimura, C.Y.; Martin, R.W.; Mensing, R.W.; Mount, M.E.; Witte, M.C.

    1987-02-01

    This report describes a study performed by the Lawrence Livermore National Laboratory to evaluate the level of safety provided under severe accident conditions during the shipment of spent fuel from nuclear power reactors. The evaluation is performed using data from real accident histories and using representative truck and rail cask models that likely meet 10 CFR 71 regulations. The responses of the representative casks are calculated for structural and thermal loads generated by severe highway and railway accident conditions. The cask responses are compared with those responses calculated for the 10 CFR 71 hypothetical accident conditions. By comparing the responses it is determined that most highway and railway accident conditions fall within the 10 CFR 71 hypothetical accident conditions. For those accidents that have higher responses, the probabilities anf potential radiation exposures of the accidents are compared with those identified by the assessments made in the ''Final Environmental Statement on the Transportation of Radioactive Material by Air and other Modes,'' NUREG-0170. Based on this comparison, it is concluded that the radiological risks from spent fuel under severe highway and railway accident conditions as derived in this study are less than risks previously estimated in the NUREG-0170 document.

  16. Suicide rate following attendance at an accident and emergency department with deliberate self harm.

    PubMed Central

    Ryan, J; Rushdy, A; Perez-Avila, C A; Allison, R

    1996-01-01

    OBJECTIVE--To determine the risk of suicide in patients attending an accident and emergency (A&E) department with deliberate self harm. METHODS--Information was obtained on suicides and open verdicts from the coroner's office and cross checked with computerised records in the A&E department. RESULTS--There was a trend to suicide among younger socially isolated males and older females. CONCLUSIONS--There is a significant association between suicide and a previous attendance at A&E with deliberate self harm. Appropriate assessment of these patients is an efficient way of managing self harm. PMID:8653229

  17. Decision support system for emergency management of oil spill accidents in the Mediterranean Sea

    NASA Astrophysics Data System (ADS)

    Liubartseva, Svitlana; Coppini, Giovanni; Pinardi, Nadia; De Dominicis, Michela; Lecci, Rita; Turrisi, Giuseppe; Cretì, Sergio; Martinelli, Sara; Agostini, Paola; Marra, Palmalisa; Palermo, Francesco

    2016-08-01

    This paper presents an innovative web-based decision support system to facilitate emergency management in the case of oil spill accidents, called WITOIL (Where Is The Oil). The system can be applied to create a forecast of oil spill events, evaluate uncertainty of the predictions, and calculate hazards based on historical meteo-oceanographic datasets. To compute the oil transport and transformation, WITOIL uses the MEDSLIK-II oil spill model forced by operational meteo-oceanographic services. Results of the modeling are visualized through Google Maps. A special application for Android is designed to provide mobile access for competent authorities, technical and scientific institutions, and citizens.

  18. [Accidents by external causes in adolescents: care in sentinel urgency and emergency services in the Brazilian State Capitals--2009].

    PubMed

    Malta, Deborah Carvalho; Mascarenhas, Márcio Dênis Medeiros; Bernal, Regina Tomie Ivata; Andrade, Silvania Suely Caribé de Araújo; das Neves, Alice Cristina Medeiros; de Melo, Elza Machado; da Silva Junior, Jarbas Barbosa

    2012-09-01

    Adolescents are seeking new references and experiences, which may involve attitudes of risk and exposure to accidents and violence from external causes. These events constitute a serious Public Health problem. The scope of this study was to analyze the occurrence of accidents by external causes in adolescents from 10 to 19 years of age attended at sentinel urgency and emergency services in Brazil. Data from the 2009 Surveillance System for Violence and Accidents (VIVA 2009) was analyzed in 74 emergency units in 23 state capitals and the Federal District. The findings revealed that 6,434 adolescents (89.8%) were victims of accidents and 730 (10.2 %) were victims of violence. The main causes of the accidents were falls and traffic accidents, and assaults were predominant in violence. For both accidents and violence, non-white male adolescents were predominant and the events occurred most frequently on the public highways. A marked increase was detected, with hospitalization of victims of violence between 15 and 19 years of age. Understanding the epidemiological reality of external causes among adolescents represents an important tool for health prevention and promotion policies and the culture of peace seeking to reduce morbidity and mortality.

  19. Adult intraosseous infusion in accident and emergency departments in the UK

    PubMed Central

    Lavis, M; Vaghela, A; Tozer, C

    2000-01-01

    Obective—A postal survey was conducted to gain an overview of current opinion and practice relating to intraosseous infusion in adult resuscitation in accident and emergency (A&E) departments in the UK and to use the results to generate debate in light of published and personal experience. Methods—Questionnaires were sent to 559 departments listed in the 1996 British Association for Accident and Emergency Medicine directory. Three hundred and thirty two (59%) were returned and the 157 (28%) consultant led departments with more than 30 000 new patient attendances per year were examined. Results—Seventy four per cent of respondents were aware that intraosseous infusion could be used in adult resuscitation, while only seven per cent used the technique. All (100%) were involved with training their medical staff and 11% said they taught the technique for use in adults. The majority of respondents were accredited in at least one of the adult resuscitation training courses. Conclusions—Numerous references appear in the literature relating to intraosseous infusion in adult resuscitation and represent a wealth of experience. The technique is taught and used in our department in contrast with the results of this survey, which demonstrate that it is infrequently taught and used in UK A&E departments. The more widespread teaching of this technique for adult use is recommended. PMID:10658988

  20. Ongoing efforts to improve the international nuclear and radiological emergency response.

    PubMed

    Ugletveit, Finn; Molhoek, Wim

    2004-01-01

    It is recognised that states, through the development of a consistent, coherent and sustainable joint programme for improved and more efficient international responses to nuclear and radiological emergencies, could achieve a better and more cost-effective response capability. Enhanced efforts by IAEA member states and the IAEA secretariat to improve the implementation of the Convention on Early Notification of a Nuclear Accident and the Convention on Assistance in Case of a Nuclear Accident or Radiological Emergency have been initiated, establishing a national competent authority coordination group (NCACG) and a long-term action plan for the work.

  1. Visualization of Traffic Accidents

    NASA Technical Reports Server (NTRS)

    Wang, Jie; Shen, Yuzhong; Khattak, Asad

    2010-01-01

    Traffic accidents have tremendous impact on society. Annually approximately 6.4 million vehicle accidents are reported by police in the US and nearly half of them result in catastrophic injuries. Visualizations of traffic accidents using geographic information systems (GIS) greatly facilitate handling and analysis of traffic accidents in many aspects. Environmental Systems Research Institute (ESRI), Inc. is the world leader in GIS research and development. ArcGIS, a software package developed by ESRI, has the capabilities to display events associated with a road network, such as accident locations, and pavement quality. But when event locations related to a road network are processed, the existing algorithm used by ArcGIS does not utilize all the information related to the routes of the road network and produces erroneous visualization results of event locations. This software bug causes serious problems for applications in which accurate location information is critical for emergency responses, such as traffic accidents. This paper aims to address this problem and proposes an improved method that utilizes all relevant information of traffic accidents, namely, route number, direction, and mile post, and extracts correct event locations for accurate traffic accident visualization and analysis. The proposed method generates a new shape file for traffic accidents and displays them on top of the existing road network in ArcGIS. Visualization of traffic accidents along Hampton Roads Bridge Tunnel is included to demonstrate the effectiveness of the proposed method.

  2. Chemical and Equipment-Free Strategy To Fabricate Water/Oil Separating Materials for Emergent Oil Spill Accidents.

    PubMed

    Ju, Guannan; Liu, Jing; Li, Donglin; Cheng, Mengjiao; Shi, Feng

    2017-03-14

    Oil spill accidents normally have two important features when considering practical cleanup strategies: (1) unexpected occurrence in any situations possibly without specific equipment and chemicals; (2) emergency to be cleaned to minimize the influences on ecosystems. To address these two practical problems regarding removal of spilt oil, we have proposed an in situ, rapid, and facile candle-soot strategy to fabricate water/oil separating materials based on superhydrophobicity/superoleophilicity. The one-step fabrication method is independent of any chemicals or equipment and can be ready for use through short smoking processes within 5 min by using raw materials available in daily life such as textiles. The as-prepared materials perform good durability for repeated separation test and high recovery rate of various oils from water/oil mixtures. This strategy provides possibility of rapid response to sudden oil spill accidents, especially in cases without any equipment or chemicals and in poor countries/areas those could hardly afford transportation and storage of expensive separating materials.

  3. Mobile Emergency Response Water Treatment Technology Results

    EPA Science Inventory

    When natural disasters like hurricanes, floods and earthquakes occur, safe drinking water can be compromised, limited or unavailable. Under such situations, communities have emergency response plans. One of many options for providing safe drinking water during emergency situati...

  4. Smart Growth Streets and Emergency Response

    EPA Pesticide Factsheets

    This page describes how street networks and street design affect emergency response and links to resources for designing streets that work for emergency responders and communities' smart growth goals.

  5. SSRL Emergency Response Shore Tool

    NASA Technical Reports Server (NTRS)

    Mah, Robert W.; Papasin, Richard; McIntosh, Dawn M.; Denham, Douglas; Jorgensen, Charles; Betts, Bradley J.; Del Mundo, Rommel

    2006-01-01

    The SSRL Emergency Response Shore Tool (wherein SSRL signifies Smart Systems Research Laboratory ) is a computer program within a system of communication and mobile-computing software and hardware being developed to increase the situational awareness of first responders at building collapses. This program is intended for use mainly in planning and constructing shores to stabilize partially collapsed structures. The program consists of client and server components, runs in the Windows operating system on commercial off-the-shelf portable computers, and can utilize such additional hardware as digital cameras and Global Positioning System devices. A first responder can enter directly, into a portable computer running this program, the dimensions of a required shore. The shore dimensions, plus an optional digital photograph of the shore site, can then be uploaded via a wireless network to a server. Once on the server, the shore report is time-stamped and made available on similarly equipped portable computers carried by other first responders, including shore wood cutters and an incident commander. The staff in a command center can use the shore reports and photographs to monitor progress and to consult with structural engineers to assess whether a building is in imminent danger of further collapse.

  6. Effects of airborne particulates on remote spectrometry data collected for industrial accident response support

    NASA Astrophysics Data System (ADS)

    Lewis, Paul E.

    2003-12-01

    The Environmental Protection Agency (EPA) Region 7 maintains an operational passive midwave/longwave airborne spectrometer system. This system provides near-real-time information on hazardous chemical releases (e.g., chemical constituents, column density and direction) for emergency personnel responding to industrial accidents. Industrial accidents range from ruptured tank cars caused by train derailments to explosions at industrial facilities. Airborne particles may be present as well, especially in accidents involving explosions and fire. This paper investigates how the presence of airborne particles can affect the identification of airborne chemical species in these situations.

  7. Effects of airborne particulates on remote spectrometry data collected for industrial accident response support

    NASA Astrophysics Data System (ADS)

    Lewis, Paul E.

    2004-01-01

    The Environmental Protection Agency (EPA) Region 7 maintains an operational passive midwave/longwave airborne spectrometer system. This system provides near-real-time information on hazardous chemical releases (e.g., chemical constituents, column density and direction) for emergency personnel responding to industrial accidents. Industrial accidents range from ruptured tank cars caused by train derailments to explosions at industrial facilities. Airborne particles may be present as well, especially in accidents involving explosions and fire. This paper investigates how the presence of airborne particles can affect the identification of airborne chemical species in these situations.

  8. Characteristic variation and original analysis of emergent water source pollution accidents in China between 1985 and 2013.

    PubMed

    Qu, Jianhua; Meng, Xianlin; Ye, Xiuqing; You, Hong

    2016-10-01

    China has suffered various water source pollution incidents in the past decades, which have resulted in severe threats to the safety of the water supply for millions of residents. From the aspects of quantity fluctuation, temporal volatility, regional inequality, pollutant category variation, and accident type differences, this study first characterizes the current status of water source contaminations in China by analyzing 340 pollution events for the period spanning from 1985 to 2013. The results show a general increase in the number of accidents during the period 1985-2006 and then a rapid decline starting in 2007. Spring and summer are high-incidence seasons for pollution, and the accident rate in developed southeastern coastal areas is far higher than that in the northwestern regions. Hazardous chemicals and petroleum are the most frequently occurring pollutants, whereas heavy metals and tailings are becoming emerging contaminants during occasional pollutions. Most of the accidents that occurred before 2005 were blamed on illegal emissions or traffic accidents; however, leakage in production has gradually become a major accident type in the past decade. Then, in combination with government actions and policy constraints, this paper explores the deep inducements and offers valuable insight into measures that should be taken to ensure future prevention and mitigation of emergent source water pollution.

  9. Sudden Water Pollution Accidents and Reservoir Emergency Operations: Impact Analysis at Danjiangkou Reservoir.

    PubMed

    Zheng, Hezhen; Shang, Yizi; Duan, Yang; Lei, Xiaohui; Kong, Lingzhong; Wang, Hao

    2017-03-29

    Danjiangkou Reservoir is the source reservoir of the Middle Route of the South-to-North Water Diversion Project (MRP). Any sudden water pollution accident in the reservoir would threaten the water supply of the MRP. We established a 3-D hydrodynamic and water quality model for Danjiangkou Reservoir, and proposed scientific suggestions on the prevention and emergency management for sudden water pollution accidents based on simulated results. Simulations were performed on 20 hypothetical pollutant discharge locations and 3 assumed amounts, in order to model the effect of pollutant spreading under different reservoir operation types. The results showed that both the location and mass of pollution affected water quality; however, different reservoir operation types had little effect. Five joint regulation scenarios, which altered the hydrodynamic processes of water conveyance for the Danjiangkou and Taocha Dams, were considered for controlling pollution dispersion. The results showed that the spread of a pollutant could be effectively controlled through the joint regulation of the two dams and that the collaborative operation of the Danjiangkou and Taocha Dams is critical for ensuring the security of water quality along the MRP.

  10. A new system for digital image acquisition, storage and presentation in an accident and emergency department

    PubMed Central

    Clegg, G; Roebuck, S; Steedman, D

    2001-01-01

    Objectives—To develop a computer based storage system for clinical images—radiographs, photographs, ECGs, text—for use in teaching, training, reference and research within an accident and emergency (A&E) department. Exploration of methods to access and utilise the data stored in the archive. Methods—Implementation of a digital image archive using flatbed scanner and digital camera as capture devices. A sophisticated coding system based on ICD 10. Storage via an "intelligent" custom interface. Results—A practical solution to the problems of clinical image storage for teaching purposes. Conclusions—We have successfully developed a digital image capture and storage system, which provides an excellent teaching facility for a busy A&E department. We have revolutionised the practice of the "hand-over meeting". PMID:11435357

  11. Coordination of Emergency Medical Services for a Major Road Traffic Accident on a Swiss Suburban Highway.

    PubMed

    Dami, Fabrice; Fuchs, Vincent; Péclard, Etienne; Potin, Mathieu; Vallotton, Laurent; Carron, Pierre-Nicolas

    2009-06-01

    On 9th April 2008 at 2:14 p.m., on the highway between Lausanne and Vevey in western Switzerland, there was a 72-car pileup including five trucks that caused one death and injured 26 others. The relatively light toll was attributed to reduced vehicular speeds on account of foggy weather, together with the quick actions and effectiveness of the first responders and the excellent collaboration between the various rescue groups (medical rescue services, fire and police departments). For the first time, we used an innovative on-site medical command and control system, based on a binomial team. Two hours after the accident, the last of the injured had been evacuated and first aid on the site had ended. This article describes how the Emergency Medical Services from the State of Vaud, Switzerland, handled the situation and how the binomial team is structured.

  12. 41 CFR 102-74.360 - What are the specific accident and fire prevention responsibilities of occupant agencies?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... accident and fire prevention responsibilities of occupant agencies? 102-74.360 Section 102-74.360 Public... MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Accident and Fire Prevention § 102-74.360 What are the specific accident and fire prevention responsibilities of occupant...

  13. 41 CFR 102-74.360 - What are the specific accident and fire prevention responsibilities of occupant agencies?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... accident and fire prevention responsibilities of occupant agencies? 102-74.360 Section 102-74.360 Public... MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Accident and Fire Prevention § 102-74.360 What are the specific accident and fire prevention responsibilities of occupant...

  14. Aircraft Emergencies: Challenge and Response

    NASA Technical Reports Server (NTRS)

    Burian, Barbara K.

    2010-01-01

    Emergency and abnormal situations in aviation present flight crews with a number of challenges. Checklists are essential tools that have been developed to assist them to meet these challenges. However, in order for checklists to be most effective in these situations they must be designed with the operational and situational demands of emergencies and abnormal conditions in mind as well as human performance capabilities and limitations under high stress and workload.

  15. Radiological emergency: Malaysian preparedness and response.

    PubMed

    Yusof, Mohd Abd Wahab; Ali, Hamrah Mohd

    2011-07-01

    Planning and preparation in advance for radiological emergencies can help to minimise potential public health and environmental threats if and when an actual emergency occurs. During the planning process, emergency response organisations think through how they would respond to each type of incident and the resources that will be needed. In Malaysia, planning, preparation for and response to radiological emergencies involve many parties. In the event of a radiological emergency and if it is considered a disaster, the National Security Council, the Atomic Energy Licensing Board and the Malaysian Nuclear Agency (Nuclear Malaysia) will work together with other federal agencies, state and local governments, first responders and international organisations to monitor the situation, contain the release, and clean up the contaminated site. Throughout the response, these agencies use their protective action guidelines. This paper discusses Malaysian preparedness for, and response to, any potential radiological emergency.

  16. Uses of the internet in emergency response.

    SciTech Connect

    Herzenberg, C. L.; Newsom, D. E.; Swietlik, C. E.; Bertram, K. M.; Decision and Information Sciences

    1999-01-01

    Past and potential future uses of the Internet in emergency preparedness and emergency response are examined. Discussion of past experience in use of the Internet in crises includes some examples from the Kobe earthquake in 1995, the Loma Prieta earthquake in 1989, and the ice storm in the northeastern United States in 1998. Various advantages and drawbacks of use of the Internet in emergency response are examined. Both some promising applications and issues that may arise in use of the Internet for emergency response are discussed.

  17. [What response in the face of health emergencies?].

    PubMed

    Bergeran, Pierick

    2015-01-01

    Heat wave, extreme cold, air pollution, epidemics, nuclear plant accidents, production incidents in the pharmaceutical or agro-food sectors, bioterrorism, social movements: over the last thirty years, health emergencies have multiplied. What is the strategy to adopt?

  18. Assessment of Spatial Unevenness of Road Accidents Severity as Instrument of Preventive Protection from Emergency Situations in Road Complex

    NASA Astrophysics Data System (ADS)

    Petrov, A.; Petrova, D.

    2016-08-01

    Emergency situations in road complex are road traffic accidents (RA) with severe consequences. These are incidents connected with the death and injury of large number of people. The most common reasons for this are the collision of three or more cars, the collision of buses with trains at railroad crossings, the fall of the buses in the mountain gorge, and other similar cases. Is it possible to predict such events? How to build a preventive protection against such emergencies? We have to understand that emergencies in a road complex are qualitative expression of the quantitative processes that characterize the general state of road safety in the region. In this regard, at the level of state monitoring of emergency situations it is important to understand in general - in which region the situation is more complicated and in which is more favorable. This knowledge helps to more efficiently reallocate resources intended to solve the problems of road safety provision. The consequence of this is improvement of the quality of preventive protection from the emergencies in the road complex. The article presents quantitative values of severity of accidents in the Russian Federation regions and the Pareto chart distribution of cumulates of the accident severity for the Russian Federation. On the basis of the complex assessment of the spatial non-uniformity of the accident severity results it offers two important recommendations, implementation of which will alleviate the issue of formation of emergency situations in the road of the Russian Federation on the basis of the complex assessment of the spatial nonuniformity of the accident severity results.

  19. The Savannah River National Laboratory's Response to the Graniteville, SC Train Accident

    SciTech Connect

    Hunter, C. H.; Parker, M. J.; Buckley, R. L.; Weber, A. H.; Addis, R. P.

    2005-10-21

    The Savannah River National Laboratory's (SRNL) Weather INformation and Display (WIND) System was used to provide meteorological and atmospheric modeling/consequence assessment support to state and local agencies following the collision of two Norfolk Southern freight trains on the morning of January 6, 2005. This collision resulted in the release of several toxic chemicals to the environment, including chlorine. The dense and highly toxic cloud of chlorine gas that formed in the vicinity of the accident was responsible for nine fatalities and injuries to more than five hundred others. Transport model results depicting the forecast path of the ongoing release were made available to emergency managers in the county's Unified Command Center shortly after SRNL received a request for assistance. Support continued over the ensuing two days of the active response. The SRNL also provided weather briefings and transport/consequence assessment model results to responders from South Carolina Department of Health and Environmental control (SCDHEC), the Savannah River Site's (SRS) Emergency Operations Center (EOC), DOE Headquarters, and hazmat teams dispatched from the SRS.

  20. Slide Rule for Rapid Response Estimation of Radiological Dose from Criticality Accidents

    SciTech Connect

    Broadhead, B L; Childs, R L; Hopper, C M; Parks, C V

    1999-09-20

    This paper describes a functional slide rule that provides a readily usable "in-hand" method for estimating nuclear criticality accident information from sliding graphs, thereby permitting (1) the rapid estimation of pertinent criticality accident information without laborious or sophisticated calculations in a nuclear criticality emergency situation, (2) the appraisal of potential fission yields and external personnel radiation exposures for facility safety analyses, and (3) a technical basis for emergency preparedness and training programs at nonreactor nuclear facilities. The slide rule permits the estimation of neutron and gamma dose rates and integrated doses based upon estimated fission yields, distance from the fission source, and time-after criticality accidents for five different critical systems. Another sliding graph permits the estimation of critical solution fission yields based upon fissile material concentration, critical vessel geometry, and solution addition rate. Another graph provides neutron and gamma dose-reduction factors for water, steel, and concrete shields.

  1. NNSA/NV Consequence Management Capabilities for Radiological Emergency Response

    SciTech Connect

    D. R. Bowman

    2002-10-01

    The U.S. Department of Energy's National Nuclear Security Administration Nevada Operations Office (NNSA/NV) provides an integrated Consequence Management (CM) response capability for the (NNSA) in the event of a radiological emergency. This encompasses planning, technical operations, and home team support. As the lead organization for CM planning and operations, NNSA/NV coordinates the response of the following assets during the planning and operational phases of a radiological accident or incident: (1) Predictive dispersion modeling through the Atmospheric Release Advisory Capability (ARAC) at Lawrence Livermore National Laboratory (LLNL) and the High Consequence Assessment Group at Sandia National Laboratories (SNL); (2) Regional radiological emergency assistance through the eight Radiological Assistance Program (RAP) regional response centers; (3) Medical advice and assistance through the Radiation Emergency Assistance Center/Training Site (REAC/TS) in Oak Ridge, Tennessee; (4) Aerial radiological mapping using the fixed-wing and rotor-wing aircraft of the Aerial Measuring System (AMS); (5) Consequence Management Planning Teams (CMPT) and Consequence Management Response Teams (CMRT) to provide CM field operations and command and control. Descriptions of the technical capabilities employed during planning and operations are given below for each of the elements comprising the integrated CM capability.

  2. Reforming Disaster and Emergency Response

    DTIC Science & Technology

    2011-03-24

    storm, high water, wind-driven water, tidal wave, tsunami, earthquake, volcanic eruption, landslide , mudslide, snowstorm, or drought) or...range of subtypes to include severe winter storms, severe storms and flooding, landslides and mudslides, tornadoes, inland and coastal flooding...national responsibility. Majority of States Subsidize the Minority of States Two problems with the trend towards nationalization of disaster response

  3. Making the journey safe: recognising and responding to severe sepsis in accident and emergency

    PubMed Central

    Pinnington, Sarah; Atterton, Brigid; Ingleby, Sarah

    2016-01-01

    Severe sepsis is a clinical emergency. Despite the nationwide recognition of the sepsis six treatment bundle as the first line emergency treatment for this presentation, compliance in sepsis six provision remains inadequately low. The project goals were to improve compliance with the implementation of the Sepsis Six in patients with severe sepsis and/or septic shock. In improving timely care delivery it was anticipated improvements would be made in relation to patient safety and experience, and reductions in length of stay (LoS) and mortality. The project intended to make the pathway for those presenting with sepsis safe and consistent, where sepsis is recognised and treated in a timely manner according to best practice. The aim of the project was to understand the what the barriers where to providing safe effective care for the patient presenting with severe sepsis in A&E. Using the Safer Clinical Systems (SCS) tools developed byte Health Foundation and Warwick University, the project team identified the hazards and associated risks in the septic patient pathway. The level of analysis employed enabled the project team to identify the major risks, themes, and factors of influence within this pathway. The analysis identified twenty nine possible interventions, of which six were chosen following option appraisal. Further interventions were recommended to the accident and emergency as part of a business case and further changes in process. Audits identified all severely septic patients presenting to A&E in October 2014 (n=67) and post intervention in September 2015 (n=93). Compared analysis demonstrated an increase in compliance with the implementation of the sepsis six care bundle from 7% to 41%, a reduction in LoS by 1.9 days and a decrease in 30 day mortality by 50%. Additional audit reviewed the management of 10 septic patients per week for the duration of the project to assess the real time impact of the selected interventions. PMID:27752314

  4. Emergency Response Teams in Action.

    ERIC Educational Resources Information Center

    Watson, James A.

    2001-01-01

    Illustrates the value of proper crisis response training to help schools protect lives by avoiding adverse situations. Details the execution of a crisis management plan, which was developed following a cafeteria/kitchen explosion. (GR)

  5. Community Relations During Emergency Responses

    EPA Pesticide Factsheets

    Good communication is essential to keep local officials and citizens informed, so an official EPA spokesperson is appointed during each response action. Public involvement can help to save lives should an evacuation or other action be required.

  6. An emergency response team for membrane repair

    NASA Technical Reports Server (NTRS)

    McNeil, Paul L.; Kirchhausen, Tom

    2005-01-01

    On demand, rapid Ca(2+)-triggered homotypic and exocytic membrane-fusion events are required to repair a torn plasma membrane, and we propose that this emergency-based fusion differs fundamentally from other rapid, triggered fusion reactions. Emergency fusion might use a specialized protein and organelle emergency response team that can simultaneously promote impromptu homotypic fusion events between organelles and exocytic fusion events along the vertices between these fusion products and the plasma membrane.

  7. 78 FR 63901 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... actions stemming from the NRC's lessons-learned efforts associated with the March 2011 Fukushima Dai-ichi... Regulations (10 CFR) to strengthen and integrate onsite emergency response capabilities, the NRC is making... public availability the regulatory basis to strengthen and integrate onsite emergency...

  8. Emergency Response to Gold King Mine Release

    EPA Pesticide Factsheets

    Description of August 5, 2015 release of contaminated waters from the Gold King Mine into Cement Creek and the Animas River, and the resulting emergency response remediation efforts, including monitoring of affected waterways.

  9. Groundwater contamination and emergency response guide

    SciTech Connect

    Guswa, J.H.; Donigian, A.S.

    1984-01-01

    This book provides a review of equipment, methods, and field techniques; an overview of groundwater hydrology; and a methodology for estimating groundwater contamination under emergency response conditions. It describes techniques used to identify, quantify, and respond to groundwater pollution incidents.

  10. CDC's Evolving Approach to Emergency Response.

    PubMed

    Redd, Stephen C; Frieden, Thomas R

    The Centers for Disease Control and Prevention (CDC) transformed its approach to preparing for and responding to public health emergencies following the anthrax attacks of 2001. The Office of Public Health Preparedness and Response, an organizational home for emergency response at CDC, was established, and 4 programs were created or greatly expanded after the anthrax attacks: (1) an emergency management program, including an Emergency Operations Center; (2) increased support of state and local health department efforts to prepare for emergencies; (3) a greatly enlarged Strategic National Stockpile of medicines, vaccines, and medical equipment; and (4) a regulatory program to assure that work done on the most dangerous pathogens and toxins is done as safely and securely as possible. Following these changes, CDC led responses to 3 major public health emergencies: the 2009-10 H1N1 influenza pandemic, the 2014-16 Ebola epidemic in West Africa, and the ongoing Zika epidemic. This article reviews the programs of CDC's Office of Public Health Preparedness, the major responses, and how these responses have resulted in changes in CDC's approach to responding to public health emergencies.

  11. An exploration of nurse-patient relationships in accident and emergency.

    PubMed

    Baillie, Lesley

    2005-01-01

    This paper explores the nature of nurse-patient relationships in accident and emergency (A&E) drawing from nursing theory and research, and with reflection on three episodes of practice from the author's experience. First the case for nurse-patient relationships is presented with reference to nursing theory, statutory and professional literature. The benefits of positive nurse-patient relationships in A&E are then explored, followed by a discussion of the barriers to nurse-patient relationships forming in A&E. How relationships are formed is then considered, highlighting the short space of time available, and the importance of first impressions. The first practice episode analysed is a situation where the author felt she had not formed a relationship with the patient at all. In the second, the author questions whether the relationship had been over-involved and this is discussed in relation to the nature of involvement and what constitutes over-involvement. In the final practice episode the author felt that a positive relationship was formed with benefits to the patient concerned. The paper concludes by highlighting the importance of nurse-patient relationships in A&E, and how they can be formed in light of the barriers discussed previously.

  12. [Domestic violence in the accident and emergency department: don't forget the children].

    PubMed

    Hoytema van Konijnenburg, Eva M M; van der Lee, Johanna H; Brilleslijper-Kater, Sonja N; van Leerdam, Frank J M; Teeuw, Arianne H

    2014-01-01

    In 2013, the Dutch Government mandated a new policy stating that all healthcare professionals caring for adults in difficult psychosocial situations should always investigate the safety of any children involved. We describe two cases of such 'child checks' in the accident and emergency department (A&E). Patient A, a 10-year-old girl, was referred to the outpatient paediatric department (OPD) after her mother had attended the A&E as a victim of domestic violence (DV). The child had witnessed DV on multiple occasions. The family were referred to voluntary social and psychiatric healthcare. Patient B, a 46 year-old woman, attended the A&E with serious injuries, and said she had tripped over. The A&E physician suspected that the injuries were caused by DV, and the mother and her 9-year-old daughter were referred to the OPD. However, the mother refused to attend, and the family was reported to the Youth Care Office. Because parents' psychosocial problems, such as DV, can seriously affect children, their safety should always be investigated by performing a 'child check'.

  13. Violence against doctors: 2. Effects of violence on doctors working in accident and emergency departments.

    PubMed

    Zahid, M A; Al-Sahlawi, K S; Shahid, A A; Awadh, J A; Abu-Shammah, H

    1999-12-01

    There is abundant evidence to suggest that doctors are increasingly being exposed to violent incidents at their workplace. The possible effects of aggression on an individual are varied and likely to depend on the severity and frequency of episodes and the perceived vulnerability to further episodes. The reported sequaelae of violent incidents towards doctors include varied psychological disturbances, and changes in behaviour, such as increasing prescribing, ongoing fear of violence at work, and poor staff morale. We investigated the effects of violence against doctors in the accident and emergency departments in Kuwait. Seventy-five (86%) out of 87 doctors exposed to violent incidents reported one or more of the symptoms consisting of: depression, reliving experience (flashbacks), insomnia, and taking 'time off'. The effects lasted for more than 4 weeks in 25, for 3-4 weeks in 17, and for 2-3 weeks in 21. The duration of symptoms was longer in doctors exposed to verbal insults or threats of imminent violence coupled with incidents involving single acts of violence. Out of a total of 101 doctors; 90 (89%) remained worried about violence at work and 72 (71%) thought training to deal with potentially violent situations would be useful.

  14. The effect of introducing guidelines for cervical spine radiographs in the accident and emergency department.

    PubMed Central

    Maurice, S; Brown, S; Robertson, C; Beggs, I

    1996-01-01

    OBJECTIVE: To assess the effect of guidelines for x ray requests on requests for cervical spine x rays. SETTING: Accident and emergency (A&E) department of tertiary referral centre. METHODS: Guidelines for all x ray requests were introduced in the (A&E) department of the Royal Infirmary of Edinburgh in February 1992. The effect of the guidelines on requests for cervical spine x rays was assessed by retrospective review of all such x rays taken over two 30 d periods, before and after the introduction of the guidelines. Junior staff had been in post for 3 months during both periods assessed. Films were reviewed for quality by a consultant radiologist. RESULTS: Guidelines reduced the number of inappropriate requests significantly; however, 26% of requests were still unnecessary. The standard of radiography improved but 49% of x rays remained inadequate, usually because the C7/T1 level was not demonstrated on the lateral view. The A&E doctors correctly interpretated the radiographs in 95% of examinations. CONCLUSIONS: Guidelines reduce inappropriate x ray requests. Further improvements can be expected with continued education. PMID:8821225

  15. The Chernobyl Accident 20 Years On: An Assessment of the Health Consequences and the International Response

    PubMed Central

    Baverstock, Keith; Williams, Dillwyn

    2006-01-01

    Background The Chernobyl accident in 1986 caused widespread radioactive contamination and enormous concern. Twenty years later, the World Health Organization and the International Atomic Energy Authority issued a generally reassuring statement about the consequences. Accurate assessment of the consequences is important to the current debate on nuclear power. Objectives Our objectives in this study were to evaluate the health impact of the Chernobyl accident, assess the international response to the accident, and consider how to improve responses to future accidents. Discussion So far, radiation to the thyroid from radioisotopes of iodine has caused several thousand cases of thyroid cancer but very few deaths; exposed children were most susceptible. The focus on thyroid cancer has diverted attention from possible nonthyroid effects, such as mini-satellite instability, which is potentially important. The international response to the accident was inadequate and uncoordinated, and has been unjustifiably reassuring. Accurate assessment of Chernobyl’s future health effects is not currently possible in the light of dose uncertainties, current debates over radiation actions, and the lessons from the late consequences of atomic bomb exposure. Conclusions Because of the uncertainties over the dose from and the consequences of the Chernobyl accident, it is essential that investigations of its effects should be broadened and supported for the long term. Because of the problems with the international response to Chernobyl, the United Nations should initiate an independent review of the actions and assignments of the agencies concerned, with recommendations for dealing with future international-scale accidents. These should involve independent scientists and ensure cooperation rather than rivalry. PMID:16966081

  16. Enhancing nuclear emergency response through international cooperation.

    PubMed

    Ugletveit, Finn; Aaltonen, Hannele

    2004-01-01

    Nuclear and radiological emergencies may easily become severe international emergencies requiring substantial resources in several or many states for an adequate response, which in some cases may require resources exceeding national capabilities. Through the development of a consistent, coherent and sustainable joint programme for improved and more efficient international responses to nuclear and radiological emergencies, it is believed that we could achieve a better and more cost-effective response capability for nuclear and radiological emergencies. This requires, however, that we be willing and able to establish mechanisms of assistance where information and resources are globally shared and that standardised/harmonised procedures be developed and implemented. If we are willing to make this investment, we believe that, in the long term, there will be a significant benefit for all of us.

  17. Support mechanisms for oil spill accident response in costal lagoon areas (Ria de Aveiro, Portugal)

    NASA Astrophysics Data System (ADS)

    Oliveira, Eduardo R.; Silveira, Bruno; Alves, Fátima L.

    2014-10-01

    Oil spill accidents can be caused by several risk factors associated to maritime transport and port activities, which cannot always be predicted or controlled. Therefore, it is essential to support prevention and contingency plans, whose effectiveness is crucial to produce adequate responses and minimize resulting impacts. Ria de Aveiro (Portugal) is a wide coastal lagoon, within a densely populated area, representing a concentration of important biodiversity resources and several economic activities. This paper presents alternative methodologies to support the optimization of civil protection assets in the occurrence of oil spill events and the results of their application on a section area of the Aveiro Lagoon, using an established geographic information system database containing crucial data. The presented methodologies are based on the Environmental Sensitivity Index developed by the North American National Oceanic and Atmospheric Administration (USA) and the Global Vulnerability Index which were applied on the Bay of Biscay (Spain). However, during the development of this work, neither of these methodologies was considered to entirely assess the study area in its full extent, which led to the need to adapt and define a bespoke approach. The introduced changes include extra categories in shoreline classification, an adapted physical vulnerability index for coastal lagoons, differentiated aspects for highly protected status areas, qualitative assessment of socioeconomic features and an access and operability index created to support emergency operation response. The resulting maps are the subject of analysis, in which considerations regarding control and cleanup methods are introduced, together with guidelines for further integration in local risk management strategies.

  18. Revised Emergency Cooling System LOCA (loss-of-coolant accidents) limits for PKL-reactor Mark 16B-31 charges

    SciTech Connect

    Church, J.P.; Steimke, J.L.

    1986-10-02

    Recent experiments have shown that the assembly damage models used to compute generic Emergency Cooling System (ECS) limits for loss-of-coolant accidents (LOCA) in Mark 16B-31 charges may be nonconservative. The bases of these damage models were experiments that underestimated the heat input into a heated flow channel. This document provides interim ECS limits for Mark 16, Mark 31A, and Mark 31B assemblies. 2 refs., 1 tab.

  19. Shipping container response to three severe railway accident scenarios

    SciTech Connect

    Mok, G.C.; Fischer, L.E.; Murty, S.S.; Witte, M.C.

    1998-04-01

    The probability of damage and the potential resulting hazards are analyzed for a representative rail shipping container for three severe rail accident scenarios. The scenarios are: (1) the rupture of closure bolts and resulting opening of closure lid due to a severe impact, (2) the puncture of container by an impacting rail-car coupler, and (3) the yielding of container due to side impact on a rigid uneven surface. The analysis results indicate that scenario 2 is a physically unreasonable event while the probabilities of a significant loss of containment in scenarios 1 and 3 are extremely small. Before assessing the potential risk for the last two scenarios, the uncertainties in predicting complex phenomena for rare, high- consequence hazards needs to be addressed using a rigorous methodology.

  20. Radiological Emergency Response Health and Safety Manual

    SciTech Connect

    D. R. Bowman

    2001-05-01

    This manual was created to provide health and safety (H&S) guidance for emergency response operations. The manual is organized in sections that define each aspect of H and S Management for emergency responses. The sections are as follows: Responsibilities; Health Physics; Industrial Hygiene; Safety; Environmental Compliance; Medical; and Record Maintenance. Each section gives guidance on the types of training expected for managers and responders, safety processes and procedures to be followed when performing work, and what is expected of managers and participants. Also included are generic forms that will be used to facilitate or document activities during an emergency response. These ensure consistency in creating useful real-time and archival records and help to prevent the loss or omission of information.

  1. Emergency Response Virtual Environment for Safe Schools

    NASA Technical Reports Server (NTRS)

    Wasfy, Ayman; Walker, Teresa

    2008-01-01

    An intelligent emergency response virtual environment (ERVE) that provides emergency first responders, response planners, and managers with situational awareness as well as training and support for safe schools is presented. ERVE incorporates an intelligent agent facility for guiding and assisting the user in the context of the emergency response operations. Response information folders capture key information about the school. The system enables interactive 3D visualization of schools and academic campuses, including the terrain and the buildings' exteriors and interiors in an easy to use Web..based interface. ERVE incorporates live camera and sensors feeds and can be integrated with other simulations such as chemical plume simulation. The system is integrated with a Geographical Information System (GIS) to enable situational awareness of emergency events and assessment of their effect on schools in a geographic area. ERVE can also be integrated with emergency text messaging notification systems. Using ERVE, it is now possible to address safe schools' emergency management needs with a scaleable, seamlessly integrated and fully interactive intelligent and visually compelling solution.

  2. Impacts of the 2011 Fukushima nuclear accident on emergency medical service times in Soma District, Japan: a retrospective observational study

    PubMed Central

    Morita, Tomohiro; Furutani, Tomoyuki; Nomura, Shuhei; Leppold, Claire; Takahara, Kazuhiro; Shimada, Yuki; Fujioka, Sho; Kami, Masahiro; Kato, Shigeaki; Oikawa, Tomoyoshi

    2016-01-01

    Objective To assess the influence of the 3.11 triple disaster (earthquake, tsunami and nuclear accident) on the emergency medical service (EMS) system in Fukushima. Methods Total EMS time (from EMS call to arrival at a hospital) was assessed in the EMS system of Soma district, located 10–40 km north of the nuclear plant, from 11 March to 31 December 2011. We defined the affected period as when total EMS time was significantly extended after the disasters compared with the historical control data from 1 January 2009 to 10 March 2011. To identify risk factors associated with the extension of total EMS time after the disasters, we investigated trends in 3 time segments of total EMS time; response time, defined as time from an EMS call to arrival at the location, on-scene time, defined as time from arrival at the location to departure, and transport time, defined as time from departure from the location to arrival at a hospital. Results For the affected period from week 0 to week 11, the median total EMS time was 36 (IQR 27–52) minutes, while that in the predisaster control period was 31 (IQR 24–40) min. The percentage of transports exceeding 60 min in total EMS time increased from 8.2% (584/7087) in the control period to 22.2% (151/679) in the affected period. Among the 3 time segments, there was the most change in transport time (standardised mean difference: 0.41 vs 0.13–0.17). Conclusions EMS transport was significantly delayed for ∼3 months, from week 1 to 11 after the 3.11 triple disaster. This delay may be attributed to malfunctioning emergency hospitals after the triple disaster. PMID:27683521

  3. RMP Guidance for Chemical Distributors - Chapter 8: Emergency Response Program

    EPA Pesticide Factsheets

    Depending on the level of processes at your facility, part 68 may require an emergency response program: an emergency response plan, emergency response equipment procedures, employee training, and procedures to ensure the program is up-to-date.

  4. Facilities for chemical decontamination in accident and emergency departments in the United Kingdom

    PubMed Central

    George, G; Ramsay, K; Rochester, M; Seah, R; Spencer, H; Vijayasankar, D; Vasicuro, L

    2002-01-01

    Objective: To audit the facilities for chemical decontamination, with special reference to cyanide poisoning, in all major accident and emergency departments in the UK. Method: A simple postal questionnaire was used to audit planning, premises, equipment, protection for staff, and stocks of specific antidotes to cyanide poisoning. Results: 227 questionnaires from 261 departments (87%) were returned and used in the survey. Of the 227 departments who responded, 151 (66%) had a written plan; 168 (74%) departments had premises for decontamination; 55 (24%) were judged to have satisfactory premises; 146 (64%) departments had a shower or hose for decontamination; 60 (26%) departments had a decontamination trolley suitable for "stretcher" patients; 203 (89%) had some protective equipment for staff but only 77 (34%) had complete protection—that is, goggles, chemical resistant clothing, and breathing apparatus. In the authors' opinion only seven (3%) departments had satisfactory premises and equipment to treat "stretcher" patients and full protection for staff. A further 11 (5%) departments were equipped to manage ambulant patients at a similar level. Some 205 (90%) departments stocked one or more antidotes to cyanide and 77 (34%) stocked all four antidotes. Thirty four (15%) departments held all four antidotes to cyanide and had full protection for staff. Only five (2%) departments had satisfactory premises and equipment to treat "stretcher" patients, full protection for staff, and at least three of four antidotes. Conclusions: Most departments had some equipment for chemical decontamination. However, there were major inconsistencies in the range of equipment held and these limited its usefulness. Only a small minority of departments was satisfactorily equipped to deal with a serious chemical incident. PMID:12205006

  5. Can paediatric early warning score be used as a triage tool in paediatric accident and emergency?

    PubMed

    Bradman, Kate; Maconochie, Ian

    2008-12-01

    The UK paediatric early warning score (PEWS) was developed for inpatients, looking at admission to the HDU and PICU and trying to produce a system which would recognize those children at risk of admission. Since the introduction of the '4-h wait', accident and emergency (A&E) departments have been under increasing strain to assess, treat and admit patients (if required) as quickly as possible. We designed this study with the view of identifying if the PEWS score could be used as a triage tool, to detect those patients who will need admission and therefore speed up the process of admitting children to the ward. All patients who visited A&E from 1st October-16th October 2006 were audited. The PEWS scores were collated after the study period. 774 children attended A&E during the study period. 316 patients were sent home from triage following nurse-led treatment or sent to another facility. Of the 458 patients remaining, 424 (93%) were included in the study - the only exclusion criterion was the failure of complete documentation of observations. The sensitivity [the probability of a child being admitted with a score of (n)] and the specificity (the probability of a patient not being admitted with a score of 0) were calculated. For all children aged 0-16 years, a PEWS score of >or=4 had a sensitivity of 24% and a specificity of 96%. A PEWS score of >or=2 had a sensitivity of 37% and a specificity of 88%. PEWS is of limited value in predicting admission (in a triage setting) in a population of undifferentiated disease. However, a low PEWS score has a high specificity, that is, a patient scoring <2 is unlikely to need admission.

  6. A review of telemedicine in accident and emergency: the story so far

    PubMed Central

    Benger, J.

    2000-01-01

    Recent developments in information and communications technology have the potential to revolutionise health care. This has been recognised at government level, and plays a significant part in the new information strategy for the NHS "Information For Health". Telemedicine (literally, medicine at a distance) is one of the most successful techniques in this rapidly expanding field, and in preliminary studies has proved to be both successful and popular with patients and health care professionals. In the UK telemedicine has been mainly applied to two major areas of accident and emergency (A&E) practice. These are the transmission of computed tomography scans for urgent neurosurgical opinion and the ongoing support of minor injuries units. The latter also involves transmission and interpretation of radiographs, usually peripheral limb films. Telemedicine is not a medical sub-specialty in itself, but a facilitator of all medical and surgical specialties. While recent modernisation initiatives have permitted A&E departments to purchase a range of telemedical equipment, overall progress is hampered by a lack of large or scientifically rigorous studies, and a complete absence of data on the economic implications of this new technique. This review introduces A&E telemedicine in terms that avoid jargon and complex technical details. After a brief consideration of the origins of the subject, attention is given to recent publications relating to minor injuries support and A&E teleradiology. The technical and clinical feasibility of A&E telemedicine are demonstrated, and a case is made for the transmission and interpretation of minor injuries radiographs using a relatively simple and inexpensive system, supported by timely radiological reporting. After a brief study of various legal and ethical issues, the likely developments of the future are discussed. PMID:10819375

  7. Standardized emergency management system and response to a smallpox emergency.

    PubMed

    Kim-Farley, Robert J; Celentano, John T; Gunter, Carol; Jones, Jessica W; Stone, Rogelio A; Aller, Raymond D; Mascola, Laurene; Grigsby, Sharon F; Fielding, Jonathan E

    2003-01-01

    The smallpox virus is a high-priority, Category-A agent that poses a global, terrorism security risk because it: (1) easily can be disseminated and transmitted from person to person; (2) results in high mortality rates and has the potential for a major public health impact; (3) might cause public panic and social disruption; and (4) requires special action for public health preparedness. In recognition of this risk, the Los Angeles County Department of Health Services (LAC-DHS) developed the Smallpox Preparedness, Response, and Recovery Plan for LAC to prepare for the possibility of an outbreak of smallpox. A unique feature of the LAC-DHS plan is its explicit use of the Standardized Emergency Management System (SEMS) framework for detailing the functions needed to respond to a smallpox emergency. The SEMS includes the Incident Command System (ICS) structure (management, operations, planning/intelligence, logistics, and finance/administration), the mutual-aid system, and the multi/interagency coordination required during a smallpox emergency. Management for incident command includes setting objectives and priorities, information (risk communications), safety, and liaison. Operations includes control and containment of a smallpox outbreak including ring vaccination, mass vaccination, adverse events monitoring and assessment, management of confirmed and suspected smallpox cases, contact tracing, active surveillance teams and enhanced hospital-based surveillance, and decontamination. Planning/intelligence functions include developing the incident action plan, epidemiological investigation and analysis of smallpox cases, and epidemiological assessment of the vaccination coverage status of populations at risk. Logistics functions include receiving, handling, inventorying, and distributing smallpox vaccine and vaccination clinic supplies; personnel; transportation; communications; and health care of personnel. Finally, finance/administration functions include monitoring

  8. Identification and evaluation of competencies of health professionals in the hospital emergency management of the radiation accident victim

    SciTech Connect

    Berger, M.E.

    1982-01-01

    A preliminary list of ten competency and forty-six sub-competency statements derived from literature and consultation with experts and based on the general areas of clinical performance defined by the National Board of Medical Examiners were the concern of Phase I of this study. Forty-eight experts in nuclear medicine, radiology, radiotherapy, health physics, medical physics, radiation biology, public and occupational health, surgery, and emergency medicine and nursing considered this preliminary list of competencies and sub-competencies to determine which were essential for health professionals who may be caring for radiation accident victims in hospital emergency departments. Eight competencies and thirty-three sub-competencies were rated as Essential competencies. Competencies dealing with establishing priorities in patient care and initiating treatment, assessment, contamination control, and decontamination were highly rated. In the second part of this study, the Essential competencies were utilized in the development of an original evaluation instrument designed to identify deficiencies and continuing education needs during radiation accident drills or exercises. The instrument was designed for use in sixteen possible patient care situations in which the radiation accident victims have varying medical and radiological conditions. Development of the evaluation instrument was described.

  9. Innovative approach to modeling accident response of Gravel Gerties

    SciTech Connect

    Kramer, M.; McClure, P.; Sullivan, H.

    1997-08-01

    Recent safety analyses at nuclear explosive facilities have renewed interest in the accident phenomenology associated with explosions in nuclear explosive cells, which are commonly referred to as {open_quotes}Gravel Gerties.{close_quotes} The cells are used for the assembly and disassembly of nuclear explosives and are located in the Device Assembly Facility (DAF) at the Nevada Test Site (NTS) and at the Pantex facility. The cells are designed to mitigate the release of special nuclear material to the environment in the event of a detonation of high explosive within the Gravel Gertie. Although there are some subtle differences between the cells of DAF and Pantex, their general design, geometry, and configuration are similar. The cells consist of a round room approximately 10.4 m in diameter and 5.2 m high enclosed by 0.3-m-thick concrete. Each cell has a wire-rope cantenary roof overlain with gravel. The gravel is approximately 6.9 m deep at the center of the roof and decreases toward the outer edge of the cell. The cell is connected to a corridor and subsequent rooms through an interlocking blast door. In the event of a accidental explosion involving significant amounts of high explosive, the roof structure is lifted by the force of the explosion, the supporting cables break, the gravel is lifted by the blast (resulting in rapid venting of the cell), and the gravel roof collapses, filling the cell. The lifting and subsequent collapse of the gravel, which acts much like a piston, is very challenging to model.

  10. Southern State Radiological Transportation Emergency Response Training Course Summary

    SciTech Connect

    Not Available

    1990-09-01

    The Southern States Energy Board (SSEB) is an interstate compact organization that serves 16 states and the commonwealth of Puerto Rico with information and analysis in energy and environmental matters. Nuclear waste management is a topic that has garnered considerable attention in the SSEB region in the last several years. Since 1985, SSEB has received support from the US Department of Energy for the regional analysis of high-level radioactive waste transportation issues. In the performance of its work in this area, SSEB formed the Advisory Committee on High-Level Radioactive Materials Transportation, which comprises representatives from impacted states and tribes. SSEB meets with the committee semi-annually to provide issue updates to members and to solicit their views on activities impacting their respective states. Among the waste transportation issues considered by SSEB and the committee are shipment routing, the impacts of monitored retrievable storage, state liability in the event of an accident and emergency preparedness and response. This document addresses the latter by describing the radiological emergency response training courses and programs of the southern states, as well as federal courses available outside the southern region.

  11. Emergency Response Systems for Outdoor Programming.

    ERIC Educational Resources Information Center

    Merrill, Kurt; Satz, Jay A.

    The Student Conservation Association (SCA) runs backcountry programs in wilderness settings, providing both an educational experience for participants and badly needed conservation work on public lands. As part of its risk management efforts, SCA has developed an emergency response system that ties resources in the field to all the resources of…

  12. Thermal and Mechanical Response of TOPAZ II to Pre-Launch and Launch Accidents

    NASA Astrophysics Data System (ADS)

    Eliassi, Mehdi; Mims, James E.

    1994-07-01

    The mechanical and thermal response of Topaz II space nuclear reactor as a result of pre-launch and launch accidents is analyzed. Various accident scenarios such as land and water impact, propellant fires, and propellant explosions are examined. Emphasis is placed on the possibilities of loss of geometry leading to inadvertent criticality and dispersion of fresh fuel and toxic material as a result of these accidents. The preliminary findings indicate that accidental criticality as a result of compaction from land impact and propellant explosion does not appear to be possible. Current analysis shows that solid propellant fires can melt the emitter and might result in fuel ejection. The high melting temperature of uranium dioxide, however, prevents the melting or vaporization of the fresh fuel.

  13. Evaluation of severe accident risks: Quantification of major input parameters. Experts` determination of structural response issues

    SciTech Connect

    Breeding, R.J.; Harper, F.T.; Brown, T.D.; Gregory, J.J.; Payne, A.C.; Gorham, E.D.; Murfin, W.; Amos, C.N.

    1992-03-01

    In support of the Nuclear Regulatory Commission`s (NRC`s) assessment of the risk from severe accidents at commercial nuclear power plants in the US reported in NUREG-1150, the Severe Accident Risk Reduction Program (SAARP) has completed a revised calculation of the risk to the general public from severe accidents at five nuclear power plants: Surry, Sequoyah, Zion, Peach Bottom, and Grand Gulf. The emphasis in this risk analysis was not on determining a ``so-called`` point estimate of risk. Rather, it was to determine the distribution of risk, and to discover the uncertainties that account for the breadth of this distribution. Off-site risk initiation by events, both internal to the power station and external to the power station were assessed. Much of the important input to the logic models was generated by expert panels. This document presents the distributions and the rationale supporting the distributions for the questions posed to the Structural Response Panel.

  14. The Mechanical Response of Advanced Claddings during Proposed Reactivity Initiated Accident Conditions

    SciTech Connect

    Cinbiz, Mahmut N; Brown, Nicholas R; Terrani, Kurt A; Lowden, Rick R; ERDMAN III, DONALD L

    2017-01-01

    This study investigates the failure mechanisms of advanced nuclear fuel cladding of FeCrAl at high-strain rates, similar to design basis reactivity initiated accidents (RIA). During RIA, the nuclear fuel cladding was subjected to the plane-strain to equibiaxial tension strain states. To achieve those accident conditions, the samples were deformed by the expansion of high strength Inconel alloy tube under pre-specified pressure pulses as occurring RIA. The mechanical response of the advanced claddings was compared to that of hydrided zirconium-based nuclear fuel cladding alloy. The hoop strain evolution during pressure pulses were collected in situ; the permanent diametral strains of both accident tolerant fuel (ATF) claddings and the current nuclear fuel alloys were determined after rupture.

  15. Opperational Systems for Emergency Preparedness and Response

    SciTech Connect

    Sugiyama, G; Nasstrom, J S; Baskett, R

    2003-11-10

    Operational systems predict the consequences of atmospheric releases of hazardous materials for real-time emergency response, pre-event planning, and post-incident assessment. Such systems provide federal, state, and local agencies, emergency planners and responders, public health officials, military personnel, and other users with critical information on which to base life-and-death decisions on safe zones for siting of incident command posts, sheltering-in-place or evacuation advisories, the need for protective equipment, and the utilization of hospital and health care resources. A range of operational modeling capabilities is required to support different types of release events, distance scales, and response times. Fast-response deployable models are used to perform hazard assessments and initial response functions, and can serve as a backup when connections to a reach-back center are not available. Higher-fidelity three-dimensional dispersion models, coupled to real-time observational data and numerical weather prediction model output, are used for real-time response and support expert quality-assured predictions and refined assessments. Computational fluid dynamics models, which explicitly resolve urban structures, are used for high fidelity applications including vulnerability analyses and planning studies. This paper will briefly discuss the types and capabilities of models used or under development for emergency response systems, customer products, supporting data, and a few representative examples of operational systems. Some selected research priorities are summarized in the final sections.

  16. A stratified response system for the emergency management of the severely injured.

    PubMed Central

    Lloyd, D. A.; Patterson, M.; Robson, J.; Phillips, B.

    2001-01-01

    A decade ago, there were justifiable criticisms of the delivery of emergency care for injured patients in accident and emergency departments in the UK. To address this, a trauma management system was developed in 1991 at Alder Hey Hospital, Liverpool. This includes a trauma team, communication system, management guidelines and quality assurance. On admission to the accident and emergency department, injured patients are triaged to one of three levels of injury severity, and a multidisciplinary team lead by a paediatric surgeon or senior accident and emergency department physician is activated. The level of injury severity determines the composition of the trauma team. A care pathway based on ATLS/APLS principles has been developed. The response process as well patient management are documented and reviewed at a monthly audit meeting. Currently, more than 80% of eligible patients are managed using the trauma system, with an over-triage rate of about 25%. Regular modifications to the trauma system since its inception in 1991 have resulted in an efficient and effective management structure. Stratification of the trauma response has minimised unnecessary use of the multidisciplinary trauma team and ensures that mobilisation and use of hospital staff and resources are tailored to the needs of the injured patient. Although developed in a specialist children's hospital, the system could be adapted for any acute hospital. PMID:11212442

  17. Analysis of ex-core neutron detector response during a loss-of-coolant accident

    SciTech Connect

    Baratta, A.J.; Jester, W.A. ); Gundy, L.M. ); Imel, G.R. )

    1991-06-01

    In this paper the experimental response of ex-core neutron detectors during both actual and simulated loss-of-coolant accidents (LOCAs) at a pressurized water reactor are analyzed to determine their cause. Various analytical techniques are used to reproduce the ex-core detector response during large-break LOCAs. These techniques include both discrete ordinates transport and point kernel calculations. The experiments analyzed include large-break LOCA experiments at the Loss of Fluid Test Facility and from the Three Mile Island accident. The results show that an adiabatic method is sufficiently accurate to reproduce the detector response. This response can be explained in terms of the combined effects of changes in shielding and multiplication that occur in a core during a LOCA.

  18. Prevalence of Needlestick Injuries Among Healthcare Workers in the Accident and Emergency Department of a Teaching Hospital in Nigeria

    PubMed Central

    Isara, AR; Oguzie, KE; Okpogoro, OE

    2015-01-01

    Background: Healthcare workers (HCWs) are continually exposed to hazards from contact with blood and body fluids of patients in the healthcare setting. Aim: To determine the prevalence of needlestick injuries (NSIs) and associated factors among HCWs in the Accident and Emergency Department of the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Subjects and Methods: This was a cross-sectional study. Data were collected using a structured, self-administered questionnaire and analyzed using IBM SPSS version 20. Univariate, bivariate, and binary logistic regression analyses were done. The level of significance was set at P < 0.05. Results: The prevalence of NSIs 12 months preceding the study was 51.0% (50/98). Doctors 8/10 (80.0%) and nurses 28/40 (70.0%) had the highest occurrence. Recapping of needles 19/50 (38.0%) and patient aggression 13/50 (26.0%) were responsible for most injuries. The majority 31/50 (62.0%) of the injuries were not reported. The uptake of postexposure prophylaxis (PEP) was low 11/50 (22.0%). The factors that were significantly associated with NSI include age 30 years and above (odds ratio [OR] =0.28, confidence interval [CI] = 0.11–0.70), work duration of three years and above (OR = 0.29, CI = 0.11–0.75), and being a nurse (OR = 3.38, CI = 1.49–9.93) or a paramedic (OR = 0.18, CI = 0.06–0.52). Conclusion: The high prevalence of NSIs among the HCWs, especially in doctors and nurses is an indication that HCWs in UBTH are at great risk of contracting blood-borne infections. Efforts should be made to ensure that injuries are reported and appropriate PEP undertaken following NSIs. PMID:27057376

  19. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2011-10-01 2011-10-01 false Emergency response information. 172.602...

  20. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2012-10-01 2012-10-01 false Emergency response information. 172.602...

  1. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2013-10-01 2013-10-01 false Emergency response information. 172.602...

  2. 49 CFR 172.602 - Emergency response information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... TABLE, SPECIAL PROVISIONS, HAZARDOUS MATERIALS COMMUNICATIONS, EMERGENCY RESPONSE INFORMATION, TRAINING REQUIREMENTS, AND SECURITY PLANS Emergency Response Information § 172.602 Emergency response information. (a... 49 Transportation 2 2014-10-01 2014-10-01 false Emergency response information. 172.602...

  3. METALert - an emergency response system for China for heavy metals in the environment

    NASA Astrophysics Data System (ADS)

    Joris, Ingeborg; Seuntjens, Piet; Dams, Jef; Desmet, Nele; Van Looy, Stijn; Raymaekers, Jens; Decorte, Lieve; Raben, Ingrid; Thijssen, Chris; Zhang, Hongzhen; Dong, Jingqi; Zhang, Qianwen

    2016-04-01

    The rapid industrialisation and economic growth of China has resulted in a mirrored increase of environmental issues and threats, which make the updating of the current environmental emergency response protocols very important. Heavy metal pollution accidents with high environmental risks are happening more frequently than ever in recent years. Despite efforts made by the authorites in respect to the formulation of sound policy, efficient technical methods and regulations for dealing with appropriate responses to emergency environmental incidents related to heavy metal pollution are still lacking. METALert is a generic Emergency Response System (ERS) for accidental pollution incidents caused by key heavy metal related industries in China and developed to support China in achieving its environmental targets. The METALert tool is based on environmental models for forecasting, simulation and visualisation of dispersion of heavy metal pollution in water, air and soil. The tool contains a generic database with scenarios for accidental release of metals in typical accidents related to the five key heavy metal industries in China. The tool can calculate the impact of an accident in water, air and soil and is evaluated and demonstrated for a river basin in the Chenzhou area, an important heavy metal mining area in China. The setup of the tool, the background models and the application in Chenzhou will be presented.

  4. Optimal network solution for proactive risk assessment and emergency response

    NASA Astrophysics Data System (ADS)

    Cai, Tianxing

    communities on facing unexpected events such as natural disasters, serious accidents, environmental hazards, breakdown of manufacturing network. to set up comprehensive emergency management system including early warning and rescue security system. The optimization model and simulation will also help to validate the feasibility of integrated and coordinated response and full preparedness with the mutual support within the operation network.

  5. The consumer quality index (CQ-index) in an accident and emergency department: development and first evaluation

    PubMed Central

    2012-01-01

    Background Assessment of patients’ views are essential to provide a patient-centred health service and to evaluating quality of care. As no standardized and validated system for measuring patients’ experiences in accident and emergency departments existed, we have developed the Consumer Quality index for the accident and emergency department (CQI A&E). Methods Qualitative research has been undertaken to determine the content validity of the CQI A&E. In order to assess psychometric characteristics an 84-item questionnaire was sent to 653 patients who had attended a large A&E in the Netherlands. Also, fifty importance questions were added to determine relevance of the questions and for future calculations of improvement scores. Exploratory factor analysis was applied to detect the domains of the questionnaire. Results Survey data of 304 (47%) patients were used for the analysis. The first exploratory factor analysis resulted in three domains based on 13 items: ‘Attitude of the healthcare professionals’, ‘Environment and impression of the A&E’ and ‘Respect for and explanation to the patient’. The first two had an acceptable internal consistency. The second analysis, included 24 items grouped into 5 domains: ‘Attitude of the healthcare professionals’, ‘Information and explanation’, ‘Environment of the A&E’,’Leaving the A&E’ and ‘General information and rapidity of care’. All factors were internal consistent. According to the patients, the three most important aspects in healthcare performance in the A&E were: trust in the competence of the healthcare professionals, hygiene in the A&E and patients’ health care expectations. In general, the highest improvement scores concerned patient information. Conclusions The Consumer Quality index for the accident and emergency department measures patients’ experiences of A&E healthcare performance. Preliminary psychometric characteristics are sufficient to justify further research into

  6. A radiological review of cervical spine injuries from an accident and emergency department: has the ATLS made a difference?

    PubMed Central

    Palmer, S H; Maheson, M

    1995-01-01

    The importance of visualizing the entire cervical spine on radiological examination in patients with cervical trauma is well known. A review of the cervical films of 98 patients attending an accident and emergency (A&E) department was undertaken in order to assess the adequacy of imaging. It was found that 33.7% of the films were not sufficient to exclude fracture or dislocation of the cervical spine. The number of patients with inadequate views was significantly reduced when an advanced trauma life support trained senior doctor was involved. PMID:8581244

  7. Value of the internet in emergency response.

    SciTech Connect

    Herzenberg, C. L.; Newsom, D. E.; Swietlik, C. E.

    1999-05-26

    Can the Internet be of value in emergency response? The answer is yes, judging by its use in the Kobe earthquake in Japan in 1995, ice storms in the US and Canada in 1998, and other disasters. Current and future areas of application are numerous, including exchanging messages, documents, and data files via e-mail; accessing operational data on-line; visualizing events via photos and maps; providing backup communications in lieu of broadcast media, exchanging information between crisis managers and responders; and providing information to media and the public. However, the Internet has some drawbacks, such as hardware/software requirements, computer literacy requirements, traffic jams, dependence on power and communication networks, and risks to information integrity and security. This paper examines some of the advantages, drawbacks, concerns, and potential uses of the Internet for emergency response.

  8. Nuclear accidents

    SciTech Connect

    Mobley, J.A.

    1982-05-01

    A nuclear accident with radioactive contamination can happen anywhere in the world. Because expert nuclear emergency teams may take several hours to arrive at the scene, local authorities must have a plan of action for the hours immediately following an accident. The site should be left untouched except to remove casualties. Treatment of victims includes decontamination and meticulous wound debridement. Acute radiation syndrome may be an overwhelming sequela.

  9. PHMC post-NPH emergency response training

    SciTech Connect

    Conrads, T.J.

    1997-04-08

    This document describes post-Natural Phenomena Hazard (NPH) emergency response training that was provided to two teams of Project Hanford Management Contractors (PHMC) staff that will be used to assess potential structural damage that may occur as a result of a significant natural phenomena event. This training supports recent plans and procedures to use trained staff to inspect structures following an NPH event on the Hanford Site.

  10. Introduction to the Special Issue on the U.S. Response to the Fukushima Accident

    SciTech Connect

    Blumenthal, Daniel J.

    2012-05-01

    Provides an introduction to the May 2012 issue of Health Physics, based on a special session at the 2011 Health Physics Society (HPS) annual meeting that focused on the United States' radiological response to the Fukushima Daiichi Nuclear Power Plant accident. This introduction outlines the papers in this important issue and describes the activities of the U.S. response participants, including the U.S. Department of Energy National Nuclear Security Administration (DOE/NNSA), Department of Defense, the U.S. Nuclear Regulatory Commission (NRC) and other organizations. Observations are provided and the stage is set for the articles in this issue which document many of the activities undertaken during the Fukushima accident and which describe challenges faced and valuable lessons learned.

  11. Training for emergency response with RimSim:Response!

    NASA Astrophysics Data System (ADS)

    Campbell, Bruce D.; Schroder, Konrad A.

    2009-05-01

    Since developing and promoting a Pacific Rim community emergency response simulation software platform called RimSim, the PARVAC team at the University of Washington has developed a variety of first responder agents who can participate within a response simulation. Agents implement response heuristics and communications strategies in conjunction with live players trying to develop their own heuristics and communications strategies to participate in a successful community response crisis. The effort is facilitated by shared visualization of the affected geographical extent. We present initial findings from interacting with a wide variety of mixed agent simulation sessions and make the software available for others to perform their own experiments.e

  12. Using the source range monitor response to determine fuel relocation during the TMI-2 accident

    SciTech Connect

    Baratta, A.J.; Wu, H.Y.; Hsiao, M.Y.; Bandini, B.R.; Tolman, E.L.

    1987-01-01

    A number of researchers have analyzed the Three Mile Island Unit 2 (TMI-2) source range monitor (SRM) response during the TMI-2 accident. In each of these analyses, an intact core was assumed. Video and sonar inspections that took place during the defueling effort have shown that the core was extensively damaged. In this paper the authors report on an analysis of the TMI-2 SRM in which the times of fuel relocation were determined.

  13. Achieving Reliable Communication in Dynamic Emergency Responses

    PubMed Central

    Chipara, Octav; Plymoth, Anders N.; Liu, Fang; Huang, Ricky; Evans, Brian; Johansson, Per; Rao, Ramesh; Griswold, William G.

    2011-01-01

    Emergency responses require the coordination of first responders to assess the condition of victims, stabilize their condition, and transport them to hospitals based on the severity of their injuries. WIISARD is a system designed to facilitate the collection of medical information and its reliable dissemination during emergency responses. A key challenge in WIISARD is to deliver data with high reliability as first responders move and operate in a dynamic radio environment fraught with frequent network disconnections. The initial WIISARD system employed a client-server architecture and an ad-hoc routing protocol was used to exchange data. The system had low reliability when deployed during emergency drills. In this paper, we identify the underlying causes of unreliability and propose a novel peer-to-peer architecture that in combination with a gossip-based communication protocol achieves high reliability. Empirical studies show that compared to the initial WIISARD system, the redesigned system improves reliability by as much as 37% while reducing the number of transmitted packets by 23%. PMID:22195075

  14. USGS standard quadrangle maps for emergency response

    USGS Publications Warehouse

    Moore, Laurence R.

    2009-01-01

    The 1:24,000-scale topographic quadrangle was the primary product of the U.S. Geological Survey's (USGS) National Mapping Program from 1947-1992. This map series includes about 54,000 map sheets for the conterminous United States, and is the only uniform map series ever produced that covers this area at such a large scale. This map series partially was revised under several programs, starting as early as 1968, but these programs were not adequate to keep the series current. Through the 1990s the emphasis of the USGS mapping program shifted away from topographic maps and toward more specialized digital data products. Topographic map revision dropped off rapidly after 1999, and stopped completely by 2004. Since 2001, emergency-response and homeland security requirement have revived the question of whether a standard national topographic series is needed. Emergencies such as Hurricane Katrina in 2005 and California wildfires in 2007-08 demonstrated that familiar maps are important to first responders. Maps that have a standard scale, extent, and grids help reduce confusion and save time in emergencies. Traditional maps are designed to allow the human brain to quickly process large amounts of information, and depend on artistic layout and design that cannot be fully automated. In spite of technical advances, creating a traditional, general-purpose topographic map is still expensive. Although the content and layout of traditional topographic maps probably is still desirable, the preferred packaging and delivery of maps has changed. Digital image files are now desired by most users, but to be useful to the emergency-response community, these files must be easy to view and easy to print without specialized geographic information system expertise or software.

  15. Shipping container response to severe highway and railway accident conditions: Appendices

    SciTech Connect

    Fischer, L.E.; Chou, C.K.; Gerhard, M.A.; Kimura, C.Y.; Martin, R.W.; Mensing, R.W.; Mount, M.E.; Witte, M.C.

    1987-02-01

    Volume 2 contains the following appendices: Severe accident data; truck accident data; railroad accident data; highway survey data and bridge column properties; structural analysis; thermal analysis; probability estimation techniques; and benchmarking for computer codes used in impact analysis. (LN)

  16. National Labs and Nuclear Emergency Response

    NASA Astrophysics Data System (ADS)

    Budil, Kimberly

    2015-04-01

    The DOE national laboratories, and in particular the three NNSA national security laboratories, have long supported a broad suite of national nuclear security missions for the U.S. government. The capabilities, infrastructure and base of expertise developed to support the U.S. nuclear weapons stockpile have been applied to such challenges as stemming nuclear proliferation, understanding the nuclear capabilities of adversaries, and assessing and countering nuclear threats including essential support to nuclear emergency response. This talk will discuss the programs that are underway at the laboratories and the essential role that science and technology plays therein. Nuclear scientists provide expertise, fundamental understanding of nuclear materials, processes and signatures, and tools and technologies to aid in the identification and mitigation of nuclear threats as well as consequence management. This talk will also discuss the importance of direct engagement with the response community, which helps to shape research priorities and to enable development of useful tools and techniques for responders working in the field. National Labs and Nuclear Emergency Response.

  17. Estimating Derived Response Levels at the Savannah River Site for Use with Emergency Response Models

    SciTech Connect

    Simpkins, A.A.

    2002-12-06

    Emergency response computer models at the Savannah River Site (SRS) are coupled with real-time meteorological data to estimate dose to individuals downwind of accidental radioactive releases. Currently, these models estimate doses for inhalation and shine pathways, but do not consider dose due to ingestion of contaminated food products. The Food and Drug Administration (FDA) has developed derived intervention levels (DIL) which refer to the radionuclide-specific concentration in food present throughout the relevant period of time, with no intervention, that could lead to an individual receiving a radiation dose equal to the protective action guide. In the event of an emergency, concentrations in various food types are compared with these levels to make interdictions decisions. Prior to monitoring results being available, concentrations in the environmental media (i.e. soil), called derived response levels (DRLs), can be estimated from the DILs and directly compared with computer output to provide preliminary guidance as to whether intervention is necessary. Site-specific derived response levels (DRLs) are developed for ingestion pathways pertinent to SRS: milk, meat, fish, grain, produce, and beverage. This provides decision-makers with an additional tool for use immediately following an accident prior to the acquisition of food monitoring data.

  18. Emergency response to an anthrax attack

    PubMed Central

    Wein, Lawrence M.; Craft, David L.; Kaplan, Edward H.

    2003-01-01

    We developed a mathematical model to compare various emergency responses in the event of an airborne anthrax attack. The system consists of an atmospheric dispersion model, an age-dependent dose–response model, a disease progression model, and a set of spatially distributed two-stage queueing systems consisting of antibiotic distribution and hospital care. Our results underscore the need for the extremely aggressive and timely use of oral antibiotics by all asymptomatics in the exposure region, distributed either preattack or by nonprofessionals postattack, and the creation of surge capacity for supportive hospital care via expanded training of nonemergency care workers at the local level and the use of federal and military resources and nationwide medical volunteers. The use of prioritization (based on disease stage and/or age) at both queues, and the development and deployment of modestly rapid and sensitive biosensors, while helpful, produce only second-order improvements. PMID:12651951

  19. Spent Nuclear Fuel Structural Response when Subject to an End Impact Accident

    SciTech Connect

    Adkins, Harold E.; Koeppel, Brian J.; Tang, David T.

    2004-11-19

    The US Nuclear Regulatory Commission (USNRC) is tasked with licensing of safe spent fuel storage and transportation systems. A subset of this responsibility is to investigate and understand the structural performance of these systems. In a joint effort between staff at the Pacific Northwest National Laboratory (PNNL) and the USNRC, computational studies were performed to predict the structural response of spent nuclear fuel when subject to an end impact accident. In this study, the structural performance of a typical Pressurized Water Reactor (PWR) fuel assembly is evaluated utilizing the ANSYS®/LS-DYNA® finite element analysis (FEA) code.

  20. Portable Neutron Sensors for Emergency Response Operations

    SciTech Connect

    ,

    2012-06-24

    This article presents the experimental work performed in the area of neutron detector development at the Remote Sensing Laboratory–Andrews Operations (RSL-AO) sponsored by the U.S. Department of Energy, National Nuclear Security Administration (NNSA) in the last four years. During the 1950s neutron detectors were developed mostly to characterize nuclear reactors where the neutron flux is high. Due to the indirect nature of neutron detection via interaction with other particles, neutron counting and neutron energy measurements have never been as precise as gamma-ray counting measurements and gamma-ray spectroscopy. This indirect nature is intrinsic to all neutron measurement endeavors (except perhaps for neutron spin-related experiments, viz. neutron spin-echo measurements where one obtains μeV energy resolution). In emergency response situations generally the count rates are low, and neutrons may be scattered around in inhomogeneous intervening materials. It is also true that neutron sensors are most efficient for the lowest energy neutrons, so it is not as easy to detect and count energetic neutrons. Most of the emergency response neutron detectors are offshoots of nuclear device diagnostics tools and special nuclear materials characterization equipment, because that is what is available commercially. These instruments mostly are laboratory equipment, and not field-deployable gear suited for mobile teams. Our goal is to design and prototype field-deployable, ruggedized, lightweight, efficient neutron detectors.

  1. Southern states radiological emergency response laws and regulations

    SciTech Connect

    Not Available

    1989-07-01

    The purpose of this report is to provide a summary of the emergency response laws and regulations in place in the various states within the southern region for use by legislators, emergency response planners, the general public and all persons concerned about the existing legal framework for emergency response. SSEB expects to periodically update the report as necessary. Radiation protection regulations without emergency response provisions are not included in the summary.

  2. Relative radiological impact from a reactor accident in the case of emerging nuclear fuels.

    PubMed

    Nicolaou, G

    2009-08-01

    An assessment has been carried out on the radiological impact on an area contaminated from an accident of a nuclear reactor loaded with different actinide fuels considered in transmutation and recycling schemes. The impact of these schemes is compared to reference cases of commercial UO2 and MOX fuels. The effective dose equivalent delivered to permanent residents has been calculated using the RESRAD code and used as an index for the assessment purposes. The highest and lowest doses would be delivered from the self-generating recycling of actinides in fast and thermal reactors, respectively. External irradiation is the main contributor to the dose delivered to the target population in comparison to ingestion and inhalation. The external dose delivered would be attributed for the first few years to 134Cs and for the following several tens of years to 137Cs.

  3. Construction safety: Can management prevent all accidents or are workers responsible for their own actions?

    SciTech Connect

    Cotten, G.B.; Jenkins, S.L.

    1997-10-01

    The construction industry has struggled for many years with the answer to the question posed in the title: Can Management Prevent All Accidents or Are Workers Responsible for Their Own Actions? In the litigious society that we live, it has become more important to find someone {open_quotes}at fault{close_quotes} for an accident than it is to find out how we can prevent it from ever happening again. Most successful companies subscribe to the theme that {open_quotes}all accidents can be prevented.{close_quotes} They institute training and qualification programs, safe performance incentives, and culture-change-driven directorates such as the Voluntary Protection Program (VPP); yet we still see construction accidents that result in lost time, and occasionally death, which is extremely costly in the shortsighted measure of money and, in real terms, impact to the worker`s family. Workers need to be properly trained in safety and health protection before they are assigned to a job that may expose them to safety and health hazards. A management committed to improving worker safety and health will bring about significant results in terms of financial savings, improved employee morale, enhanced communities, and increased production. But how can this happen, you say? Reduction in injury and lost workdays are the rewards. A decline in reduction of injuries and lost workdays results in lower workers` compensation premiums and insurance rates. In 1991, United States workplace injuries and illnesses cost public and private sector employers an estimated $62 billion in workers` compensation expenditures.

  4. The epidemiology and type of injuries seen at the accident and emergency unit of a Nigerian referral center

    PubMed Central

    Adoga, Adeyi A.; Ozoilo, Kenneth N.

    2014-01-01

    Background: A plethora of injuries present at any accident and emergency unit, but the pattern of the injuries varies from region to region especially in ours with the increased ethno-religious clashes and terrorist attacks. This study aims to determine the epidemiology and type of injuries presenting to our center with the possibility of developing injury surveillance initiatives in our center and Nigeria as a whole. Materials and Methods: Injured patients consecutively presenting to the accident and emergency department of the Jos University Teaching Hospital within the period February 2011 to January 2012 were prospectively recorded. Results: A total of 720 injured patients admitted with an age range of 8 months to 75 years (mean = 37.9; SD = ±52.4), which consists of 544 males and 176 females giving a male to female ratio of 3.1:1. Patients aged 20-29 years were in the majority (n = 220, 30.6%) with peak incidences in the period of communal clashes. Injuries sustained from motorcycles were the highest (n = 248, 34.4%). Others were 160 (22.2%) in other vehicular and pedestrian injuries, machete (n = 128), gunshots (n = 92), burns (n = 36), bomb blast injuries (n = 16), fall from heights (n = 32) and miscellaneous (n = 8). Injuries sustained in communal clashes and terrorist attacks accounted for 236 (32.8%) presentations. The most common site of injury was the head (n = 30 4, 42.2%). Relatives, passersby and law enforcement agencies brought patients to the hospital with times between injury and presentation ranging from 1 h to 3 weeks. 40 (5.6%) patients were brought in dead. Conclusion: A collective effort - on the part of the government and the citizenry is required to ensure better outcomes and a safer society for all. PMID:24812451

  5. Simulation Training in Early Emergency Response (STEER).

    PubMed

    Generoso, Jose Roberto; Latoures, Renee Elizabeth; Acar, Yahya; Miller, Dean Scott; Ciano, Mark; Sandrei, Renan; Vieira, Marlon; Luong, Sean; Hirsch, Jan; Fidler, Richard Lee

    2016-06-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.3 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must: 1. Read the article, "Simulation Training in Early Emergency Response (STEER)," found on pages 255-263, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until May 31, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. OBJECTIVES Define the purpose of the Simulation Training in Early Emergency Response (STEER) study. Review the outcome of the STEER study. DISCLOSURE

  6. Disaster Response and Preparedness Application: Emergency Environmental Response Tool (EERT)

    NASA Technical Reports Server (NTRS)

    Smoot, James; Carr, Hugh; Jester, Keith

    2003-01-01

    In 2000, the National Aeronautics and Space Administration (NASA) Environmental Office at the John C. Stennis Space Center (SSC) developed an Environmental Geographic Information Systems (EGIS) database. NASA had previously developed a GIS database at SSC to assist in the NASA Environmental Office's management of the Center. This GIS became the basis for the NASA-wide EGIS project, which was proposed after the applicability of the SSC database was demonstrated. Since its completion, the SSC EGIS has aided the Environmental Office with noise pollution modeling, land cover assessment, wetlands delineation, environmental hazards mapping, and critical habitat delineation for protected species. At SSC, facility management and safety officers are responsible for ensuring the physical security of the facilities, staff, and equipment as well as for responding to environmental emergencies, such as accidental releases of hazardous materials. All phases of emergency management (planning, mitigation, preparedness, and response) depend on data reliability and system interoperability from a variety of sources to determine the size and scope of the emergency operation. Because geospatial data are now available for all NASA facilities, it was suggested that this data could be incorporated into a computerized management information program to assist facility managers. The idea was that the information system could improve both the effectiveness and the efficiency of managing and controlling actions associated with disaster, homeland security, and other activities. It was decided to use SSC as a pilot site to demonstrate the efficacy of having a baseline, computerized management information system that ultimately was referred to as the Emergency Environmental Response Tool (EERT).

  7. Medical and radiological aspects of emergency preparedness and response at SevRAO facilities.

    PubMed

    Savkin, M N; Sneve, M K; Grachev, M I; Frolov, G P; Shinkarev, S M; Jaworska, A

    2008-12-01

    Regulatory cooperation between the Norwegian Radiation Protection Authority and the Federal Medical Biological Agency (FMBA) of the Russian Federation has the overall goal of promoting improvements in radiation protection in Northwest Russia. One of the projects in this programme has the objectives to review and improve the existing medical emergency preparedness capabilities at the sites for temporary storage of spent nuclear fuel and radioactive waste. These are operated by SevRAO at Andreeva Bay and in Gremikha village on the Kola Peninsula. The work is also intended to provide a better basis for regulation of emergency response and medical emergency preparedness at similar facilities elsewhere in Russia. The purpose of this paper is to present the main results of that project, implemented by the Burnasyan Federal Medical Biophysical Centre. The first task was an analysis of the regulatory requirements and the current state of preparedness for medical emergency response at the SevRAO facilities. Although Russian regulatory documents are mostly consistent with international recommendations, some distinctions lead to numerical differences in operational intervention criteria under otherwise similar conditions. Radiological threats relating to possible accidents, and related gaps in the regulation of SevRAO facilities, were also identified. As part of the project, a special exercise on emergency medical response on-site at Andreeva Bay was prepared and carried out, and recommendations were proposed after the exercise. Following fruitful dialogue among regulators, designers and operators, special regulatory guidance has been issued by FMBA to account for the specific and unusual features of the SevRAO facilities. Detailed sections relate to the prevention of accidents, and emergency preparedness and response, supplementing the basic Russian regulatory requirements. Overall it is concluded that (a) the provision of medical and sanitary components of emergency

  8. Gap Assessment in the Emergency Response Community

    SciTech Connect

    Barr, Jonathan L.; Burtner, Edwin R.; Pike, William A.; Peddicord, Annie M Boe; Minsk, Brian S.

    2010-09-27

    This report describes a gap analysis of the emergency response and management (EM) community, performed during the fall of 2009. Pacific Northwest National Laboratory (PNNL) undertook this effort to identify potential improvements to the functional domains in EM that could be provided by the application of current or future technology. To perform this domain-based gap analysis, PNNL personnel interviewed subject matter experts (SMEs) across the EM domain; to make certain that the analyses reflected a representative view of the community, the SMEs were from a variety of geographic areas and from various sized communities (urban, suburban, and rural). PNNL personnel also examined recent and relevant after-action reports and U.S. Government Accountability Office reports.

  9. Next-generation emergency response robots

    NASA Astrophysics Data System (ADS)

    Buzan, Forrest; Paul, George; Dunten, Seth; Kennedy, William; Dietsch, Jeanne A.

    2004-09-01

    As reported by Blitch, current Search and Rescue robots have proven inadequate in the field. Shortfalls in mobility include: inadequate relationship between traction and drag, inadequate self-righting, inadequate sensor protection and too many protrusions to snag. Because autonomous navigation is often impossible but tele-operation may be difficult, sliding autonomy is critical. In addition, next generation SR robots need plug-n-play sensor options and modular cargo holds to deliver daughter-bots or other specialized rescue equipment. Finally, dust and smoke have caused both sensors and robots to fail in the field. Many of the needs of Search and Rescue teams are shared by all Emergency Response robots: EOD, SWAT, HazMat and other law enforcement officers. We discuss how next-generation designs solve many of the problems currently facing ER robots.

  10. Planning the content of a brief educational course in maxillofacial emergencies for staff in accident and emergency departments: a modified Delphi study.

    PubMed

    Elledge, Ross O C; McAleer, Sean

    2015-02-01

    It is well known that staff in accident and emergency (A&E) departments lack the knowledge and confidence needed to deal with maxillofacial emergencies, and that it is related to limited education at undergraduate and postgraduate levels. We therefore aimed to design a syllabus for a short course to educate staff about the most common emergencies. To find out which learning outcomes should be included and to reach a consensus, we did a 3-stage modified Delphi study of the opinions of members of the British Association of Oral and Maxillofacial Surgeons (BAOMS). Of a possible 890 members, 188 responded (21%) in the second round and 105 in the third (12%). Eighteen (37%) of the 49 proposed learning outcomes were rated very important and all of them were retained in the syllabus after the third round. Thirty (61%) items were retained with a consensus of 51% or above in the final round. The Delphi technique is a useful addition to the armamentarium of those involved in education, and has been used effectively in syllabus design. We achieved good consensus on the items to be included and the syllabus will be piloted locally.

  11. Southern states radiological emergency response laws and regulations

    SciTech Connect

    Not Available

    1990-06-01

    The purpose of this report is to provide a summary of the emergency response laws and regulations in place in the various states within the southern region for use by legislators, emergency response planners, the general public and all persons concerned about the existing legal framework for emergency response. SSEB expects to periodically update the report as necessary. Radiation protection regulations without emergency response provisions are not included in the summary. The radiological emergency response laws and regulations of the Southern States Energy Compact member states are in some cases disparate. Several states have very specific laws on radiological emergency response while in others, the statutory law mentions only emergency response to ``natural disasters.`` Some states have adopted extensive regulations on the topic, others have none. For this reason, any general overview must necessarily discuss laws and regulations in general terms. State-by-state breakdowns are given for specific states.

  12. Impact of reducing sodium void worth on the severe accident response of metallic-fueled sodium-cooled reactors

    SciTech Connect

    Wigeland, R.A.; Turski, R.B.; Pizzica, P.A.

    1994-03-01

    Analyses have performed on the severe accident response of four 90 MWth reactor cores, all designed using the metallic fuel of the Integrated Fast Reactor (IFR) concept. The four core designs have different sodium void worth, in the range of {minus}3$ to 5$. The purpose of the investigation is to determine the improvement in safety, as measured by the severe accident consequences, that can be achieved from a reduction in the sodium void worth for reactor cores designed using the IFR concept.

  13. United States-Russian Federation Workshop on Responses to Radiation Accidents, November 12-14, 1996 Falls Church, VA

    DTIC Science & Technology

    1996-01-01

    This hospital is a full- service 400-bed medical That division was using total body radiation for treatment facility serving a widespread area in East...Disease Control Main principles of emergency medical help. analysis of experience of hospital activity at the Chernobyl accident...211 Dr. Angelina K. Guskova, Institute of Biophysics/Clinical Hospital #6 Triage and treatment of

  14. 48 CFR 452.236-77 - Emergency Response.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Response. As prescribed in 436.577, the following clause may be used in Forest Service construction contracts: Emergency Response (NOV 1996) (a) Contractor's Responsibility for Fire Fighting. (1) The... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Emergency Response....

  15. Joint research and development and exchange of technology on toxic material emergency response between LLNL and ENEA. 1985 progress report

    SciTech Connect

    Dickerson, M.H.; Caracciolo, R.

    1986-01-31

    For the past six years, the US Department of Energy, LLNL, and the ENEA, Rome, Italy, have participated in cooperative studies for improving a systems approach to an emergency response following nuclear accidents. Technology exchange between LLNL and the ENEA was initially confined to the development, application, and evaluation of atmospheric transport and diffusion models. With the emergence of compatible hardware configurations between LLNL and ENEA, exchanges of technology and ideas for improving the development and implementation of systems are beginning to emerge. This report describes cooperative work that has occurred during the past three years, the present state of each system, and recommendations for future exchanges of technology.

  16. Emerging Antigens Involved in Allergic Responses

    PubMed Central

    Platts-Mills, Thomas A.E.; Commins, Scott P.

    2013-01-01

    New allergic diseases can “emerge” because of exposure to a novel antigen, because the immune responsiveness of the subject changes, or because of a change in the behavior of the population. Novel antigens have entered the environment as new pests in the home (e.g., Asian lady beetle or stink bugs), in the diet (e.g., prebiotics or wheat isolates), or because of the spread of a biting arthropod (e.g., ticks). Over the last few years, a significant new disease has been identified, which has changed the paradigm for food allergy. Bites of the tick, Amblyomma americanum, are capable of inducing IgE antibodies to galactose-alpha-1,3-galactose, which is associated with two novel forms of anaphylaxis. In a large area of the southeastern United States, the disease of delayed anaphylaxis to mammalian meat is now common. This disease challenges many previous rules about food allergy and provides a striking model of an emerging allergic disease. PMID:24095162

  17. Neutron energy measurements in emergency response applications

    NASA Astrophysics Data System (ADS)

    Mukhopadhyay, Sanjoy; Guss, Paul; Hornish, Michael; Wilde, Scott; Stampahar, Tom; Reed, Michael

    2009-08-01

    We present significant results in recent advances in the measurement of neutron energy. Neutron energy measurements are a small but significant part of radiological emergency response applications. Mission critical information can be obtained by analyzing the neutron energy given off from radioactive materials. In the case of searching for special nuclear materials, neutron energy information from an unknown source can be of importance. At the Remote Sensing Laboratory (RSL) of National Security Technologies, LLC, a series of materials, viz., liquid organic scintillator (LOS), Lithium Gadolinium Borate (LGB) or Li6Gd(BO3)3 in a plastic matrix, a recently developed crystal of Cesium Lithium Yttrium Chloride, Cs2LiYCl6: Ce (called CLYC)[1], and normal plastic scintillator (BC-408) with 3He tubes have been used to study their effectiveness as a portable neutron energy spectrometer. Comparisons illustrating the strengths of the various materials will be provided. Of these materials, LGB offers the ability to tailor its response to the neutron spectrum by varying the isotopic composition of the key constituents (Lithium, Gadolinium [Yttrium], and Boron). All three of the constituent elements possess large neutron capture cross section isotopes for highly exothermic reactions. These compounds of composition Li6Gd(Y)(BO3)3 can be activated by Cerium ions Ce3+. CLYC, on the other hand, has a remarkable gamma response in addition to superb neutron discrimination, comparable to that of Europium-doped Lithium Iodide (6LiI: Eu). Comparing these two materials, CLYC has higher light output (4500 phe/MeV) than that from 6LiI: Eu and shows better energy resolution for both gamma and neutron pulse heights. Using CLYC, gamma energy pulses can be discriminated from the neutron signals by simple pulse height separation. For the cases of both LGB and LOS, careful pulse shape discrimination is needed to separate the gamma energy signals from neutron pulses. Both analog and digital

  18. Savannah River Plant emergency response: Environmental transport and assessment

    SciTech Connect

    Addis, R.P.

    1988-01-01

    The ability to evaluate rapidly the possible consequences of inadvertent releases of hazardous pollutants to the environment is vital for the safe operation of most industrial plants. The Savannah River Plant has developed an emergency response system which integrates environmental observations and computer predictions to provide relevant, reliable, and timely information to decision makers. Experience has shown that the interdependence of all components of an emergency response system requires that the system must be well integrated and coordinated. Research and development is an integral component of the Emergency Response Program. It is designed to increase knowledge of environmental transport and diffusion, and to develop technologies to improve the emergency response system. This paper describes the SRP emergency response system, discusses the importance of reliability through system integration, and indicates the role played by research and development in maintaining a vital emergency response system. 10 refs., 7 figs.

  19. Physical examination of the foot and ankle by orthopaedic and accident and emergency clinicians.

    PubMed

    Roche, Andy; Hunter, Laura; Pocock, Nick; Brown, Daniel

    2009-02-01

    Our aim was to test the knowledge of clinicians in the Orthopaedic clinic and in the Emergency department of the surface anatomical landmarks that should be examined routinely in the assessment of foot and ankle injuries. A survey of 109 clinicians was conducted. Each participant was asked to palpate six important surface landmarks. Two participants failed to identify even a single landmark. Of 109 assessed only 27% correctly identified all six landmarks. The mean number of landmarks correctly identified by each clinician was 4.1 with a standard deviation of 1.5 and range of 0-6. The knowledge of surface anatomy overall by junior Orthopaedic and Emergency clinicians was found to be very poor. Clinicians are becoming more reliant on potentially unnecessary and expensive imaging investigations. They have neglected the basic art of physical examination based on a sound knowledge of human anatomy. At present, the authors believe that the anatomical teaching that should begin in undergraduate medicine is inadequate.

  20. Human-Robot Emergency Response - Experimental Platform and Preliminary Dataset

    DTIC Science & Technology

    2014-07-28

    Human -Robot Emergency Response - Experimental Platform and Preliminary Dataset Technical Report #UM-CS-2014-006 Hee-Tae Jung, Takeshi Takahashi,and...2014 Abstract This paper presents progress towards a research infrastructure for studying human -robot performance in laboratory emergency response...scenarios and a preliminary dataset. It incorporates an emergency response team that is composed of a human participant, n ≤ 4 vision sensors in a

  1. Core thermal response and hydrogen generation of the N Reactor hydrogen mitigation design basis accident

    SciTech Connect

    White, M.D.; Lombardo, N.J.; Heard, F.J.; Ogden, D.M.; Quapp, W.J.

    1988-04-01

    Calculations were performed to determine core heatup, core damage, and subsequent hydrogen production of a hypothetical loss-of-cooling accident at the Department of Energy's N Reactor. The thermal transient response of the reactor core was solved using the TRUMP-BD computer program. Estimates of whole-core thermal damage and hydrogen production were made by weighting the results of multiple half-length pressure tube simulations at various power levels. The Baker-Just and Wilson parabolic rate equations for the metal-water chemical reactions modeled the key phenomena of chemical energy and hydrogen evolution. Unlimited steam was assumed available for continuous oxidation of exposed Zircaloy-2 surfaces and for uranium metal with fuel cladding beyond the failure temperature (1038 C). Intact fuel geometry was modeled. Maximum fuel temperatures (1181 C) in the cooled central regions of the core were predicted to occur one-half hour into the accident scenario. Maximum fuel temperatures of 1447 C occurred in the core GSCS-regions at the end of the 10-h transient. After 10-h 26% of the fuel inventory was predicted to have failed. Peak hydrogen evolution equaled 42 g/s, while 10-h integrated hydrogen evolution equaled 167 kg. 12 refs., 12 figs., 2 tabs.

  2. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  3. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 7 2013-10-01 2013-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  4. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 7 2012-10-01 2012-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  5. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  6. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 7 2011-10-01 2011-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  7. Use of a hospital-based accident and emergency unit by children (0-12 years) in Alkharj, Saudi Arabia.

    PubMed

    Siddiqui, Saima; Ogbeide, Danny O

    2002-03-01

    This cross-sectional study was carried out in order to define the extent and nature of inappropriate use of the accident and emergency (ER) unit in our community. Data were collected for all children aged < or = 12 years who attended the ER from 1 January to 31 March 1999. A total of 3329 children (2010 boys and 1339 girls) attended the ER during the study period. Respiratory tract infection was the most common presenting complaint (33.5%), followed by trauma (15.3%), bronchial asthma (13.7%) and gastro-intestinal problems (6.6%). Using the triage criteria of Alkharj Military Hospital, most of the boys (57%) and 32.6% of the girls were considered to be simple, primary care cases. The rate of referral to specialist clinics was 9.5% and only 4.7% were actually admitted. Attendance at night (53.5% boys, 59.8% girls) was significantly greater (p < 0.00001) than during the morning (0700-1500) and afternoon shifts (1500-2300 hours). This study shows that a large number of children attend the ER with non-urgent complaints.

  8. Using queuing theory to analyse the government's 4-H completion time target in accident and emergency departments.

    PubMed

    Mayhew, L; Smith, D

    2008-03-01

    This paper uses a queuing model to evaluate completion times in Accident and Emergency (A&E) departments in the light of the Government target of completing and discharging 98% of patients inside 4 h. It illustrates how flows though an A&E can be accurately represented as a queuing process, how outputs can be used to visualise and interpret the 4-h Government target in a simple way and how the model can be used to assess the practical achievability of A&E targets in the future. The paper finds that A&E targets have resulted in significant improvements in completion times and thus deal with a major source of complaint by users of the National Health Service in the U.K. It suggests that whilst some of this improvement is attributable to better management, some is also due to the way some patients in A&E are designated and therefore counted through the system. It finds for example that the current target would not have been possible without some form of patient re-designation or re-labelling taking place. Further it finds that the current target is so demanding that the integrity of reported performance is open to question. Related incentives and demand management issues resulting from the target are also briefly discussed.

  9. The management of ureteric stones in the Accident and Emergency department.

    PubMed

    Dawson, Kirsty; Dawson, Lindsay

    2014-01-01

    Ureteric stones is a common cause for attendance to the A&E department. Active or conservative management is delivered dependent on the relevant history, clinical condition, and investigation results. The majority of patients can be treated conservatively and do not require admission. However, some cases of ureteric stones present as a urological emergency if, for example, there is an infected obstructed system. An initial audit over a two month period of A&E admissions with radiologically proven ureteric stones demonstrated there was no easily accessible, specific criteria used to guide which patients were admitted and which patients were discharged from A&E. Therefore, an admission criteria and discharge proforma was developed and implemented in the A&E department to ensure patients were appropriately discharged if they could be managed conservatively and appropriately admitted if they potentially required further observation and intervention. A repeat audit using the same methods and criteria was carried out and demonstrated fewer unnecessary admissions and fewer inappropriate discharges.

  10. Environmental Protection Agency Radiological Emergency Response Plan

    EPA Pesticide Factsheets

    The purpose of this Plan is to describe EPA's concept of operations to implement the various actions, when responding to a threatened or actual radiological releases in emergencies and terrorist incidents.

  11. Allocation of Emergency Units: Response Areas,

    DTIC Science & Technology

    The average travel time for emergency units such as fire engines, ambulances, and police patrol cars, which respond to spatially distributed...areas so as to reduce average travel time and also reduce the imbalance of workload among units.

  12. 43 CFR 46.150 - Emergency responses.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... ENVIRONMENTAL POLICY ACT OF 1969 Protection and Enhancement of Environmental Quality § 46.150 Emergency... harm to life, property, or important natural, cultural, or historic resources. When taking such...

  13. The Emergency Smoke Response System (a prototype)

    NASA Astrophysics Data System (ADS)

    Lahm, P.; Larkin, N.; Brown, T. J.; Raffuse, S. M.; Strand, T.; Sullivan, D.

    2009-12-01

    The U.S. Forest Service Emergency Smoke Response System (ESRS) prototype was first launched during the Santa Ana wildfire event of southern California (fall 2007) and after further refinement it was again launched during the lightening wildfire event of northing California (summer 2008). During both wildfire events smoke plumes from the fires caused significant impacts on the air quality in both urban and rural communities, transportation corridors, and aviation landing strips. The ESRS, called up by U.S.F.S. headquarters, is used to provide enhanced information and data on air quality impacts and smoke transport to fire management and the public. The prototype U.S.F.S. ESRS is a combination of efforts that supplement the ongoing smoke and fire modeling information with a high resolution meteorological and smoke modeling domain placed over the wildfire event location. This domain is used to look at fine-scale fire meteorology and smoke transport and air quality impacts. At the same time, additional smoke monitors (EBAMS) are deployed in the area with real-time reporting capabilities. The monitors supplement the existing network to provide air quality information in communities without monitors or in remote (i.e. locations along transportation corridors). The data from the modeling efforts and air quality monitoring are presented to fire managers and air quality regulators through websites, which show the latest available information. To ensure maximum utility of the modeling and monitoring information, an experienced air quality forecast produces daily forecast summaries by region, providing text forecast guidance and model output discussion. The forecaster is available for the daily fire calls that fire managers use to coordinate efforts across the region. Fire managers can request modifications or new graphics which they find useful for dissemination of the information. Fire is a natural ecological process. Policy, climate, and ecological shifts can change the

  14. Applications In Emergency Response and Public Safety (Briefing Charts)

    DTIC Science & Technology

    2013-03-01

    disaster 3. Response – The actions taken my emergency services personnel and agencies to saves lives, protect property and the environment 4...taken to increase readiness and the ability to respond to a disaster 3. Response – The actions taken my emergency services personnel and agencies to

  15. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... centers or shelters and related facilities and services for evacuees; (4) Providing emergency medical... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Arrangements for Federal response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management...

  16. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... centers or shelters and related facilities and services for evacuees; (4) Providing emergency medical... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Arrangements for Federal response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management...

  17. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... centers or shelters and related facilities and services for evacuees; (4) Providing emergency medical... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Arrangements for Federal response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management...

  18. Epilepsy in the accident and emergency department--developing a code of safe practice for adult patients. South East and South West Thames Accident and Emergency Specialty Sub-committees.

    PubMed Central

    Ryan, J; Nash, S; Lyndon, J

    1998-01-01

    OBJECTIVES: To benchmark current practice in the management of adult patients presenting with seizures to the accident and emergency (A&E) departments by performing a comparative interdepartmental audit. To assess the quality and degree of completeness of documentation in A&E records and to develop a proforma for the documentation of any case presenting with a seizure which would incorporate management guidelines for use by A&E doctors. METHODS: This was a retrospective, criterion based audit carried out in 12 A&E departments in the South Thames region. It involved 1200 adult patients who presented to A&E departments after a seizure. The degree of completeness of A&E records was assessed using criteria identified by A&E consultants and neurologists. Guidelines for use in the management of patients with seizures have been produced. RESULTS: Important aspects of the history and examination were frequently unrecorded in patients' notes. The recording of vital signs was particularly poor. A diversity of practice was shown between the departments that were audited and the number of investigations performed in each department varied considerably. Hospital admissions for patients with first seizures varied widely between departments, ranging from between 34.6% to 91.7% of cases. Documentation of advice given to patients about driving was evident in just 0.9% of cases. CONCLUSIONS: Wide interdepartmental variation exists in both the quality of information recorded in A&E records and in the management of patients. Deficiencies could be minimised and potential improvements in the quality of documentation might be achieved by the introduction of a structured proforma incorporating pre-defined management guidelines. Images Figure 1 PMID:9681306

  19. Transportation needs assessment: Emergency response section

    SciTech Connect

    1989-05-01

    The transportation impacts of moving high level nuclear waste (HLNW) to a repository at Yucca Mountain in Nevada are of concern to the residents of the State as well as to the residents of other states through which the nuclear wastes might be transported. The projected volume of the waste suggests that shipments will occur on a daily basis for some period of time. This will increase the risk of accidents, including a catastrophic incident. Furthermore, as the likelihood of repository construction and operation and waste shipments increase, so will the attention given by the national media. This document is not to be construed as a willingness to accept the HLNW repository on the part of the State. Rather it is an initial step in ensuring that the safety and well-being of Nevada residents and visitors and the State`s economy will be adequately addressed in federal decision-making pertaining to the transportation of HLNW into and across Nevada for disposal in the proposed repository. The Preferred Transportation System Needs Assessment identifies critical system design elements and technical and social issues that must be considered in conducting a comprehensive transportation impact analysis. Development of the needs assessment and the impact analysis is especially complex because of the absence of information and experience with shipping HLNW and because of the ``low probability, high consequence`` aspect of the transportation risk.

  20. The Effect of Cause of Death on Responses to the Bereaved: Suicide Compared to Accident and Natural Causes.

    ERIC Educational Resources Information Center

    Allen, Breon G.; And Others

    1994-01-01

    Examined impact of cause of death on responses to bereaved individual. Sixty adults listened to audiotape of recently bereaved widow. There were three versions of tape, each identical except for stated cause of death: suicide, accident, or heart attack. Found that respondents were more anxious after interaction than before. Perceptions of person…

  1. Collective response of human populations to large-scale emergencies.

    PubMed

    Bagrow, James P; Wang, Dashun; Barabási, Albert-László

    2011-03-30

    Despite recent advances in uncovering the quantitative features of stationary human activity patterns, many applications, from pandemic prediction to emergency response, require an understanding of how these patterns change when the population encounters unfamiliar conditions. To explore societal response to external perturbations we identified real-time changes in communication and mobility patterns in the vicinity of eight emergencies, such as bomb attacks and earthquakes, comparing these with eight non-emergencies, like concerts and sporting events. We find that communication spikes accompanying emergencies are both spatially and temporally localized, but information about emergencies spreads globally, resulting in communication avalanches that engage in a significant manner the social network of eyewitnesses. These results offer a quantitative view of behavioral changes in human activity under extreme conditions, with potential long-term impact on emergency detection and response.

  2. Pattern of Sexual Offences Attended at Accident and Emergency Department of HUSM from Year 2000 to 2003: A Retrospective Study.

    PubMed

    Islam, Mohammed Nasimul; See, Khoo Lay; Ting, Lai Chin; Khan, Jesmine

    2006-01-01

    This paper investigates the pattern of sexual offence cases attended at the One Stop Crisis Center (OSCC) of the Accident and Emergency Department, Hospital Universiti Sains Malaysia (HUSM), Kelantan. A total of 439 reported sexual offence cases were examined over a period of 4 years from 2000 to 2003. Sexual offence constituted by male partner or boyfriend in 18.9%, by relatives in 27.3% and by "others" in 53.8% of cases. Only 0.7% of victims did not attempt to lodge a police report. There is a significant relationship between occupation and the risk of experiencing sexual violence. Students were mostly targeted by the perpetrator throughout the study period. Among the offences, rape cases were the highest in number, among those who attended at the OSCC, HUSM with a total of 72.7%; followed by 27.3% of incest; 26.4% of child sexual abuse; 4.8% of sodomy and lastly 1.6% of gerontophilia cases. Only 70% of the specimens obtained from sexual offences victims were sent for laboratory analysis. The result remained negative in 82.4% specimens and thus the laboratory analysis result is merely functioning as a supportive evidence for sexual offence cases attended at OSCC. The studies showed that most of the sexual assault perpetrators were known to the victims. The place of crime was also known to the perpetrators. Health sectors of various levels should be working in conjunction to promote a societal changes to improve more of the women's right and thus to reduce the violence crime.

  3. The dentist's responsibilities with respect to a nofault motor accident compensation scheme.

    PubMed

    Craig, Pamela J G; Clement, John G

    2012-11-30

    The State of Victoria, Australia operates a no-fault accident compensation scheme for the treatment and rehabilitation of those injured on the roads. The administration of the scheme by the Transport Accident Commission includes an in-house clinical panel of clinicians in many disciplines including dentistry who liaise with treating practitioners with the aim of optimizing the outcome for the injured claimants.

  4. Tertiary Evaluation of the Committed Effective Dose of Emergency Workers That Responded to the Fukushima Daiichi NPP Accident.

    PubMed

    Yasui, Shojiro

    2017-02-06

    In January 2014, Tokyo Electric Power Company (TEPCO) learned that the committed effective dose (CED) for nine emergency workers at the Fukushima Daiichi Nuclear Power Plant accident had been assessed by a method other than the standard assessment methods, established by the Ministry of Health, Labour and Welfare (MHLW) in a secondary evaluation conducted in July 2013. The MHLW requested that the TEPCO and primary contractors review all CED data for 6,245 workers who engaged in emergency work in March and April 2011 except those previously reviewed in the 2013 secondary evaluation. This tertiary evaluation revealed that the recorded CED for 1,536 workers had more than 0.1 mSv discrepancy with the CED evaluated previously. The MHLW requested that TEPCO and primary contractors revise CED data for 142 workers whose CED was 2 mSv or greater that required a CED revision of 1 mSv or greater. The average CED revision was 5.86 mSv. The revised effective dose ranged from 2.17 mSv to 180.10 mSv. In addition, the number of workers whose CED exceeded 100 mSv increased by one. New issues addressed during the tertiary evaluation included the following: a) setting of calibration coefficients to convert the CED value from whole body counters equipped with NaI scintillator (WBC(NaI)) to a CED value from WBCs with Ge semiconductor detector (WBC (Ge); b) estimation methods for the cases where (131)I was not detectable by WBC (NaI) and where (137)Cs was not detectable but (134)Cs was detected; c) effects of stable iodine (KI) tablets to block the uptake of (131)I by thyroid gland; and d) complications in determining additional doses during stand-by in the seismically isolated building. To prevent the future use of non-uniform CED assessment methods in the dose assessment for workers, the MHLW issued administrative guidance documents to TEPCO and primary contractors on March 25, 2014.

  5. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

    PubMed Central

    2011-01-01

    Background Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS) documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs). Methods Records from police, Emergency Medical Communication Centers (EMCC), ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS), respiratory rate (RR), and systolic blood pressure (SBP) was classified as exact values, RTS categories, clinical descriptions enabling post-hoc inference of RTS categories, or missing. The distribution of values of exact versus inferred RTS categories were compared (Chi-square test for trend). Results 25% of ground and 11% of air ambulance records were unretrieveable. Patient name, birth date, and transport destination was documented in >96% of ambulance records and 81% of EMCC reports. Only 54% of patient encounter times were transmitted to the EMCC, but 77% were documented in ground and 96% in air ambulance records. Ground ambulance records documented exact values of GCS in 48% and SBP in 53% of cases, exact RR in 10%, and RR RTS categories in 54%. Clinical descriptions made post-hoc inference of RTS categories possible in another 49% of cases for GCS, 26% for RR, and 20% for SBP. Air ambulance records documented exact values of GCS in 89% and SBP in 84% of cases, exact RR in 7% and RR RTS categories in 80%. Overall, for lower RTS categories of GCS, RR and SBP the proportion of actual documented values to inferred values increased (All: p < 0.001). Also, documentation of repeated assessment was more frequent for low RTS categories of GCS, RR, and SBP (All: p < 0.001). Mechanism of injury was documented in 80% of cases by ground and 92% of cases by air ambulance. Conclusion EMS documentation of logistic and mechanistic variables was adequate. Patient physiology was frequently documented only as descriptive text. Our

  6. Source term estimation during incident response to severe nuclear power plant accidents

    SciTech Connect

    McKenna, T.J.; Glitter, J.G.

    1988-10-01

    This document presents a method of source term estimation that reflects the current understanding of source term behavior and that can be used during an event. The various methods of estimating radionuclide release to the environment (source terms) as a result of an accident at a nuclear power reactor are discussed. The major factors affecting potential radionuclide releases off site (source terms) as a result of nuclear power plant accidents are described. The quantification of these factors based on plant instrumentation also is discussed. A range of accident conditions from those within the design basis to the most severe accidents possible are included in the text. A method of gross estimation of accident source terms and their consequences off site is presented. 39 refs., 48 figs., 19 tabs.

  7. Updating Dosimetry for Emergency Response Dose Projections.

    PubMed

    DeCair, Sara

    2016-02-01

    In 2013, the U.S. Environmental Protection Agency (EPA) proposed an update to the 1992 Protective Action Guides (PAG) Manual. The PAG Manual provides guidance to state and local officials planning for radiological emergencies. EPA requested public comment on the proposed revisions, while making them available for interim use by officials faced with an emergency situation. Developed with interagency partners, EPA's proposal incorporates newer dosimetric methods, identifies tools and guidelines developed since the current document was issued, and extends the scope of the PAGs to all significant radiological incidents, including radiological dispersal devices or improvised nuclear devices. In order to best serve the emergency management community, scientific policy direction had to be set on how to use International Commission on Radiological Protection Publication 60 age groups in dose assessment when implementing emergency guidelines. Certain guidelines that lend themselves to different PAGs for different subpopulations are the PAGs for potassium iodide (KI), food, and water. These guidelines provide age-specific recommendations because of the radiosensitivity of the thyroid and young children with respect to ingestion and inhalation doses in particular. Taking protective actions like using KI, avoiding certain foods or using alternative sources of drinking water can be relatively simple to implement by the parents of young children. Clear public messages can convey which age groups should take which action, unlike how an evacuation or relocation order should apply to entire households or neighborhoods. New in the PAG Manual is planning guidance for the late phase of an incident, after the situation is stabilized and efforts turn toward recovery. Because the late phase can take years to complete, decision makers are faced with managing public exposures in areas not fully remediated. The proposal includes quick-reference operational guidelines to inform re-entry to

  8. Site-specific emergency response concept plans for the Chemical Stockpile Disposal Program

    SciTech Connect

    Carnes, S.A.

    1989-12-01

    Site-specific emergency response concept plans were developed to help initiate enhanced emergency preparedness for continued storage of the stockpile and the Chemical Stockpile Disposal Program (CSDP) at the eight army installations storing the unitary chemical stockpile -- Aberdeen Proving Ground, Anniston Army Depot, Lexington-Blue Grass Army Depot, Newport Army Ammunition Plant, Pine Bluff Arsenal, Pueblo Depot Activity, Tooele Army Depot, and Umatilla Depot Activity. This document summarizes the emergency response plans for all the sites and highlights similarities and differences among them. Section 2 summarizes site-specific differences in stockpile hazard and risk by showing differences in planning-basis accident categories and distributions of topographical features, meteorological conditions, and populations at risk. Section 3 presents a summary of the methodology used to identify the emergency planning zones for each site and the actual recommended boundaries of those zones for the eight sites. Section 4 identifies feasible and recommended protective actions for the sites and explains reasons for differences in them. Finally, Section 5 notes the dependence of protective action effectiveness on the development and implementation of command and control and warning systems that can be implemented in a timely manner, it also identifies the differences in recommended lead times (i.e., from the onset of an accidental release) needed at the sites for effective implementation of protective actions. 17 refs., 11 figs. , 12 tabs.

  9. Technical basis for nuclear accident dosimetry at the Oak Ridge National Laboratory

    SciTech Connect

    Kerr, G.D.; Mei, G.T.

    1993-08-01

    The Oak Ridge National Laboratory (ORNL) Environmental, Safety, and Health Emergency Response Organization has the responsibility of providing analyses of personnel exposures to neutrons and gamma rays from a nuclear accident. This report presents the technical and philosophical basis for the dose assessment aspects of the nuclear accident dosimetry (NAD) system at ORNL. The issues addressed are regulatory guidelines, ORNL NAD system components and performance, and the interpretation of dosimetric information that would be gathered following a nuclear accident.

  10. Los Alamos National Laboratory emergency management plan. Revision 1

    SciTech Connect

    Ramsey, G.F.

    1998-07-15

    The Laboratory has developed this Emergency Management Plan (EMP) to assist in emergency planning, preparedness, and response to anticipated and actual emergencies. The Plan establishes guidance for ensuring safe Laboratory operation, protection of the environment, and safeguarding Department of Energy (DOE) property. Detailed information and specific instructions required by emergency response personnel to implement the EMP are contained in the Emergency Management Plan Implementing Procedure (EMPIP) document, which consists of individual EMPIPs. The EMP and EMPIPs may be used to assist in resolving emergencies including but not limited to fires, high-energy accidents, hazardous material releases (radioactive and nonradioactive), security incidents, transportation accidents, electrical accidents, and natural disasters.

  11. Emergency Response Capability Baseline Needs Assessment - Requirements Document

    SciTech Connect

    Sharry, John A.

    2016-10-04

    This document was prepared by John A. Sharry, LLNL Fire Marshal and LLNL Division Leader for Fire Protection and reviewed by LLNL Emergency Management Department Head James Colson. The document follows and expands upon the format and contents of the DOE Model Fire Protection Baseline Capabilities Assessment document contained on the DOE Fire Protection Web Site, but only addresses emergency response.

  12. Current Trends in Gamma Ray Detection for Radiological Emergency Response

    SciTech Connect

    Mukhopadhyay, S., Guss, P., Maurer, R.

    2011-08-18

    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies.

  13. Chemical and Biological Terrorism: Improvements to Emergency Medical Response.

    ERIC Educational Resources Information Center

    DeGraffenreid, Jeff Gordon

    The challenge facing many emergency medical services (EMS) is the implementation of a comprehensive educational strategy to address emergency responses to terrorism. One such service, Johnson County (Kansas) Medical Action, needed a strategy that would keep paramedics safe and offer the community an effective approach to mitigation. A…

  14. Development and application of a water pollution emergency response system for the Three Gorges Reservoir in the Yangtze River, China.

    PubMed

    He, Qiang; Peng, Shujuan; Zhai, Jun; Xiao, Haiwen

    2011-01-01

    There are many watercraft and production accidents in the Three Gorges Reservoir Area (TGRA) of the Yangtze River in China every year. Accidents threaten the water quality of the 1085 km2 surface area of the TGRA and millions of local people if oil and chemical leakage were to occur. A water pollution management system for emergency response (WPMS_ER) was therefore designed for the management of pollution in this area. An integrated geographic information system (GIS)-based water pollution management information system for the TGRA, called WPMS_ER_TGRA, was developed in this study. ArcGIS engine was used as the system development platform, and Visual Basic as the programming language. The models for hydraulic and water quality simulation and the generation of body-fitted coordinates were developed and programmed as a dynamically linked library file using Visual Basic, and they can be launched by other computer programs. Subsequently, the GIS-based information system was applied to the emergency water pollution management of a shipwreck releasing 10 tons of phenol into the Yangtze River during two hours. The results showed that WPMS_ER_TGRA can assist with emergency water pollution management and simulate the transfer and diffusion of accidental pollutants in the river. Furthermore, it can quickly identify the affected area and how it will change over time within a few minutes of an accident occurring.

  15. [Accidents and injuries at work].

    PubMed

    Standke, W

    2014-06-01

    In the case of an accident at work, the person concerned is insured by law according to the guidelines of the Sozialgesetzbuch VII as far as the injuries have been caused by this accident. The most important source of information on the incident in question is the accident report that has to be sent to the responsible institution for statutory accident insurance and prevention by the employer, if the accident of the injured person is fatal or leads to an incapacity to work for more than 3 days (= reportable accident). Data concerning accidents like these are sent to the Deutsche Gesetzliche Unfallversicherung (DGUV) as part of a random sample survey by the institutions for statutory accident insurance and prevention and are analyzed statistically. Thus the key issues of accidents can be established and used for effective prevention. Although the success of effective accident prevention is undisputed, there were still 919,025 occupational accidents in 2011, with clear gender-related differences. Most occupational accidents involve the upper and lower extremities. Accidents are analyzed comprehensively and the results are published and made available to all interested parties in an effort to improve public awareness of possible accidents. Apart from reportable accidents, data on the new occupational accident pensions are also gathered and analyzed statistically. Thus, additional information is gained on accidents with extremely serious consequences and partly permanent injuries for the accident victims.

  16. BWRSAR (Boiling Water Reactor Severe Accident Response) calculations of reactor vessel debris pours for Peach Bottom short-term station blackout

    SciTech Connect

    Hodge, S.A.; Ott, L.J.

    1988-01-01

    This paper describes recent analyses performed by the BWR Severe Accident Technology (BWRSAT) Program at Oak Ridge National Laboratory to estimate the release of debris from the reactor vessel for the unmitigated short-term station blackout accident sequence. Calculations were performed with the BWR Severe Accident Response (BWRSAR) code and are based upon consideration of the Peach Bottom Atomic Power Station. The modeling strategies employed within BWRSAR for debris relocation within the reactor vessel are briefly discussed and the calculated events of the accident sequence, including details of the calculated debris pours, are presented. 4 refs., 13 figs., 3 tabs.

  17. General RMP Guidance - Chapter 8: Emergency Response Program

    EPA Pesticide Factsheets

    If you have a Program 2 or 3 process at your facility, 40 CFR Part 68 (risk management program) requires an emergency response program in place if employees respond to some releases involving regulated toxic or flammable substances.

  18. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  19. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  20. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  1. EMERGENCY RESPONSE FOR PUBLIC WATER SUPPLIES AFTER HURRICANE KATRINA

    EPA Science Inventory

    Hurricane Katrina resulted in damage and destruction to local water supplies in Mississippi and Louisiana affecting millions of people. Immediately following the devastation, a multidisciplinary team of 30 EPA emergency response, research, and water program personnel joined force...

  2. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel shall... the vessel's activities in Antarctica. Any emergency response plan which satisfies the...

  3. Radiological accident and incident in Thailand: lesson to be learned.

    PubMed

    Ya-anant, Nanthavan; Tiyapun, Kanokrat; Saiyut, Kittiphong

    2011-07-01

    Radioactive materials in Thailand have been used in medicine, research and industry for more than 50 y. Several radiological accident and incidents happened in the past 10 y. A serious one was the radiological accident that occurred in Samut Prakan, Thailand in 2000. The serious radiological accident occurred when the (60)Co head was partially dismantled, taken from that storage to sell as scrap metal. Three victims died and 10 people received high dose from the source. The lesson learned from the radiological accident in Samut Prakan was to improve in many subjects, such as efficiency in Ministerial Regulations and Atomic Energy Act, emergency response and etc. In addition to the serious accident, there are also some small incidents that occurred, such as detection of contaminated scrap metals from the re-cycling of scrap metals from steel factories. Therefore, the radiation protection infrastructure was established after the accident. Laws and regulations of radiation safety and the relevant regulatory procedures must be revised.

  4. 78 FR 68774 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-15

    .... Background As a result of the events at the Fukushima Dai-ichi Nuclear Power Plant in 2011, the NRC's Near... Enhancing Reactor Safety in the 21st Century: The Near-Term Task Force Review of Insights from the Fukushima...-0137, ``Prioritization of Recommended Actions to be Taken in Response to Fukushima Lessons...

  5. Minicomputer Capabilities Related to Meteorological Aspects of Emergency Response

    SciTech Connect

    Rarnsdell, J. V.; Athey, G. F.; Ballinger, M. Y.

    1982-02-01

    The purpose of this report is to provide the NRC staff involved in reviewing licensee emergency response plans with background information on the capabilities of minicomputer systems that are related to the collection and dissemination of meteorological infonmation. The treatment of meteorological information by organizations with existing emergency response capabilities is described, and the capabilities, reliability and availability of minicomputers and minicomputer systems are discussed.

  6. An emergency response UAV Surveillance System.

    PubMed

    Rodriguez, Pedro A; Geckle, William J; Barton, Jeffrey D; Samsundar, John; Gao, Tia; Brown, Myron Z; Martin, Sean R

    2006-01-01

    A system using Unmanned Air Vehicles (UAVs), equipped for real time telemetry of video imagery, sensor support data, and GPS/INS navigation, is being developed to provide situational awareness (SA) to the central command of mass casualty incident response. UAVs provide an inexpensive and safe means of acquiring video surveillance in chaotic disaster scenes, while being durable and non-intrusive. The system provides autonomous surveillance of defined perimeters, video tracking and active following of targets of interest, and real time cueing to other imaging UAVs.

  7. Space Shuttle Hot Cabin Emergency Responses

    NASA Technical Reports Server (NTRS)

    Stepaniak, P.; Effenhauser, R. K.; McCluskey, R.; Gillis, D. B.; Hamilton, D.; Kuznetz, L. H.

    2005-01-01

    Methods: Human thermal tolerance, countermeasures, and thermal model data were reviewed and compared to existing shuttle ECS failure temperature and humidity profiles for each failure mode. Increases in core temperature associated with cognitive impairment was identified, as was metabolic heat generation of crewmembers, temperature monitoring, and communication capabilities after partial power-down and other limiting factors. Orbiter landing strategies and a hydration and salt replacement protocol were developed to put wheels on deck in each failure mode prior to development of significant cognitive impairment or collapse of crewmembers. Thermal tradeoffs for use of the Advanced Crew Escape Suit (ACES), Liquid Cooling Garment, integrated G-suit and Quick Don Mask were examined. candidate solutions involved trade-offs or conflicts with cabin oxygen partial pressure limits, system power-downs to limit heat generation, risks of alternate and emergency landing sites or compromise of Mode V-VIII scenarios. Results: Rehydration and minimized cabin workloads are required in all failure modes. Temperature/humidity profiles increase rapidly in two failure modes, and deorbit is recommended without the ACES, ICU and g-suit. This latter configuration limits several shuttle approach and landing escape modes and requires communication modifications. Additional data requirements were identified and engineering simulations were recommended to develop more current shuttle temperature and humidity profiles. Discussion: After failure of the shuttle ECS, there is insufficient cooling capacity of the ACES to protect crewmembers from rising cabin temperature and humidity. The LCG is inadequate for cabin temperatures above 76 F. Current shuttle future life policy makes it unlikely that major engineering upgrades necessary to address this problem will occur.

  8. Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains

    PubMed Central

    Bridgman, S; Clement, D; Downing, A; Walley, G; Phair, I; Maffulli, N

    2003-01-01

    Objectives: To estimate the incidence of ankle sprains and severe ankle sprains attending accident and emergency (A&E) units; to describe current practice for severe ankle sprains in A&E units in the United Kingdom. Methods: Crude age and sex specific incidence rates were calculated for four health districts from cases ascertained from data on seven A&E clinical information systems. Case records of patients with ankle sprains at an A&E unit in another health district were audited and the proportion of severe ankle sprains calculated. UK A&E units were surveyed about their usual treatment of patients with severe ankle sprains. Results: The estimate of the crude incidence rate of ankle sprains was a minimum of 52.7 per 10 000, rising to 60.9 (95% CI 59.4 to 62.4) when figures were adjusted for the proportion of patients without a diagnostic code (13.7%). There were important age-sex differences with unadjusted rates observed from 127.8 per 10 000 (CI 115.5 to 140.0) in girls aged 10–14 years to 8.2 (CI 4.2 to 12.3) in men aged 70–74 years. As 14% of ankle sprains attending A&E were classed as severe, this would equate to 42 000 severe ankle sprains per year in the UK. In the UK wide survey, there was a response rate of 79% (211 of 266). Among the responders, Tubigrip was used routinely in 55%, below knee casts in 3%, and braces in 2%. Boots were not used routinely in any unit. Conclusion: While there is considerable variation in severe ankle sprain management in UK A&E units, most are treated with the minimal mechanical support of Tubigrip. PMID:14623833

  9. Enabling Communication in Emergency Response Environments

    PubMed Central

    Aldunate, Roberto G.; Schmidt, Klaus Nicholas; Herrera, Oriel

    2012-01-01

    Effective communication among first responders during response to natural and human-made large-scale catastrophes has increased tremendously during the last decade. However, most efforts to achieve a higher degree of effectiveness in communication lack synergy between the environment and the technology involved to support first responders operations. This article presents a natural and intuitive interface to support Stigmergy; or communication through the environment, based on intuitively marking and retrieving information from the environment with a pointer. A prototype of the system was built and tested in the field, however the pointing activity revealed challenges regarding accuracy due to limitations of the sensors used. The results obtained from these field tests were the basis for this research effort and will have the potential to enable communication through the environment for first responders operating in highly dynamical and inhospitable disaster relief environments. PMID:22778647

  10. Do emergency medical system response times matter for health outcomes?

    PubMed

    Wilde, Elizabeth Ty

    2013-07-01

    The introduction of technology aimed at reducing the response times of emergency medical services has been one of the principal innovations in crisis care over the last several decades. These substantial investments have typically been justified by an assumed link between shorter response times and improved health outcomes. However, current medical research does not generally show a relationship between response time and mortality. In this study, we explain the discrepancy between conventional wisdom and mortality; existing medical research fails to account for the endogeneity of incident severity and response times. Analyzing detailed call-level information from the state of Utah's Bureau of Emergency Medical Services, we measure the impact of response time on mortality and hospital utilization using the distance of the incident from the nearest EMS agency headquarters as an instrument for response time. We find that response times significantly affect mortality and the likelihood of being admitted to the hospital, but not procedures or utilization within the hospital.

  11. Using the source range monitor response to determine fuel relocation during the TMI-2 (Three Mile Island Unit 2) accident

    SciTech Connect

    Baratta, A.J.; Wu, H.Y.; Hsia, M.Y.; Bandini, B.R.; Tolman, E.L.

    1987-01-01

    A number of researchers have analyzed the Three Mile Island Unit 2 (TMI-2) source range monitor (SRM) response during the TMI-2 accident. In each of these analyses, an intact core was assumed. Video and sonar inspections that took place during the defueling effort have shown that the core was extensively damaged. In this paper the authors report on an analysis of the TMI-2 SRM in which the times of fuel relocation were determined.

  12. Can we remove iodine-131 from tap water in Japan by boiling? - Experimental testing in response to the Fukushima Daiichi Nuclear Power Plant accident.

    PubMed

    Tagami, K; Uchida, S

    2011-08-01

    Iodine-131 concentrations in tap water higher than 100 BqL(-1) were reported by several local governments in Japan following the Fukushima Daiichi Nuclear Power Plant accident. Some individuals in the emergency-response community recommended the boiling of tap water to remove iodine-131. However, the tap water boiling tests in this study showed no iodine-131 loss from the tap water with either short-term boiling (1-10 min) or prolonged boiling (up to 30 min) resulting in up to 3-fold volume reductions. In this situation, boiling was shown to be not effective in removing iodine-131 from tap water; indeed even higher concentrations may result from the liquid-volume reduction accompanying this process.

  13. Evaluation of Neutron Response of Criticality Accident Alarm System Detector to Quasi-Monoenergetic 24 keV Neutrons

    NASA Astrophysics Data System (ADS)

    Tsujimura, Norio; Yoshida, Tadayoshi; Yashima, Hiroshi

    The criticality accident alarm system (CAAS), which was recently developed and installed at the Japan Atomic Energy Agency's Tokai Reprocessing Plant, consists of a plastic scintillator combined with a cadmium-lined polyethylene moderator and thereby responds to both neutrons and gamma rays. To evaluate the neutron absorbed dose rate response of the CAAS detector, a 24 keV quasi-monoenergetic neutron irradiation experiment was performed at the B-1 facility of the Kyoto University Research Reactor. The detector's evaluated neutron response was confirmed to agree reasonably well with prior computer-predicted responses.

  14. Soil sampling and analytical strategies for mapping fallout in nuclear emergencies based on the Fukushima Dai-ichi Nuclear Power Plant accident.

    PubMed

    Onda, Yuichi; Kato, Hiroaki; Hoshi, Masaharu; Takahashi, Yoshio; Nguyen, Minh-Long

    2015-01-01

    The Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident resulted in extensive radioactive contamination of the environment via deposited radionuclides such as radiocesium and (131)I. Evaluating the extent and level of environmental contamination is critical to protecting citizens in affected areas and to planning decontamination efforts. However, a standardized soil sampling protocol is needed in such emergencies to facilitate the collection of large, tractable samples for measuring gamma-emitting radionuclides. In this study, we developed an emergency soil sampling protocol based on preliminary sampling from the FDNPP accident-affected area. We also present the results of a preliminary experiment aimed to evaluate the influence of various procedures (e.g., mixing, number of samples) on measured radioactivity. Results show that sample mixing strongly affects measured radioactivity in soil samples. Furthermore, for homogenization, shaking the plastic sample container at least 150 times or disaggregating soil by hand-rolling in a disposable plastic bag is required. Finally, we determined that five soil samples within a 3 m × 3-m area are the minimum number required for reducing measurement uncertainty in the emergency soil sampling protocol proposed here.

  15. Senior house officers' work related stressors, psychological distress, and confidence in performing clinical tasks in accident and emergency: a questionnaire study.

    PubMed Central

    Williams, S.; Dale, J.; Glucksman, E.; Wellesley, A.

    1997-01-01

    OBJECTIVE: To investigate the relation between accident and emergency senior house officers' psychological distress and confidence in performing clinical tasks and to describe work related stressors. DESIGN: Questionnaire survey with data collected at four points during senior house officers' six month attachment to accident and emergency departments. SUBJECTS: 171 newly appointed accident and emergency senior house officers from 27 hospitals in the South Thames region. MAIN OUTCOME MEASURES: Psychological distress measured with a 25 item questionnaire; confidence in performing a range of 35 clinical and practical activities (visual analogue scales); reported consultation stress factors, other work related stressors, and personal stressors. RESULTS: Overall confidence scores in carrying out a range of clinical and practical activities increased significantly between the end of the first and the end of the fourth month (Z = -6.05, P < 0.001). Senior house officers with higher psychological distress scores at the end of their first and fourth month had significantly lower confidence scores (Z = -3.20, P < 0.001; Z = -1.90, P < 0.05). Senior house officers with lower increases in confidence between the first and fourth month had significantly higher distress than those with greater increases (Z = -2.62, P < 0.001). Factors identified as causing stress during consultations included difficulties with communication, certain clinical presentations, and department organisational factors (particularly the intensity of workload). CONCLUSIONS: Psychological distress is linked to confidence in senior house officers. This supports the need to monitor and build confidence in senior house officers and to address work related stressors. Additional communication skills training needs to be considered. PMID:9116547

  16. Cost effectiveness of treating primary care patients in accident and emergency: a comparison between general practitioners, senior house officers, and registrars.

    PubMed Central

    Dale, J.; Lang, H.; Roberts, J. A.; Green, J.; Glucksman, E.

    1996-01-01

    OBJECTIVES--To compare outcome and costs of general practitioners, senior house officers, and registrars treating patients who attended accident and emergency department with problems assessed at triage as being of primary care type. DESIGN--Prospective intervention study which was later costed. SETTING--Inner city accident and emergency department in south east London. SUBJECTS--4641 patients presenting with primary care problems: 1702 were seen by general practitioners, 2382 by senior house officers, and 557 by registrars. MAIN OUTCOME MEASURES--Satisfaction and outcome assessed in subsample of 565 patients 7-10 days after hospital attendance and aggregate costs of hospital care provided. RESULTS--Most patients expressed high levels of satisfaction with clinical assessment (430/562 (77%)), treatment (418/557 (75%)), and consulting doctor's manner (434/492 (88%)). Patients' reported outcome and use of general practice in 7-10 days after attendance were similar: 206/241 (85%), 224/263 (85%), and 52/59 (88%) of those seen by general practitioners, senior house officers, and registrars respectively were fully recovered or improving (chi2 = 0.35, P = 0.840), while 48/240 (20%), 48/268 (18%), and 12/57 (21%) respectively consulted a general practitioner or practice nurse (chi2 = 0.51, P = 0.774). Excluding costs of admissions, the average costs per case were 19.30 pounds, 17.97 pounds, and 11.70 pounds for senior house officers, registrars, and general practitioners respectively. With cost of admissions included, these costs were 58.25 pounds, 44.68 pounds, and 32.30 pounds respectively. CONCLUSION--Management of patients with primary care needs in accident and emergency department by general practitioners reduced costs with no apparent detrimental effect on outcome. These results support new role for general practitioners. PMID:8646050

  17. Use of geographic data in emergency response decision making system

    SciTech Connect

    Walker, H.

    1997-07-01

    Geographic data have a number of key roles in emergency response systems focused on releases of hazardous material to the environment. Maps are a key element in allowing emergency response personnel to become oriented during a response and in presenting status information effectively to these personnel. Geographic data are essential for modeling to predict dispersal patterns during a release. It is also necessary to integrate model and measurement data with demographic information in order to assess the consequences of a release. Appropriate support for such capabilities is based on a number of evolving technologies including fast computers, large databases, network technology, remote sensing and geographic information systems.

  18. Northern Territory Emergency Response: criticism, support and redesign.

    PubMed

    Evans, Brendon W

    2012-06-01

    The recent Federal Government Report and Media release, Stronger Futures in the Northern Territory: Report on Consultations and its claim of 'widespread Indigenous Support' has brought the topic of the Northern Territory Emergency Response (the Intervention) back into the public mind. This article provides a synthesis of four years of debate around the Northern Territory Emergency Response, at a time when the program is nearing the end of its time frame. It outlines the main arguments supporting the Intervention, the central criticisms and the government's response to these evaluations, with the aim of providing a primer or summary for health professionals to the discussion around this important public issue.

  19. Comparison of perceived and modelled geographical access to accident and emergency departments: a cross-sectional analysis from the Caerphilly Health and Social Needs Study

    PubMed Central

    Fone, David L; Christie, Stephen; Lester, Nathan

    2006-01-01

    Background Assessment of the spatial accessibility of hospital accident and emergency departments as perceived by local residents has not previously been investigated. Perceived accessibility may affect where, when, and whether potential patients attend for treatment. Using data on 11,853 respondents to a population survey in Caerphilly county borough, Wales, UK, we present an analysis comparing the accessibility of accident and emergency departments as reported by local residents and drive-time to the nearest accident and emergency department modelled using a geographical information system (GIS). Results Median drive-times were significantly shorter in the lowest perceived access category and longer in the best perceived access category (p < 0.001). The perceived access and GIS modelled drive-time variables were positively correlated (Spearman's rank correlation coefficient, r = 0.38, p < 0.01). The strongest correlation was found for respondents living in areas in which nearly all households had a car or van (r = 0.47, p < 0.01). Correlations were stronger among respondents reporting good access to public transport and among those reporting a recent accident and emergency attendance for injury treatment compared to other respondents. Correlation coefficients did not vary substantially by levels of household income. Drive-time, road distance and straight-line distance were highly inter-correlated and substituting road distance or straight-line distance as the GIS modelled spatial accessibility measure only marginally decreased the magnitude of the correlations between perceived and GIS modelled access. Conclusion This study provides evidence that the accessibility of hospital-based health care services as perceived by local residents is related to measures of spatial accessibility modelled using GIS. For studies that aim to model geographical separation in a way that correlates well with the perception of local residents, there may be minimal advantage in using

  20. Out-of-hospital cardiac arrest: two and a half years experience of an accident and emergency department in Hong Kong.

    PubMed Central

    Wong, T W; Yeung, K C

    1995-01-01

    The results are presented of 2 1/2 years of experience of patients with out-of-hospital cardiac arrests who were resuscitated in an accident and emergency department (A&E) attached to an acute district hospital in Hong Kong. Out of 263 cases of out-of-hospital cardiac arrest as a result of a variety of causes only seven patients survived (3%) and among the 135 patients with cardiac aetiology only four survived (3%). Ways to improve the outcome for out-of-hospital cardiac arrest are discussed. PMID:7640827

  1. Modeling operators' emergency response time for chemical processing operations.

    PubMed

    Murray, Susan L; Harputlu, Emrah; Mentzer, Ray A; Mannan, M Sam

    2014-01-01

    Operators have a crucial role during emergencies at a variety of facilities such as chemical processing plants. When an abnormality occurs in the production process, the operator often has limited time to either take corrective actions or evacuate before the situation becomes deadly. It is crucial that system designers and safety professionals can estimate the time required for a response before procedures and facilities are designed and operations are initiated. There are existing industrial engineering techniques to establish time standards for tasks performed at a normal working pace. However, it is reasonable to expect the time required to take action in emergency situations will be different than working at a normal production pace. It is possible that in an emergency, operators will act faster compared to a normal pace. It would be useful for system designers to be able to establish a time range for operators' response times for emergency situations. This article develops a modeling approach to estimate the time standard range for operators taking corrective actions or following evacuation procedures in emergency situations. This will aid engineers and managers in establishing time requirements for operators in emergency situations. The methodology used for this study combines a well-established industrial engineering technique for determining time requirements (predetermined time standard system) and adjustment coefficients for emergency situations developed by the authors. Numerous videos of workers performing well-established tasks at a maximum pace were studied. As an example, one of the tasks analyzed was pit crew workers changing tires as quickly as they could during a race. The operations in these videos were decomposed into basic, fundamental motions (such as walking, reaching for a tool, and bending over) by studying the videos frame by frame. A comparison analysis was then performed between the emergency pace and the normal working pace operations

  2. Collective responsibility for freeway rear-ending accidents? An application of probabilistic casual models.

    PubMed

    Davis, Gary A; Swenson, Tait

    2006-07-01

    Determining whether or not an event was a cause of a road accident often involves determining the truth of a counterfactual conditional, where what happened is compared to what would have happened had the supposed cause been absent. Using structural causal models, Pearl and his associates have recently developed a rigorous method for posing and answering causal questions, and this approach is especially well suited to the reconstruction and analysis of road accidents. Here, we applied these methods to three freeway rear-end collisions. Starting with video recordings of the accidents, trajectory information for a platoon of vehicles involved in and preceding the collision was extracted from the video record, and this information was used to estimate each driver's initial speed, following distance, reaction time, and braking rate. Using Brill's model of rear-end accidents, it was then possible to simulate what would have happened, other things being equal, had certain driver actions been other than they were. In each of the three accidents we found evidence that: (1) short following headways by the colliding drivers were probable causal factors for the collisions, (2) for each collision, at least one driver ahead of the colliding vehicles probably had a reaction time that was longer than his or her following headway, and (3) had that driver's reaction time been equal to his or her following headway, the rear-end collision probably would not have happened.

  3. Air quality modeling for emergency response applications. [MATHEW; ADPIC; FEM3

    SciTech Connect

    Gudiksen, P.H.; Chan, S.T.; Knox, J.B.; Dickerson, M.H.; Lange, R.

    1985-12-01

    The three-dimensional diagnostic wind field model (MATHEW) and the particle-in-cell transport and diffusion model (ADPIC) are used by the Atmospheric Release Advisory Capability (ARAC) for real-time assessments of the consequences from accidental releases of radioactivity into the atmosphere. For the dispersion of hazardous heavier-than-air gases, a time-dependent, three-dimensional finite element model (FEM3) is used. These models have been evaluated extensively against a wide spectrum of field experiments involving the release of chemically inert tracers or heavier-than-air gases. The results reveal that the MATHEW/ADPIC models are capable of simulating the spatial and temporal distributions of tracer concentration to within a factor of 2 for 50% of the measured tracer concentrations for near surface releases in relatively flat terrain and within a factor of 2 for 20% of the comparisons for elevated releases in complex terrain. The FEM3 model produces quite satisfactory simulations of the spatial and temporal distributions of heavier-than-air gases, typically within a kilometer of the release point. The ARAC consists of a centralized computerized emergency response system that is capable of supporting up to 100 sites and providing real-time predictions of the consequence of transportation accidents that may occur anywhere. It utilizes pertinent accident information, local and regional meteorology, and terrain as input to the MATHEW/ADPIC models for the consequence analysis. It has responded to over 150 incidents and exercises over the past decade.

  4. Review on emergency medical response against terrorist attack.

    PubMed

    Wang, De-Wen; Liu, Yao; Jiang, Ming-Min

    2014-01-01

    Terrorism is a global issue and a constant international threat. As a result, anti-terrorism and emergency response strategies are tasks of critical importance that have a direct impact on the national security of every country in the world. This paper reviews new characteristics of international anti-terrorism measures and offers an in-depth reflection on emergency medical response countermeasures; additionally, this paper presents the goals of related research, which include: 1) to present a model of a highly efficient medical response command; 2) to introduce the pre-planning phases of the emergency medical response; 3) to establish a response system capable of handling various types of terror attacks; 4) to promote anti-terrorism awareness to the general public and emphasize its prevention; and 5) to continue basic investigations into emergency medical responses for various types of terrorist attacks (for example, the classifications and characteristics of new injuries, pathophysiology, prevention and treatment of the resultant stress disorders, improved high-efficiency medical response measures and equipment, etc.).

  5. SRNL EMERGENCY RESPONSE CAPABILITY FOR ATMOSPHERIC CONTAMINANT RELEASES

    SciTech Connect

    Koffman, L; Chuck Hunter, C; Robert Buckley, R; Robert Addis, R

    2006-07-12

    Emergency response to an atmospheric release of chemical or radiological contamination is enhanced when plume predictions, field measurements, and real-time weather information are integrated into a geospatial framework. The Weather Information and Display (WIND) System at Savannah River National Laboratory (SRNL) utilizes such an integrated framework. The rapid availability of predictions from a suite of atmospheric transport models within this geospatial framework has proven to be of great value to decision makers during an emergency involving an atmospheric contaminant release.

  6. Emergency Response Capability Baseline Needs Assessment Compliance Assessment

    SciTech Connect

    Sharry, John A.

    2013-09-16

    This document is the second of a two-part analysis of Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2013 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2009 BNA, the 2012 BNA document, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures.

  7. USGS Emergency Response and the Hazards Data Distribution System (HDDS)

    NASA Astrophysics Data System (ADS)

    Jones, B. K.; Lamb, R.

    2013-12-01

    Remotely sensed datasets such as satellite imagery and aerial photography can be an invaluable resource to support the response and recovery from many types of emergency events such as floods, earthquakes, landslides, wildfires, and other natural or human-induced disasters. When disaster strikes there is often an urgent need and high demand for rapid acquisition and coordinated distribution of pre- and post-event geospatial products and remotely sensed imagery. These products and images are necessary to record change, analyze impacts, and facilitate response to the rapidly changing conditions on the ground. The coordinated and timely provision of relevant imagery and other datasets is one important component of the USGS support for domestic and international emergency response activities. The USGS Hazards Data Distribution System (HDDS) serves as a single, consolidated point-of-access for relevant satellite and aerial image datasets during an emergency event response. The HDDS provides data visibility and immediate download services through a complementary pair of graphical map-based and traditional directory-based interfaces. This system allows emergency response personnel to rapidly select and obtain pre-event ('baseline') and post-event emergency response imagery from many different sources. These datasets will typically include images that are acquired directly by USGS, but may also include many other types of images that are collected and contributed by partner agencies and organizations during the course of an emergency event response. Over the past decade, USGS Emergency Response and HDDS have supported hundreds of domestic and international disaster events by providing critically needed pre- and post-event remotely sensed imagery and other related geospatial products as required by the emergency response community. Some of the larger national events supported by HDDS have included Hurricane Sandy (2012), the Deepwater Horizon Oil Spill (2010), and Hurricane

  8. Integrating Social Media Monitoring Into Public Health Emergency Response Operations.

    PubMed

    Hadi, Tamer A; Fleshler, Keren

    2016-10-01

    Social media monitoring for public health emergency response and recovery is an essential response capability for any health department. The value of social media for emergency response lies not only in the capacity to rapidly communicate official and critical incident information, but as a rich source of incoming data that can be gathered to inform leadership decision-making. Social media monitoring is a function that can be formally integrated into the Incident Command System of any response agency. The approach to planning and required resources, such as staffing, logistics, and technology, is flexible and adaptable based on the needs of the agency and size and scope of the emergency. The New York City Department of Health and Mental Hygiene has successfully used its Social Media Monitoring Team during public health emergency responses and planned events including major Ebola and Legionnaires' disease responses. The concepts and implementations described can be applied by any agency, large or small, interested in building a social media monitoring capacity. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).

  9. Methodology for Estimating Ingestion Dose for Emergency Response at SRS

    SciTech Connect

    Simpkins, A.A.

    2003-07-21

    At the Savannah River Site (SRS), emergency response computer models are used to estimate dose following releases of radioactive materials to the environment. Downwind air and ground concentrations and their associated doses from inhalation and ground shine pathways are estimated. The emergency response model (PUFF-PLUME) uses real-time data to track either instantaneous (puff) or continuous (plume) releases. A site-specific ingestion dose model was developed for use with PUFF-PLUME that includes the following ingestion dose pathways pertinent to the surrounding SRS area: milk, beef, water, and fish. The model is simplistic and can be used with existing code output.

  10. Emergency Response Capability Baseline Needs Assessment - Compliance Assessment

    SciTech Connect

    Sharry, John A.

    2016-09-01

    This document was prepared by John A. Sharry, LLNL Fire Marshal and Division Leader for Fire Protection and was reviewed by LLNL Emergency Management Department Head, James Colson. This document is the second of a two-part analysis on Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2016 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2016 BNA, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures. The 2013 BNA was approved by NNSA’s Livermore Field Office on January 22, 2014.

  11. Mine Improvement and New Emergency Response Act of 2006. Public Law 109-236, S2803

    SciTech Connect

    2006-06-15

    This Act may be cited as the 'Mine Improvement and New Emergency Response Act of 2006' or the 'MINER Act'. It amends the Federal Mine Safety and Health Act of 1977 to improve the safety of mines and mining. The Act requires operators of underground coal mines to improve accident preparedness. The legislation requires mining companies to develop an emergency response plan specific to each mine they operate, and requires that every mine has at least two rescue teams located within one hour. S. 2803 also limits the legal liability of rescue team members and the companies that employ them. The act increases both civil and criminal penalties for violations of federal mining safety standards and gives the Mine Safety and Health Administration (MSHA) the ability to temporarily close a mine that fails to pay the penalties or fines. In addition, the act calls for several studies into ways to enhance mine safety, as well as the establishment of a new office within the National Institute for Occupational Safety and Health devoted to improving mine safety. Finally, the legislation establishes new scholarship and grant programs devoted to training individuals with respect to mine safety.

  12. Exploring Interoperability as a Multidimensional Challenge for Effective Emergency Response

    ERIC Educational Resources Information Center

    Santisteban, Hiram

    2010-01-01

    Purpose. The purpose of this research was to further an understanding of how the federal government is addressing the challenges of interoperability for emergency response or crisis management (FEMA, 2009) by informing the development of standards through the review of current congressional law, commissions, studies, executive orders, and…

  13. RMP Guidance for Warehouses - Chapter 8: Emergency Response Program

    EPA Pesticide Factsheets

    Implementing an emergency response program along with your risk management plan may be required if you have at least one Program 2 or 3 process in place, and if your employees will respond to some releases involving regulated toxic or flammable substances.

  14. 4-H Teen Community Emergency Response Team (CERT)

    ERIC Educational Resources Information Center

    Black, Lynette; Powell, Pamela

    2012-01-01

    The Community Emergency Response Team (CERT) program is designed to train Americans to safely help themselves and their community in the event of a widespread disaster. This program is designed for adults. Despite youth increasingly becoming recognized as valuable resources, able to equally partner with adults in leadership and decision-making…

  15. 75 FR 43232 - Revisions of the Emergency Response Guidebook

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... Action Distances'' and Table 2--``Water Reactive Materials Which Produce Toxic Gases,'' or the... law directs the Secretary to provide law enforcement and fire-fighting personnel with technical... of PHMSA that all public emergency response vehicles (fire-fighting, police, and rescue squads)...

  16. Creating a Campus Based Community Emergency Response Team (CERT)

    ERIC Educational Resources Information Center

    Connolly, Maureen

    2012-01-01

    This article provides the reader with information regarding forming a community emergency response team (CERT) at a community college. College public safety departments are efficient entities in ordinary times. However, recent events at community colleges across the country have shown that there have been situations where their capabilities have…

  17. Radiation Response of Emerging High Gain, Low Noise Detectors

    NASA Technical Reports Server (NTRS)

    Becker, Heidi N.; Farr, William H; Zhu, David Q.

    2007-01-01

    Data illustrating the radiation response of emerging high gain, low noise detectors are presented. Ionizing dose testing of silicon internal discrete avalanche photodiodes, and 51-MeV proton testing of InGaAs/InAlAs avalanche photodiodes operated in Geiger mode are discussed.

  18. 45 CFR 673.5 - Emergency response plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Emergency response plan. 673.5 Section 673.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ANTARCTIC... expedition to or within Antarctica who is transporting passengers aboard a non-U.S. flagged vessel...

  19. 29 CFR 2700.24 - Emergency response plan dispute proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... made pursuant to this paragraph shall be made within two business days of the issuance of any such... grounds upon which the party seeks relief. Supporting affidavits shall be made on personal knowledge and... jurisdiction over a request for a stay in an emergency response plan dispute proceeding. Within two...

  20. Hazardous Materials Emergency Response Training: The Colorado Training Institute. Innovations.

    ERIC Educational Resources Information Center

    Cole, Leslie

    The Colorado Training Institute (CTI), established in 1980, is a non-profit, instructional program devoted to promoting hazardous materials safety through education. It has trained over 3,000 emergency response personnel and industry officials and is a unique example of the private and public sectors working together to protect the public from…

  1. Emergent Listener Responses following Intraverbal Training in Children with Autism

    ERIC Educational Resources Information Center

    Ingvarsson, Einar T.; Cammilleri, Anthony P.; Macias, Heather

    2012-01-01

    We examined the emergence of listener responses following intraverbal training in four children with autism. Intraverbal training consisted of a transfer-of-control procedure in which the participants were taught to answer questions in the form of "What is the state bird of [name of state]" using either picture prompts (tact-to-intraverbal…

  2. Notification: Administration of Emergency and Rapid Response Services Contracts

    EPA Pesticide Factsheets

    Project #OA-FY13-0046, October 23, 2012. The EPA OIG’s Office of Audit plans to begin the preliminary research phase of an audit evaluating Region 6’s administration and management of the Emergency and Rapid Response Services (ERRS) contracts.

  3. 78 FR 34031 - Burned Area Emergency Response, Forest Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ...-wildfire threats to human life and safety, property and critical natural or cultural resources on National... been provided to allow for performing assessments on smaller fires when potential threats to human life... emergency response action planning processes. These values include human life, safety, high value...

  4. "Grey" Areas and "Organized Chaos" in Emergency Response

    ERIC Educational Resources Information Center

    Taber, Nancy; Plumb, Donovan; Jolemore, Shawn

    2008-01-01

    Purpose: The purpose of this research is to explore the interaction between organizational policies and daily work practices of paramedics and firefighters within two emergency response organizations. Design/methodology/approach: Data were collected in a case study consisting of interviews, focus groups, and observations. The theoretical grounding…

  5. 78 FR 44523 - Burned Area Emergency Response, Forest Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-24

    ... Forest Service RIN 0596-AC73 Burned Area Emergency Response, Forest Service AGENCY: Forest Service, USDA. ACTION: Notice of interim directive; Correction and extension of comment period. SUMMARY: The Forest... directive which is necessary to allow the public more detailed information and time to review the...

  6. 40 CFR 68.95 - Emergency response program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... for its inspection, testing, and maintenance; (3) Training for all employees in relevant procedures...) The owner or operator shall develop and implement an emergency response program for the purpose of... changes at the stationary source and ensure that employees are informed of changes. (b) A written...

  7. VIEW OF EMERGENCY RESPONSE VEHICLES PARKED OUTSIDE BUILDING 331, THE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF EMERGENCY RESPONSE VEHICLES PARKED OUTSIDE BUILDING 331, THE VEHICLE MAINTENANCE GARAGE AND FIRE STATION. THE BUILDING, ORIGINALLY CONSTRUCTED IN 1953, WAS DESIGNED AND UTILIZED AS A WAREHOUSE. ADDITIONS TO THE STRUCTURE, INCLUDING THE FIRE DEPARTMENT STRUCTURE, WERE COMPLETED IN 1967. (4/7/87) - Rocky Flats Plant, Vehicle Maintenance Garage & Fire Station, Golden, Jefferson County, CO

  8. 49 CFR 172.604 - Emergency response telephone number.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... response telephone number, including the area code, for use in the event of an emergency involving the... highlighting, use of a larger font or a font that is a different color from other text and information, or...) Materials properly described under the following shipping names: Battery powered equipment. Battery...

  9. Designing Mobile Applications for Emergency Response: Citizens Acting as Human Sensors.

    PubMed

    Romano, Marco; Onorati, Teresa; Aedo, Ignacio; Diaz, Paloma

    2016-03-19

    When an emergency occurs, citizens can be a helpful support for the operation centers involved in the response activities. As witnesses to a crisis, they initially can share updated and detailed information about what is going on. Moreover, thanks to the current technological evolution people are able to quickly and easily gather rich information and transmit it through different communication channels. Indeed, modern mobile devices embed several sensors such as GPS receivers, Wi-Fi, accelerometers or cameras that can transform users into well-equipped human sensors. For these reasons, emergency organizations and small and medium enterprises have demonstrated a growing interest in developing smart applications for reporting any exceptional circumstances. In this paper, we present a practical study about this kind of applications for identifying both limitations and common features. Based on a study of relevant existent contributions in this area and our personal direct experience in developing and evaluating emergency management solutions, our aim is to propose several findings about how to design effective and efficient mobile emergency notification applications. For this purpose we have exploited the basic sensors of modern mobile devices and the users' aptitude for using them. The evaluation consists of a practical and a theoretical part. In the practical part, we have simulated a traffic accident as closely as possible to a real scenario, with a victim lying on the ground near a car in the middle of a street. For the theoretical part, we have interviewed some emergency experts for collecting their opinions about the utility of the proposed solution. Results from this evaluation phase confirm the positive impact that EN application have for both operators' and citizens' perspective. Moreover, we collected several findings useful for future design challenges in the same area, as shown in the final redesign of the proposed application.

  10. Designing Mobile Applications for Emergency Response: Citizens Acting as Human Sensors

    PubMed Central

    Romano, Marco; Onorati, Teresa; Aedo, Ignacio; Diaz, Paloma

    2016-01-01

    When an emergency occurs, citizens can be a helpful support for the operation centers involved in the response activities. As witnesses to a crisis, they initially can share updated and detailed information about what is going on. Moreover, thanks to the current technological evolution people are able to quickly and easily gather rich information and transmit it through different communication channels. Indeed, modern mobile devices embed several sensors such as GPS receivers, Wi-Fi, accelerometers or cameras that can transform users into well-equipped human sensors. For these reasons, emergency organizations and small and medium enterprises have demonstrated a growing interest in developing smart applications for reporting any exceptional circumstances. In this paper, we present a practical study about this kind of applications for identifying both limitations and common features. Based on a study of relevant existent contributions in this area and our personal direct experience in developing and evaluating emergency management solutions, our aim is to propose several findings about how to design effective and efficient mobile emergency notification applications. For this purpose we have exploited the basic sensors of modern mobile devices and the users’ aptitude for using them. The evaluation consists of a practical and a theoretical part. In the practical part, we have simulated a traffic accident as closely as possible to a real scenario, with a victim lying on the ground near a car in the middle of a street. For the theoretical part, we have interviewed some emergency experts for collecting their opinions about the utility of the proposed solution. Results from this evaluation phase confirm the positive impact that EN application have for both operators’ and citizens’ perspective. Moreover, we collected several findings useful for future design challenges in the same area, as shown in the final redesign of the proposed application. PMID:27007375

  11. Radiation accidents

    SciTech Connect

    Saenger, E.L.

    1986-09-01

    It is essential that emergency physicians understand ways to manage patients contaminated by radioactive materials and/or exposed to external radiation sources. Contamination accidents require careful surveys to identify the metabolic pathway of the radionuclides to guide prognosis and treatment. The level of treatment required will depend on careful surveys and meticulous decontamination. There is no specific therapy for the acute radiation syndrome. Prophylactic antibodies are desirable. For severely exposed patients treatment is similar to the supportive care given to patients undergoing organ transplantation. For high-dose extremity injury, no methods have been developed to reverse the fibrosing endarteritis that eventually leads to tissue death so frequently found with this type of injury. Although the Three Mile Island episode of March 1979 created tremendous public concern, there were no radiation injuries. The contamination outside the reactor building and the release of radioiodine were negligible. The accidental fuel element meltdown at Chernobyl, USSR, resulted in many cases of acute radiation syndrome. More than 100,000 people were exposed to high levels of radioactive fallout. The general principles outlined here are applicable to accidents of that degree of severity.

  12. Medical emergency rescue in disaster: the international emergency response to the Haiyan typhoon in Philippines.

    PubMed

    Ling, Feng; Ye, Zhen; Cai, Wenwei; Lu, Ye; Xia, Shichang; Chen, Zhiping; Chen, Enfu; Wang, Xiaofeng; Wang, Zhen; Lv, Huakun; Gong, Zhenyu

    2014-12-01

    Following Typhoon Haiyan, the World Health Organization (WHO) has been supporting the Government of the Philippines in coordinating the incoming relief supplies from more than 30 international humanitarian health organizations. During the 10 days in Abuyong, Philippines, the Chinese medical rescue team consisting of 50 experts specialized in clinical medicine and disease prevention and control action was taken including, medical treatment, environmental disinfection and health education. A total of 1,831 cases and 2,144 outpatients were treated, blood tests, B-ultrasound, electrocardiogram (ECG) and other laboratory examinations were carried out for more than 615 patients; a cumulative 90,000 square meters in external environment were disinfected, and more than 500 health education materials were handed out. Besides, measures of purifying drinking water, and rebuilding the local hospital have also been carried out. The international emergency response to the Haiyan typhoon in Philippines contributed to reconstruct the local disaster health system by the activities from international medical emergency rescue. To improve the capacity of international medical emergency rescue in disaster, the special project of foreign medical emergency rescue should be set in countries' medical emergency rescue, and disaster emergency medical rescue should be reserved as a conventional capacity.

  13. Analysis of Occupational Accident Fatalities and Injuries Among Male Group in Iran Between 2008 and 2012

    PubMed Central

    Alizadeh, Seyed Shamseddin; Mortazavi, Seyed Bagher; Sepehri, Mohammad Mehdi

    2015-01-01

    Background: Because of occupational accidents, permanent disabilities and deaths occur and economic and workday losses emerge. Objectives: The purpose of the present study was to investigate the factors responsible for occupational accidents occurred in Iran. Patients and Methods: The current study analyzed 1464 occupational accidents recorded by the Ministry of Labor and Social Affairs’ offices in Iran during 2008 - 2012. At first, general understanding of accidents was obtained using descriptive statistics. Afterwards, the chi-square test and Cramer’s V statistic (Vc) were used to determine the association between factors influencing the type of injury as occupational accident outcomes. Results: There was no significant association between marital status and time of day with the type of injury. However, activity sector, cause of accident, victim’s education, age of victim and victim’s experience were significantly associated with the type of injury. Conclusions: Successful accident prevention relies largely on knowledge about the causes of accidents. In any accident control activity, particularly in occupational accidents, correctly identifying high-risk groups and factors influencing accidents is the key to successful interventions. Results of this study can cause to increase accident awareness and enable workplace’s management to select and prioritize problem areas and safety system weakness in workplaces. PMID:26568848

  14. Evaluation of severe accident risks: Quantification of major input parameters: MAACS (MELCOR Accident Consequence Code System) input

    SciTech Connect

    Sprung, J.L.; Jow, H-N ); Rollstin, J.A. ); Helton, J.C. )

    1990-12-01

    Estimation of offsite accident consequences is the customary final step in a probabilistic assessment of the risks of severe nuclear reactor accidents. Recently, the Nuclear Regulatory Commission reassessed the risks of severe accidents at five US power reactors (NUREG-1150). Offsite accident consequences for NUREG-1150 source terms were estimated using the MELCOR Accident Consequence Code System (MACCS). Before these calculations were performed, most MACCS input parameters were reviewed, and for each parameter reviewed, a best-estimate value was recommended. This report presents the results of these reviews. Specifically, recommended values and the basis for their selection are presented for MACCS atmospheric and biospheric transport, emergency response, food pathway, and economic input parameters. Dose conversion factors and health effect parameters are not reviewed in this report. 134 refs., 15 figs., 110 tabs.

  15. Evaluation of the response to xenon-133 radiations by thermoluminescent dosimeters used during the accident at Three Mile Island.

    PubMed

    Riley, R J; Zanzonico, P B; Masterson, M E; St Germain, J M; Laughlin, J S

    1982-03-01

    An evaluation is presented of the accuracy and sensitivity of three types of TLD's used during the accident at the Three Mile Island Nuclear Station. This evaluation indicated that, due to the method of calibration, all the dosimeters over-responded to 133Xe radiations. The response ranged from slightly above unity to almost two. Exposures of the TLD's were of two types, namely, the characteristic X-rays either were or were not filtered from the beam. The angular sensitivity of the dosimeters is also reported.

  16. Launch site radiological emergency response for the cassini mission

    NASA Astrophysics Data System (ADS)

    Marmaro, George M.

    1999-01-01

    Radiological emergency response planning and support for the 15 October 1997 Cassini Launch from the Eastern Launch Site (Kennedy Space Center/Cape Canaveral Air Station) is reviewed. Space Nuclear launches are multi-agency efforts and include support and participation from the National Aeronautics and Space Administration, the Dept. of Energy, the United States Air Force, the Environmental Protection Agency, the Federal Emergency Management Agency, and the State and surrounding counties of Florida. Supporting systems and elements, including mobile field radiological monitoring teams, computerized dispersion modeling, airborne monitoring, automated data management, and both active and passive sampling techniques are described. Communication, command and control, and interagency interfaces are also covered.

  17. Hazardous Materials Management and Emergency Response training Center needs assessment

    SciTech Connect

    McGinnis, K.A.; Bolton, P.A.; Robinson, R.K.

    1993-09-01

    For the Hanford Site to provide high-quality training using simulated job-site situations to prepare the 4,000 Site workers and 500 emergency responders for known and unknown hazards a Hazardous Materials Management and Emergency Response Training Center is needed. The center will focus on providing classroom lecture as well as hands-on, realistic training. The establishment of the center will create a partnership among the US Department of Energy; its contractors; labor; local, state, and tribal governments; and Xavier and Tulane Universities of Louisiana. This report presents the background, history, need, benefits, and associated costs of the proposed center.

  18. Improving Emergency Response and Human-Robotic Performance

    SciTech Connect

    David I. Gertman; David J. Bruemmer; R. Scott Hartley

    2007-08-01

    Preparedness for chemical, biological, and radiological/nuclear incidents at nuclear power plants (NPPs) includes the deployment of well trained emergency response teams. While teams are expected to do well, data from other domains suggests that the timeliness and accuracy associated with incident response can be improved through collaborative human-robotic interaction. Many incident response scenarios call for multiple, complex procedure-based activities performed by personnel wearing cumbersome personal protective equipment (PPE) and operating under high levels of stress and workload. While robotic assistance is postulated to reduce workload and exposure, limitations associated with communications and the robot’s ability to act independently have served to limit reliability and reduce our potential to exploit human –robotic interaction and efficacy of response. Recent work at the Idaho National Laboratory (INL) on expanding robot capability has the potential to improve human-system response during disaster management and recovery. Specifically, increasing the range of higher level robot behaviors such as autonomous navigation and mapping, evolving new abstractions for sensor and control data, and developing metaphors for operator control have the potential to improve state-of-the-art in incident response. This paper discusses these issues and reports on experiments underway intelligence residing on the robot to enhance emergency response.

  19. Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo☆☆☆

    PubMed Central

    Gorios, Carlos; de Souza, Renata Maia; Gerolla, Viviane; Maso, Bruno; Rodrigues, Cintia Leci; Armond, Jane de Eston

    2014-01-01

    Objective to describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo. Methods this was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed. Results among the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes. Conclusion transport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over. PMID:26229833

  20. [Emergency response management near the tracks of the public railway network: special aspects of missions connected with the German national railway system].

    PubMed

    Krämer, P; Aul, A; Vock, B; Frank, C

    2010-11-01

    Emergency response management and rescue operations concerning the railway network in Germany need special attention and implementation in several ways. The emergency response concerning the German national railway network managed by Deutsche Bahn AG is subject to various rules and regulations which have to be followed precisely. Only by following these rules and procedures is the safety of all emergency staff at the scene ensured. The German national railway network (Deutsche Bahn AG) provides its own emergency response control center, which specializes in managing its response to emergencies and dispatches an emergency response manager to the scene. This person serves as the primary Deutsche Bahn AG representative at the scene and is the only person who is allowed to earth the railway electrical power lines. This article will discuss different emergency situations concerning railway accidents and the emergency medical response to them based on a near collision with a high speed train during a rescue mission close to the railway track. Injury to personnel could only be avoided by chance and luck. The dangers and risks for rescue staff are specified. Furthermore, the article details practical guidelines for rescue operations around the German national railway track system.

  1. Bridging Scientific Model Outputs with Emergency Response Needs in Catastrophic Earthquake Responses

    ERIC Educational Resources Information Center

    Johannes, Tay W.

    2010-01-01

    In emergency management, scientific models are widely used for running hazard simulations and estimating losses often in support of planning and mitigation efforts. This work expands utility of the scientific model into the response phase of emergency management. The focus is on the common operating picture as it gives context to emergency…

  2. Evaluation of the Emergency Response Dose Assessment System(ERDAS)

    NASA Technical Reports Server (NTRS)

    Evans, Randolph J.; Lambert, Winifred C.; Manobianco, John T.; Taylor, Gregory E.; Wheeler, Mark M.; Yersavich, Ann M.

    1996-01-01

    The emergency response dose assessment system (ERDAS) is a protype software and hardware system configured to produce routine mesoscale meteorological forecasts and enhanced dispersion estimates on an operational basis for the Kennedy Space Center (KSC)/Cape Canaveral Air Station (CCAS) region. ERDAS provides emergency response guidance to operations at KSC/CCAS in the case of an accidental hazardous material release or an aborted vehicle launch. This report describes the evaluation of ERDAS including: evaluation of sea breeze predictions, comparison of launch plume location and concentration predictions, case study of a toxic release, evaluation of model sensitivity to varying input parameters, evaluation of the user interface, assessment of ERDA's operational capabilities, and a comparison of ERDAS models to the ocean breeze dry gultch diffusion model.

  3. Satellite image collection modeling for large area hazard emergency response

    NASA Astrophysics Data System (ADS)

    Liu, Shufan; Hodgson, Michael E.

    2016-08-01

    Timely collection of critical hazard information is the key to intelligent and effective hazard emergency response decisions. Satellite remote sensing imagery provides an effective way to collect critical information. Natural hazards, however, often have large impact areas - larger than a single satellite scene. Additionally, the hazard impact area may be discontinuous, particularly in flooding or tornado hazard events. In this paper, a spatial optimization model is proposed to solve the large area satellite image acquisition planning problem in the context of hazard emergency response. In the model, a large hazard impact area is represented as multiple polygons and image collection priorities for different portion of impact area are addressed. The optimization problem is solved with an exact algorithm. Application results demonstrate that the proposed method can address the satellite image acquisition planning problem. A spatial decision support system supporting the optimization model was developed. Several examples of image acquisition problems are used to demonstrate the complexity of the problem and derive optimized solutions.

  4. Iodine isotopes in precipitation: temporal responses to (129)i emissions from the fukushima nuclear accident.

    PubMed

    Xu, Sheng; Freeman, Stewart P H T; Hou, Xiaolin; Watanabe, Akira; Yamaguchi, Katsuhiko; Zhang, Luyuan

    2013-10-01

    The Fukushima Dai-ichi Nuclear Power Plant accident in 2011 has released a large amount of radionuclides to the atmosphere, and the radioactive plume has been dispersed to a large area in Europe and returned to Asia. To explore long-term trend of the Fukushima-derived radioactive plume and the behavior of harmful radioiodine in the atmosphere, long-term precipitation samples have been collected over 2010-2012 at Fukushima, Japan for determination of long-lived (129)I. It was observed that (129)I concentrations of 1.2 × 10(8) atom/L in 2010 before the accident dramatically increased by ∼4 orders of magnitude to 7.6 × 10(11) atom/L in March 2011 immediately after the accident, with a (129)I/(127)I ratio up to 6.9 × 10(-5). Afterward, the (129)I concentrations in precipitation decreased exponentially to ∼3 × 10(9) atom/L by October 2011 with a half-life of about 29 days. This declining trend of (129)I concentrations in precipitation was interrupted around October 2011 by a new input of (129)I to the atmosphere following a second exponential decrease. Such a cycle has occurred three times until the present. This temporal variation can be attributed to alternating (129)I dispersion and resuspension from the contaminated local environment. A (129)I/(131)I atomic ratio of 16 ± 1 obtained from rainwater samples is comparable with a value estimated for surface soil samples. (129)I results from Denmark suggest an insignificant effect of (129)I released from Fukushima to the (129)I levels in Europe.

  5. Development of Metrics to Evaluate Effectiveness of Emergency Response Operations

    DTIC Science & Technology

    2005-06-01

    00-00-2005 4. TITLE AND SUBTITLE Development of Metrics to Evaluate Efectiveness of Emergency Response Operations 5a. CONTRACT NUMBER 5b. GRANT...population and/or property. Furthermore, the disaster will be characterized as being large enough that the resources the community has to mitigate the...disaster are stretched beyond the limits of their capacity. Such events that a community can readily cope with, such as small fires, individual

  6. Developing an emergency code response team for behavioral issues.

    PubMed

    Clark, Sam

    2008-01-01

    An emergency code response team is seen as the answer by the author when intervention issues arise in connection with violence or potential violence by patients or others in the hospital. In the article he explains what is involved in recruiting and training such a team, the roles of its members in a crisis situation, and the preparation and follow-up necessary to perform its duties successfully.

  7. Institutionalizing Emerging Technology Assessment Process into National Incident Response

    DTIC Science & Technology

    2013-10-01

    in the midst of the crisis , was field testing promising technologies. The use of new and emerging technologies will continue to be important...formally evaluated and/or field tested and approximately 25 of those saw significant use during response operations, including the Ocean Therapy oil/ water ...separator, a heavy oil skimming system, and a fast- water oil boom deployment system.4 ART’s close association with the Operations Section personnel

  8. Dependable Emergency-Response Networking Based on Retaskable Network Infrastructures

    DTIC Science & Technology

    2008-04-01

    Emergency-Response Network ESP Energy Service Provider HAN Home-Area Network HVAC Heating, Ventilation, and Air Conditioning MDMA Meter Data Management...replaced with advanced 1 meters that have computational capabilities and are often connected to the Meter Data Management Agency ( MDMA ) using mesh networking...some background on them here. Advanced meters are electric meters that have been modified so that they trans- mit usage information back to an MDMA

  9. Dose evaluation in criticality accidents using response of Panasonic TL personal dosemeters (UD-809/UD-802).

    PubMed

    Zeyrek, C T; Gündüz, H

    2012-09-01

    This study gives the results of dosimetry measurements carried out in the Silène reactor at Valduc (France) with neutron and photon personal thermoluminescence dosemeters (TLDs) in mixed neutron and gamma radiation fields, in the frame of the international accident dosimetry intercomparison programme in 2002. The intercomparison consisted of a series of three irradiation scenarios. The scenarios took place at the Valduc site (France) by using the Silène experimental reactor. For neutron and photon dosimetry, Panasonic model UD-809 and UD-802 personal TLDs were used together.

  10. Emerging applications of stimuli-responsive polymer materials

    NASA Astrophysics Data System (ADS)

    Stuart, Martien A. Cohen; Huck, Wilhelm T. S.; Genzer, Jan; Müller, Marcus; Ober, Christopher; Stamm, Manfred; Sukhorukov, Gleb B.; Szleifer, Igal; Tsukruk, Vladimir V.; Urban, Marek; Winnik, Françoise; Zauscher, Stefan; Luzinov, Igor; Minko, Sergiy

    2010-02-01

    Responsive polymer materials can adapt to surrounding environments, regulate transport of ions and molecules, change wettability and adhesion of different species on external stimuli, or convert chemical and biochemical signals into optical, electrical, thermal and mechanical signals, and vice versa. These materials are playing an increasingly important part in a diverse range of applications, such as drug delivery, diagnostics, tissue engineering and 'smart' optical systems, as well as biosensors, microelectromechanical systems, coatings and textiles. We review recent advances and challenges in the developments towards applications of stimuli-responsive polymeric materials that are self-assembled from nanostructured building blocks. We also provide a critical outline of emerging developments.

  11. Offshore oil spill response practices and emerging challenges.

    PubMed

    Li, Pu; Cai, Qinhong; Lin, Weiyun; Chen, Bing; Zhang, Baiyu

    2016-09-15

    Offshore oil spills are of tremendous concern due to their potential impact on economic and ecological systems. A number of major oil spills triggered worldwide consciousness of oil spill preparedness and response. Challenges remain in diverse aspects such as oil spill monitoring, analysis, assessment, contingency planning, response, cleanup, and decision support. This article provides a comprehensive review of the current situations and impacts of offshore oil spills, as well as the policies and technologies in offshore oil spill response and countermeasures. Correspondingly, new strategies and a decision support framework are recommended for improving the capacities and effectiveness of oil spill response and countermeasures. In addition, the emerging challenges in cold and harsh environments are reviewed with recommendations due to increasing risk of oil spills in the northern regions from the expansion of the Arctic Passage.

  12. Emerging functions of the unfolded protein response in immunity

    PubMed Central

    Janssens, Sophie; Pulendran, Bali; Lambrecht, Bart N.

    2015-01-01

    The unfolded protein response (UPR) has traditionally been viewed as an adaptive response triggered upon accumulation of unfolded proteins in the endoplasmic reticulum (ER), aimed at restoring ER function. The UPR can also be an anticipatory response that is activated well before the disruption of protein homeostasis. UPR signaling intersects at many levels with the innate and adaptive immune response. In some immune cell types like dendritic cells and B cells, particular UPR sensors appear constitutively active in the absence of traditional UPR gene program induction, necessary for antigen presentation and immunoglobulin synthesis. The UPR also influences Toll-like receptor signaling and NF-κB activation, and some pathogens subvert the UPR. This review summarizes these emerging non-canonical functions of the UPR in immunity. PMID:25232821

  13. Nuclear waste shipping container response to severe accident conditions, A brief critique of the modal study

    SciTech Connect

    Audin, L.

    1990-12-01

    The Modal Study (NUREG/CR-4829) attempts to upgrade the analysis of spent nuclear fuel transportation accidents, and to verify the validity of the present regulatory scheme of cask performance standards as a means to minimize risk. While an improvement over many prior efforts in this area (such as NUREG-0170), it unfortunately fails to create a realistic simulation either of a shipping cask, the severe conditions to which it could be subjected, or the potential damage to the spent fuel cargo during an accident. There are too many deficiencies in its analysis to allow acceptance of its results for the presumed cask design, and many pending changes in new containers, cargoes and shipping patterns will limit applicability of the Modal Study to future shipments. In essence, the Modal Study is a good start, but is too simplistic, incomplete, outdated and open to serious question to be used as the basis for any present-day environmental or risk assessment of spent fuel transportation. It needs to be redone, with peer review during its production and experimental verification of its assumptions, before it has any relevance to the shipments planned to Yucca Mountain. Finally, it must be expanded into a full risk assessment by inputing its radiological release fractions and probabilities into a valid dispersal simulation to properly determine the impact of its results. 51 refs.

  14. WMD first response: requirements, emerging technologies, and policy implications

    SciTech Connect

    Vergino, E S; Hoehn, W E

    2000-06-19

    In the US today, efforts are underway to defend against the possible terrorist use of weapons of mass destruction (WMD) against US cities. These efforts include the development and adaptation of technologies to support prevention and detection, to defend against a possible attack, and, if these fail, to provide both mitigation responses and attribution for a WMD incident. Technologies under development span a range of systems, from early detection and identification of an agent or explosive, to diagnostic and systems analysis tools; and to forensic analysis for law enforcement. Also, many techniques and tools that have been developed for other applications are being examined to determine whether, with some modification, they could be of use by the emergency preparedness, public health, and law enforcement communities. However, anecdotal evidence suggests the existence of a serious disconnect between the technology development communities and these user communities. This disconnect arises because funding for technology development is derived primarily from sources (principally federal agencies) distant from the emergency response communities, which are predominantly state, county, or local entities. Moreover, the first responders with whom we have worked candidly admit that their jurisdictions have been given, or have purchased for them, a variety of technological devices, typically without consulting the emergency responders about their utility. In private discussions, emergency responders derisively refer to these as a closet full of useless toys. Technology developers have many new and relevant technologies currently in the development pipeline, but most have not been adequately vetted against the field needs or validated for field use. The Center for Global Security Research at the Lawrence Livermore National Laboratory and the Sam Nunn School of International Affairs at the Georgia Institute of Technology recently sponsored a two-day workshop to bring together

  15. DEFORM-4: fuel pin characterization and transient response in the SAS4A accident analysis code system

    SciTech Connect

    Miles, K.J.; Hill, D.J.

    1986-01-01

    The DEFORM-4 module is the segment of the SAS4A Accident Analysis Code System that calculates the fuel pin characterization in response to a steady state irradiation history, thereby providing the initial conditions for the transient calculation. The various phenomena considered include fuel porosity migration, fission gas bubble induced swelling, fuel cracking and healing, fission gas release, cladding swelling, and the thermal-mechanical state of the fuel and cladding. In the transient state, the module continues the thermal-mechanical response calculation, including fuel melting and central cavity pressurization, until cladding failure is predicted and one of the failed fuel modules is initiated. Comparisons with experimental data have demonstrated the validity of the modeling approach.

  16. U.S. DOE’S RESPONSE TO THE FUKUSHIMA DAIICHI REACTOR ACCIDENT: ANSWERS AND DATA PRODUCTS FOR DECISION MAKERS

    SciTech Connect

    Reed, Alexis L.

    2012-01-01

    The Fukushima Daiichi response posed a plethora of scientific questions to the U.S. Department of Energy’s (DOE) radiological emergency response community. As concerns arose for decision makers, the DOE leveraged a community of scientists well-versed in the tenants of emergency situations to provide answers to time-sensitive questions from different parts of the world. A chronology of the scientific Q and A that occurred is presented along with descriptions of the challenges that were faced and how new methods were employed throughout the course of the response.

  17. Multi-stage ranking of emergency technology alternatives for water source pollution accidents using a fuzzy group decision making tool.

    PubMed

    Qu, Jianhua; Meng, Xianlin; You, Hong

    2016-06-05

    Due to the increasing number of unexpected water source pollution events, selection of the most appropriate disposal technology for a specific pollution scenario is of crucial importance to the security of urban water supplies. However, the formulation of the optimum option is considerably difficult owing to the substantial uncertainty of such accidents. In this research, a multi-stage technical screening and evaluation tool is proposed to determine the optimal technique scheme, considering the areas of pollutant elimination both in drinking water sources and water treatment plants. In stage 1, a CBR-based group decision tool was developed to screen available technologies for different scenarios. Then, the threat degree caused by the pollution was estimated in stage 2 using a threat evaluation system and was partitioned into four levels. For each threat level, a corresponding set of technique evaluation criteria weights was obtained using Group-G1. To identify the optimization alternatives corresponding to the different threat levels, an extension of TOPSIS, a multi-criteria interval-valued trapezoidal fuzzy decision making technique containing the four arrays of criteria weights, to a group decision environment was investigated in stage 3. The effectiveness of the developed tool was elaborated by two actual thallium-contaminated scenarios associated with different threat levels.

  18. Use of accident experience in developing criteria for teleoperator equipment

    SciTech Connect

    Vallario, E.J.; Selby, J.M.

    1985-10-01

    The 1961 SL-1 reactor accident in Idaho and the Recuplex accident at Hanford are reviewed to identify problems common to emergency situations, lessons learned from accidents, criteria for emergency equipment, and recommendations for using robotics to solve problems during emergencies. Teleoperator equipment could be used to assess the extent of the damage and the condition of the reactor, retrieve dosimeters, evacuate and treat accident victims, clean up debris and decontaminate accident areas. 2 refs., 9 figs.

  19. Emergency response team: Hurricane Georges in Key West.

    PubMed

    Wylie, T; Cheanvechai, D; Seaberg, D

    2000-01-01

    Hurricane Georges (category 2) struck Key West, Florida, on September 25, 1998. Lower Florida Keys Hospital, which serves Key West and the Lower Keys, had previously been evacuated of inpatients and staff. An emergency response team composed of three emergency medicine (EM) physicians and four EM nurses was sent at the request of the state to maintain emergency department (ED) operations at the hospital. Eighty-six patients presented to the ED during the 72-hour period. Medical problems accounted for the majority of visits (52.3%), with minor trauma next (41.9%). Initially, patients requiring hospitalization were evacuated, but as the storm neared, this was stopped. Six patients required hospitalization at Lower Florida Keys Hospital during the period that evacuations were unavailable. Four deaths occurred during the 24-hour period. Complicating factors included environmental conditions, limited laboratory and radiologic studies, limited medication stocks, and closure of local pharmacies before and after the hurricane. More than 300 nursing home patients were housed at the nearby jail shelter. Knowledge of such high-risk groups that remain in the vicinity is crucial to planning a response plan.

  20. The application of mobile satellite services to emergency response communications

    NASA Technical Reports Server (NTRS)

    Freibaum, J.

    1980-01-01

    The application of an integrated satellite/terrestrial emergency response communications system in disaster relief operations is discussed. Large area coverage communications capability, full-time availability, a high degree of mobility, plus reliability, are pointed out as criteria for an effective emergency communications system. Response time is seen as a major factor determining the possible survival and/or protection of property. These criteria, can not be met by existing communications systems and complete blackouts were experienced during the past decades caused by either interruption or destruction of existing power lines, and overload or inadequacy of remaining lines. Several emergency cases, caused by either hurricanes, tornados, or floods, during which communication via satellite was instrumental to inform rescue and relief teams, are described in detail. Seismic Risk Maps and charts of Major Tectonic Plates Earthquake Epicenters are given, and it is noted that, 35 percent of the U.S. population is living in critical areas. National and international agreements for the implementation of a satellite-aided global Search and Rescue Program is mentioned. Technological and economic breakthroughs are still needed in large multibeam antennas, switching circuits, and low cost mobile ground terminals. A pending plan of NASA to initiate a multiservice program in 1982/83, with a Land Mobile Satellite capability operating in the 806 - 890 MHz band as a major element, may help to accelerate the needed breakthroughs.

  1. Response of human populations to large-scale emergencies

    NASA Astrophysics Data System (ADS)

    Bagrow, James; Wang, Dashun; Barabási, Albert-László

    2010-03-01

    Until recently, little quantitative data regarding collective human behavior during dangerous events such as bombings and riots have been available, despite its importance for emergency management, safety and urban planning. Understanding how populations react to danger is critical for prediction, detection and intervention strategies. Using a large telecommunications dataset, we study for the first time the spatiotemporal, social and demographic response properties of people during several disasters, including a bombing, a city-wide power outage, and an earthquake. Call activity rapidly increases after an event and we find that, when faced with a truly life-threatening emergency, information rapidly propagates through a population's social network. Other events, such as sports games, do not exhibit this propagation.

  2. Two-Graph Building Interior Representation for Emergency Response Applications

    NASA Astrophysics Data System (ADS)

    Boguslawski, P.; Mahdjoubi, L.; Zverovich, V.; Fadli, F.

    2016-06-01

    Nowadays, in a rapidly developing urban environment with bigger and higher public buildings, disasters causing emergency situations and casualties are unavoidable. Preparedness and quick response are crucial issues saving human lives. Available information about an emergency scene, such as a building structure, helps for decision making and organizing rescue operations. Models supporting decision-making should be available in real, or near-real, time. Thus, good quality models that allow implementation of automated methods are highly desirable. This paper presents details of the recently developed method for automated generation of variable density navigable networks in a 3D indoor environment, including a full 3D topological model, which may be used not only for standard navigation but also for finding safe routes and simulating hazard and phenomena associated with disasters such as fire spread and heat transfer.

  3. A novel two-stage evaluation system based on a Group-G1 approach to identify appropriate emergency treatment technology schemes in sudden water source pollution accidents.

    PubMed

    Qu, Jianhua; Meng, Xianlin; Hu, Qi; You, Hong

    2016-02-01

    Sudden water source pollution resulting from hazardous materials has gradually become a major threat to the safety of the urban water supply. Over the past years, various treatment techniques have been proposed for the removal of the pollutants to minimize the threat of such pollutions. Given the diversity of techniques available, the current challenge is how to scientifically select the most desirable alternative for different threat degrees. Therefore, a novel two-stage evaluation system was developed based on a circulation-correction improved Group-G1 method to determine the optimal emergency treatment technology scheme, considering the areas of contaminant elimination in both drinking water sources and water treatment plants. In stage 1, the threat degree caused by the pollution was predicted using a threat evaluation index system and was subdivided into four levels. Then, a technique evaluation index system containing four sets of criteria weights was constructed in stage 2 to obtain the optimum treatment schemes corresponding to the different threat levels. The applicability of the established evaluation system was tested by a practical cadmium-contaminated accident that occurred in 2012. The results show this system capable of facilitating scientific analysis in the evaluation and selection of emergency treatment technologies for drinking water source security.

  4. Needs and fears of young people presenting at accident and emergency department following an act of self-harm: secondary analysis of qualitative data

    PubMed Central

    Owens, Christabel; Hansford, Lorraine; Sharkey, Siobhan; Ford, Tamsin

    2016-01-01

    Background Presentation at an accident and emergency (A&E) department is a key opportunity to engage with a young person who self-harms. The needs of this vulnerable group and their fears about presenting to healthcare services, including A&E, are poorly understood. Aims To examine young people's perceptions of A&E treatment following self-harm and their views on what constitutes a positive clinical encounter. Method Secondary analysis of qualitative data from an experimental online discussion forum. Threads selected for secondary analysis represent the views of 31 young people aged 16–25 with experience of self-harm. Results Participants reported avoiding A&E whenever possible, based on their own and others' previous poor experiences. When forced to seek emergency care, they did so with feelings of shame and unworthiness. These feelings were reinforced when they received what they perceived as punitive treatment from A&E staff, perpetuating a cycle of shame, avoidance and further self-harm. Positive encounters were those in which they received ‘treatment as usual’, i.e. non-discriminatory care, delivered with kindness, which had the potential to challenge negative self-evaluation and break the cycle. Conclusions The clinical needs of young people who self-harm continue to demand urgent attention. Further hypothesis testing and trials of different models of care delivery for this vulnerable group are warranted. PMID:26450583

  5. Emergent Phototactic Responses of Cyanobacteria under Complex Light Regimes

    PubMed Central

    Chau, Rosanna Man Wah

    2017-01-01

    ABSTRACT Environmental cues can stimulate a variety of single-cell responses, as well as collective behaviors that emerge within a bacterial community. These responses require signal integration and transduction, which can occur on a variety of time scales and often involve feedback between processes, for example, between growth and motility. Here, we investigate the dynamics of responses of the phototactic, unicellular cyanobacterium Synechocystis sp. PCC6803 to complex light inputs that simulate the natural environments that cells typically encounter. We quantified single-cell motility characteristics in response to light of different wavelengths and intensities. We found that red and green light primarily affected motility bias rather than speed, while blue light inhibited motility altogether. When light signals were simultaneously presented from different directions, cells exhibited phototaxis along the vector sum of the light directions, indicating that cells can sense and combine multiple signals into an integrated motility response. Under a combination of antagonistic light signal regimes (phototaxis-promoting green light and phototaxis-inhibiting blue light), the ensuing bias was continuously tuned by competition between the wavelengths, and the community response was dependent on both bias and cell growth. The phototactic dynamics upon a rapid light shift revealed a wavelength dependence on the time scales of photoreceptor activation/deactivation. Thus, Synechocystis cells achieve exquisite integration of light inputs at the cellular scale through continuous tuning of motility, and the pattern of collective behavior depends on single-cell motility and population growth. PMID:28270586

  6. Discrepancy among acute guideline levels for emergency response.

    PubMed

    Oberg, Mattias; Palmen, Nicole; Johanson, Gunnar

    2010-12-15

    Acute guidance values are tools for public health risk assessment and management during planning, preparedness and response related to sudden airborne release of hazardous chemicals. The two most frequently used values, i.e. Acute Exposure Guidance Levels (AEGL) and Emergency Response Planning Guideline (ERPG), were compared in qualitative and quantitative terms. There was no significant difference between the general level of AEGL and ERPG values, suggesting the two systems are equally precautious. However, the guidance values diverged by a factor of 3 or more for almost 40% of the substances, including many of high production volume. These deviations could be explained by differences in selection of critical effect or critical study and in a few cases differences in interpretation of the same critical study. Diverging guidance values may hamper proper risk communication and risk management. Key factors for broad international acceptance of harmonized values include transparency of the decision process, agreement on definition of toxicological tiers, and a target population including sensitive groups of the general population. In addition, development of purely health based values is encouraged. Risk management issues, such as land use and emergency response planning should be treated separately, as these rely on national legislation and considerations.

  7. Adapting the U.S. Domestic Radiological Emergency Response Process to an Overseas Incident: FRMAC Without the F

    SciTech Connect

    Blumenthal, Daniel J.; Bowman, David R.; Remick, Alan

    2012-05-01

    The earthquake and resulting tsunami in Japan led to a radiological release from the Fukushima Daiichi Nuclear Power Plan, which in turn resulted in the rapid activation and deployment by the U.S. Department of Energy National Nuclear Security Administration (DOE/NNSA) emergency response teams. These teams and those from other federal agencies are typically coordinated through the Federal Radiological Monitoring and Assessment Center (FRMAC) when responding to radiological incidents in the U.S. FRMAC is the body through which the collection, analysis, and assessment of environmental radiological data are coordinated and products released to decision makers. This article discusses DOE/NNSA’s role in the U.S. response to the Fukushima accident as it implemented its components of FRMAC in a foreign country, coordinated its assets, integrated with its federal partners, and collaborated with the Government of Japan. The technical details of the various data collections and analyses are covered in other articles of this issue.

  8. First Responders and Criticality Accidents

    SciTech Connect

    Valerie L. Putman; Douglas M. Minnema

    2005-11-01

    Nuclear criticality accident descriptions typically include, but do not focus on, information useful to first responders. We studied these accidents, noting characteristics to help (1) first responders prepare for such an event and (2) emergency drill planners develop appropriate simulations for training. We also provide recommendations to help people prepare for such events in the future.

  9. Emergency Response Transport Forecasting Using Historical Wind Field Pattern Matching.

    NASA Astrophysics Data System (ADS)

    Carter, Roger G.; Keislar, Robert E.

    2000-03-01

    Historical pattern matching, or analog forecasting, is used to generate short-term mesoscale transport forecasts for emergency response at the Idaho National Engineering and Environmental Laboratory. A simple historical pattern-matching algorithm operating on a database from the spatially and temporally dense Eastern Idaho Mesonet is used to generate a wind field forecast, which then is input to an existing puff diffusion model. The forecasts are rated both by a team of meteorologists and by a computer scoring method. Over 60% of the forecasts are rated as acceptable. The forecasts also are compared with a persistence method, using both a subjective human evaluation and root-mean-square error calculations.

  10. Current Domain Challenges in the Emergency Response Community

    SciTech Connect

    Barr, Jonathan L.; Peddicord, Annie M Boe; Burtner, Edwin R.; Mahy, Heidi A.

    2011-05-08

    This paper describes the development of a framework targeted to technology providers in order to better understand the grand domain challenges of the emergency response and management community (EM). In developing this framework, Pacific Northwest National Laboratory researchers interviewed subject matter experts (SMEs) across the EM domain and corroborated these findings with current literature. We are currently examining relationships and dependencies within the framework. A thorough understanding of these gaps and dependencies will allow for a more informed approach prioritizing research, developing tools, and applying technology to enhance performance in the EM community.

  11. Federal and State Responses to the Emergency Response Communications Program. Draft Report, March 1979.

    DTIC Science & Technology

    1979-06-01

    comentarios relacionados con el informe titulado "Emergency Response Communications Program". Le agradecer6 estudie este informe y favor de enviarle...sus comentarios respecto al mismo directamente al Contraalmirante Venzke. Anexo I State of Rhode Island and Providence Plantations EXECUTiVE 04AMBER...unconvinced that user requirements have really been developed. No real distinction is made between the way an emergency creates undue demands on the

  12. Development of Northeast Asia Nuclear Power Plant Accident Simulator.

    PubMed

    Kim, Juyub; Kim, Juyoul; Po, Li-Chi Cliff

    2016-11-24

    A conclusion from the lessons learned after the March 2011 Fukushima Daiichi accident was that Korea needs a tool to estimate consequences from a major accident that could occur at a nuclear power plant located in a neighboring country. This paper describes a suite of computer-based codes to be used by Korea's nuclear emergency response staff for training and potentially operational support in Korea's national emergency preparedness and response program. The systems of codes, Northeast Asia Nuclear Accident Simulator (NANAS), consist of three modules: source-term estimation, atmospheric dispersion prediction and dose assessment. To quickly assess potential doses to the public in Korea, NANAS includes specific reactor data from the nuclear power plants in China, Japan and Taiwan. The completed simulator is demonstrated using data for a hypothetical release.

  13. Chemical Emergency Preparedness and Prevention in Indian Country

    EPA Pesticide Factsheets

    This fact sheet familiarizes tribal leaders with EPCRA and Chemical Accident Prevention Program requirements. Tribal Emergency Response Commissions (TERCs) can appoint LEPCs, develop contingency plans, and review facilities' Risk Management Plans.

  14. 44 CFR 352.27 - Federal role in the emergency response.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Federal role in the emergency response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS COMMERCIAL NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS...

  15. 44 CFR 352.27 - Federal role in the emergency response.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Federal role in the emergency response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS COMMERCIAL NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS...

  16. Southern state radiological emergency preparedness and response agencies

    SciTech Connect

    Not Available

    1988-11-01

    This Report provides information on the state agencies assigned to radioactive materials transportation incidents in 16 Southern States Energy Board member states. For each, the report lists the agencies with primary authority for preparedness and response, their responsibilities and personnel within the agencies who can offer additional information on their radioactive materials transportation programs. The report also lists each state`s emergency team members and its laboratory and analytical capabilities. Finally, the governor`s designee for receiving advance notification of high-level radioactive materials and spent fuel shipments under 10 CFR Parts 71 and 73 of the US Nuclear Regulatory Commission`s regulations is listed for each state. Part 71 requires prenotification for large quantity radioactive waste shipments. Part 73 addresses prenotification for spent nuclear reactor fuel shipments.

  17. Southern state radiological emergency preparedness and response agencies

    SciTech Connect

    Not Available

    1988-11-01

    This Report provides information on the state agencies assigned to radioactive materials transportation incidents in 16 Southern States Energy Board member states. For each, the report lists the agencies with primary authority for preparedness and response, their responsibilities and personnel within the agencies who can offer additional information on their radioactive materials transportation programs. The report also lists each state's emergency team members and its laboratory and analytical capabilities. Finally, the governor's designee for receiving advance notification of high-level radioactive materials and spent fuel shipments under 10 CFR Parts 71 and 73 of the US Nuclear Regulatory Commission's regulations is listed for each state. Part 71 requires prenotification for large quantity radioactive waste shipments. Part 73 addresses prenotification for spent nuclear reactor fuel shipments.

  18. High-speed LWR transients simulation for optimizing emergency response

    SciTech Connect

    Wulff, W.; Cheng, H.S.; Lekach, S.V.; Mallen, A.N.; Stritar, A.

    1984-11-19

    The purpose of computer-assisted emergency response in nuclear power plants, and the requirements for achieving such a response, are presented. An important requirement is the attainment of realistic high-speed plant simulations at the reactor site. Currently pursued development programs for plant simulations are reviewed. Five modeling principles are established and a criterion is presented for selecting numerical procedures and efficient computer hardware to achieve high-speed simulations. A newly developed technology for high-speed power plant simulation is described and results are presented. It is shown that simulation speeds ten times greater than real-time process-speeds are possible, and that plant instrumentation can be made part of the computational loop in a small, on-site minicomputer. Additional technical issues are presented which must still be resolved before the newly developed technology can be implemented in a nuclear power plant.

  19. Telehealth responses to bio-terrorism and emerging infections.

    PubMed

    Yellowlees, Peter; MacKenzie, John

    2003-01-01

    Emerging infectious diseases, such as severe acute respiratory syndrome (SARS), are of huge economic importance. They are difficult to predict. The World Health Organization has a Global Outbreak Alert and Response Network, which was involved at an early stage in the SARS outbreak in 2003. Three major lessons were learned as a result of the SARS epidemic in 2003, involving communication, evidence-based action and global partnerships. It is proposed that a series of broadband global response networks should be developed. At a technical level the networks are essentially in place, such as the Internet2 global network. Suitable peripheral devices also exist. What has not yet been created is the appropriate software to allow the use of these networks, although a number of commercial products are in the process of development.

  20. Incidence and mortality of solid cancer among emergency workers of the Chernobyl accident: assessment of radiation risks for the follow-up period of 1992-2009.

    PubMed

    Kashcheev, V V; Chekin, S Yu; Maksioutov, M A; Tumanov, K A; Kochergina, E V; Kashcheeva, P V; Shchukina, N V; Ivanov, V K

    2015-03-01

    This paper presents the results of a retrospective cohort study of cancer incidence and mortality among emergency workers of the Chernobyl accident, for the follow-up period 1992-2009. The cohort selected for analysis consists of 67,568 emergency workers who worked in the Chernobyl exclusion zone in 1986-1987. External radiation whole-body absorbed dose varied from 0.0001 gray (Gy) to 1.24 Gy, with a median of 0.102 Gy. Over the follow-up period 1992-2009, a total of 4,002 solid cancers of different sites were identified as the result of annual compulsory health examination, and a total of 2,442 deaths from all solid cancers in the study cohort were reported. Poisson regression was applied for the analysis of cancer incidence and mortality. The analysis of the standardized incidence ratio (SIR) has shown a statistically significant increase in cancer incidence in the cohort as compared with baseline cancer incidence among males of Russia. The average excess over the entire follow-up period is 18 % [SIR = 1.18, 95 % confidence interval (CI) 1.15; 1.22]. In contrast, however, no increase in the mortality from all cancers among the emergency workers as compared to the baseline mortality in Russian men was found. Values of excess relative risk of cancer incidence and mortality per 1 Gy (ERR Gy(-1)) are 0.47 (95 % CI 0.03; 0.96, p value = 0.034) and 0.58 (95 % CI 0.002; 1.25, p value = 0.049), respectively. These values are statistically significant.

  1. Technical Basis for Radiological Emergency Plan Annex for WTD Emergency Response Plan: West Point Treatment Plant

    SciTech Connect

    Hickey, Eva E.; Strom, Daniel J.

    2005-08-01

    Staff of the King County Wastewater Treatment Division (WTD) have concern about the aftermath of a radiological dispersion event (RDE) leading to the introduction of significant quantities of radioactive material into the combined sanitary and storm sewer system in King County, Washington. Radioactive material could come from the use of a radiological dispersion device (RDD). RDDs include "dirty bombs" that are not nuclear detonations but are explosives designed to spread radioactive material (National Council on Radiation Protection and Measurements (NCRP) 2001). Radioactive material also could come from deliberate introduction or dispersion of radioactive material into the environment, including waterways and water supply systems. This document, Volume 3 of PNNL-15163 is the technical basis for the Annex to the West Point Treatment Plant (WPTP) Emergency Response Plan related to responding to a radiological emergency at the WPTP. The plan primarily considers response to radioactive material that has been introduced in the other combined sanitary and storm sewer system from a radiological dispersion device, but is applicable to any accidental or deliberate introduction of materials into the system.

  2. Fight or flight: the ethics of emergency physician disaster response.

    PubMed

    Iserson, Kenneth V; Heine, Carlton E; Larkin, Gregory Luke; Moskop, John C; Baruch, Jay; Aswegan, Andrew L

    2008-04-01

    Most disaster plans depend on using emergency physicians, nurses, emergency department support staff, and out-of-hospital personnel to maintain the health care system's front line during crises that involve personal risk to themselves or their families. Planners automatically assume that emergency health care workers will respond. However, we need to ask: Should they, and will they, work rather than flee? The answer involves basic moral and personal issues. This article identifies and examines the factors that influence health care workers' decisions in these situations. After reviewing physicians' response to past disasters and epidemics, we evaluate how much danger they actually faced. Next, we examine guidelines from medical professional organizations about physicians' duty to provide care despite personal risks, although we acknowledge that individuals will interpret and apply professional expectations and norms according to their own situation and values. The article goes on to articulate moral arguments for a duty to treat during disasters and social crises, as well as moral reasons that may limit or override such a duty. How fear influences behavior is examined, as are the institutional and social measures that can be taken to control fear and to encourage health professionals to provide treatment in crisis situations. Finally, the article emphasizes the importance of effective risk communication in enabling health care professionals and the public to make informed and defensible decisions during disasters. We conclude that the decision to stay or leave will ultimately depend on individuals' risk assessment and their value systems. Preparations for the next pandemic or disaster should include policies that encourage emergency physicians, who are inevitably among those at highest risk, to "stay and fight."

  3. Application of a geographic information system for radiologic emergency response

    SciTech Connect

    Best, R.G.; Doyle, J.F.

    1995-03-01

    A geographic information system (GIS) is a multifunctional analytical tool that can be used to compile available data and derive information. A GIS is a computerized database management system for the capture, storage, retrieval, analysis, and display of spatial data. Maps are the most common type of spatial data, but any type of data that can be referenced by an x-y location or geographic coordinate can be used in a GIS. In a radiological emergency, it is critical that data of all types be rapidly compiled into a common format in order to make accurate observations and informed decisions. Developing a baseline GIS for nuclear facilities would offer a significant incentive for all organizations to contribute to and utilize this powerful data management tool. The system being developed could integrate all elements of emergency planning, from the initial protective actions based on models through the emergency monitoring phase, and finally ending with the complex reentry and recovery phase. Within the Federal Radiological Monitoring and Assessment Center (FRMAC), there is a continuing effort to improve the data management and communication process. To demonstrate the potential of GIS for emergency response, the system has been utilized in interagency FRMAC exercises. An interactive GIS system has been deployed and used to analyze the available spatial data to help determine the impact of a hypothetical radiological release and to develop mitigation plans. For this application, both hardcopy and real-time spatial displays were generated with the GIS. Composite maps with different sizes, scales, and themes were produced to support the exercises.

  4. Current Trends in Gamma Radiation Detection for Radiological Emergency Response

    SciTech Connect

    Mukhopadhyay, S., Guss, P., Maurer, R.

    2011-09-01

    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies. In recent years, since the establishment of the Domestic Nuclear Detection Office by the Department of Homeland Security, a tremendous amount of progress has been made in detection materials (scintillators, semiconductors), imaging techniques (Compton imaging, use of active masking and hybrid imaging), data acquisition systems with digital signal processing, field programmable gate arrays and embedded isotopic analysis software (viz. gamma detector response and analysis software [GADRAS]1), fast template matching, and data fusion (merging radiological data with geo-referenced maps, digital imagery to provide better situational awareness). In this stride to progress, a significant amount of interdisciplinary research and development has taken place–techniques and spin-offs from medical science (such as x-ray radiography and tomography), materials engineering (systematic planned studies on scintillators to optimize several qualities of a good scintillator, nanoparticle applications, quantum dots, and photonic crystals, just to name a few). No trend analysis of radiation detection systems would be complete without mentioning the unprecedented strategic position taken by the National Nuclear Security Administration (NNSA) to deter, detect, and interdict illicit trafficking in nuclear and other radioactive materials across international borders and through the global maritime transportation–the so-called second line of defense.

  5. Current trends in gamma radiation detection for radiological emergency response

    NASA Astrophysics Data System (ADS)

    Mukhopadhyay, Sanjoy; Guss, Paul; Maurer, Richard

    2011-09-01

    Passive and active detection of gamma rays from shielded radioactive materials, including special nuclear materials, is an important task for any radiological emergency response organization. This article reports on the current trends and status of gamma radiation detection objectives and measurement techniques as applied to nonproliferation and radiological emergencies. In recent years, since the establishment of the Domestic Nuclear Detection Office by the Department of Homeland Security, a tremendous amount of progress has been made in detection materials (scintillators, semiconductors), imaging techniques (Compton imaging, use of active masking and hybrid imaging), data acquisition systems with digital signal processing, field programmable gate arrays and embedded isotopic analysis software (viz. gamma detector response and analysis software [GADRAS]1), fast template matching, and data fusion (merging radiological data with geo-referenced maps, digital imagery to provide better situational awareness). In this stride to progress, a significant amount of inter-disciplinary research and development has taken place-techniques and spin-offs from medical science (such as x-ray radiography and tomography), materials engineering (systematic planned studies on scintillators to optimize several qualities of a good scintillator, nanoparticle applications, quantum dots, and photonic crystals, just to name a few). No trend analysis of radiation detection systems would be complete without mentioning the unprecedented strategic position taken by the National Nuclear Security Administration (NNSA) to deter, detect, and interdict illicit trafficking in nuclear and other radioactive materials across international borders and through the global maritime transportation-the so-called second line of defense.

  6. Optimization aspects of the ARAC real-time radiological emergency response system

    SciTech Connect

    Taylor, S.S.; Sullivan, T.J.

    1985-07-01

    The Atmospheric Release Advisory Capability (ARAC) project at the Lawrence Livermore National Laboratory responds to radiological emergencies throughout the Continental United States. Using complex three-dimensional dispersion models to account for the effects of complex meteorology and regional terrain, ARAC simulates the release of radioactive materials and provides dispersion, deposition, and dose calculations that are displayed over local geographic features for use by authorities at the accident/release site. ARAC's response is ensured by a software system that (1) makes optimal use of dispersion models, (2) minimizes the time required to provide projections, and (3) maximizes the fault-tolerance of the system. In this paper we describe ARAC's goals and functionality and the costs associated with its development and use. Specifically, we address optimizations in ARAC notifications, meteorological data collection, the determination of site- and problem-specific parameters, the generation of site-specific topography and geography, the running of models, and the distribution of ARAC products. We also discuss the backup features employed to ensure ARAC's ability to respond.

  7. Emergency control system based on the analytical hierarchy process and coordinated development degree model for sudden water pollution accidents in the Middle Route of the South-to-North Water Transfer Project in China.

    PubMed

    Long, Yan; Xu, Guobin; Ma, Chao; Chen, Liang

    2016-06-01

    Water transfer projects are important for realizing reasonable allocation of water resources, but once a water pollution accident occurs during such a project, the water environment is exposed to enormous risks. Therefore, it is critical to determine an appropriate emergency control system (ECS) for sudden water pollution accidents that occur in water transfer projects. In this study, the analytical hierarchy process (AHP) integrated with the coordinated development degree model (CDDM) was used to develop the ECS. This ECS was developed into two parts, including the emergency risk assessment and the emergency control. Feasible emergency control targets and control technology were also proposed for different sudden water pollution accidents. A demonstrative project was conducted in the Fangshui to Puyang channel, which is part of the Beijing-Shijiazhuang Emergency Water Supply Project (BSP) in the Middle Route of the South-to-North Water Transfer Project (MR-SNWTP) in China. However, we could not use an actual toxic soluble pollutant to validate our ECS, so we performed the experiment with sucrose to test the ECS based on its concentration variation. The relative error of peak sucrose concentration was less than 20 %.

  8. The San Bernardino, California, Terror Attack: Two Emergency Departments’ Response

    PubMed Central

    Lee, Carol; Walters, Elizabeth; Borger, Rodney; Clem, Kathleen; Fenati, Gregory; Kiemeney, Michael; Seng, Sakona; Yuen, Ho-Wang; Neeki, Michael; Smith, Dustin

    2016-01-01

    On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims. In general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care. MCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs. PMID:26823922

  9. The San Bernardino, California, Terror Attack: Two Emergency Departments' Response.

    PubMed

    Lee, Carol; Walters, Elizabeth; Borger, Rodney; Clem, Kathleen; Fenati, Gregory; Kiemeney, Michael; Seng, Sakona; Yuen, Ho-Wang; Neeki, Michael; Smith, Dustin

    2016-01-01

    On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims. In general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care. MCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs.

  10. Emergency Response and the International Charter Space and Major Disasters

    NASA Astrophysics Data System (ADS)

    Jones, B.; Lamb, R.

    2011-12-01

    Responding to catastrophic natural disasters requires information. When the flow of information on the ground is interrupted by crises such as earthquakes, landslides, volcanoes, hurricanes, and floods, satellite imagery and aerial photographs become invaluable tools in revealing post-disaster conditions and in aiding disaster response and recovery efforts. USGS is a global clearinghouse for remotely sensed disaster imagery. It is also a source of innovative products derived from satellite imagery that can provide unique overviews as well as important details about the impacts of disasters. Repeatedly, USGS and its resources have proven their worth in assisting with disaster recovery activities in the United States and abroad. USGS has a well-established role in emergency response in the United States. It works closely with the Federal Emergency Management Agency (FEMA) by providing first responders with satellite and aerial images of disaster-impacted sites and products developed from those images. The combination of the USGS image archive, coupled with its global data transfer capability and on-site science staff, was instrumental in the USGS becoming a participating agency in the International Charter Space and Major Disasters. This participation provides the USGS with access to international members and their space agencies, to information on European and other global member methodology in disaster response, and to data from satellites operated by Charter member countries. Such access enhances the USGS' ability to respond to global emergencies and to disasters that occur in the United States (US). As one example, the Charter agencies provided imagery to the US for over 4 months in response to the Gulf oil spill. The International Charter mission is to provide a unified system of space data acquisition and delivery to those affected by natural or man-made disasters. Each member space agency has committed resources to support the provisions of the Charter and

  11. Effect of private versus emergency medical systems transportation in motor vehicle accident victims: Trauma Center Experience in Saudi Arabia

    PubMed Central

    Alshahrani, Mohammed S.

    2017-01-01

    OBJECTIVE: To assess the effect of the mode of transportation of trauma patients (emergency medical service [EMS] vs. non-EMS) on their final clinical outcome in terms of mortality and length of hospital stay. MATERIALS AND METHODS: A retrospective study included all patients who were involved in motor vehicle crashes, and who were transferred immediately to an emergency department of a trauma care center from December 2008 to December 2012. Patients were classified into two groups: those brought through EMS and those brought by non-EMS (private transport). Information on demographic characteristics including age and gender was recorded and medical data such as blood pressure, pulse, oxygen saturation, temperature, initial Glasgow Coma Score (GCS), saturation, temperature, initial Glasgow Coma Score (GCS), injury severity score (ISS), and final outcome (discharged or expired) were obtained. Descriptive statistics, mean and standard deviation (SD) were computed for continuous variables and statistical significance was tested by t-test or Mann-Whitney U-test. Categorical variables were described by frequency distribution and percentages; Chi-square or Fisher's exact test as appropriate were employed to test for statistical significance. Logistics regression was performed with mortality as dependent variable and mode of transport and all demographic and prehospital variables as independent variables. A general linear model analysis was performed to test whether the mode of transport was significant to length of hospital stay in EMS and non-EMS clients. RESULTS: Out of 308 patients identified during the study period, 232 were transported through EMS and 76 through non-EMS. The two groups were similar with regard to mortality and length of stay. The crude mortality rate was 30.6% (95% confidence interval [CI]: 24.64–36.53) in the EMS group and 28.9% (95% CI: 18.44–38.76) in the non-EMS group (p = 0.785). The average length of hospital stay was 9 days (interquartile

  12. The experiences of patients and relatives/significant others of overcrowding in accident and emergency in Ireland: a qualitative descriptive study.

    PubMed

    Coughlan, Michael; Corry, Margarita

    2007-10-01

    Overcrowding in Accident and Emergency Departments (A&E) in Ireland has reached crisis proportions since the dawning of the new millennium. Although this phenomenon is not unique to Ireland and many authors have suggested causes and management strategies to deal with these crises, little appears to have been written regarding the experiences of patients or their families waiting in the A&E. The aim of this qualitative descriptive study was to describe the experiences of patients and/or their relatives/significant others who had spent 12 h or more in A&E awaiting admission to hospital. Four patients and three relatives/significant others volunteered to participate in the study. Participants described the A&E departments as resembling a disaster zone or a hospital scene from a third world country. Descriptions portrayed an environment that was overcrowded, dirty and lacking in resources. Participants were generally positive in their attitudes towards the care they received, but some descriptions appeared to suggest that the quality of care was not always ideal. Recommendations from participants included reduced waiting times with a maximum of 6 h from admission to transfer or discharge; better communications systems with perhaps a liaison person who could advise them about the expected duration of stay in A&E and what was happening regarding their care; and better privacy and security within the departments.

  13. Reservoir Host Immune Responses to Emerging Zoonotic Viruses

    PubMed Central

    Mandl, Judith N.; Ahmed, Rafi; Barreiro, Luis B.; Daszak, Peter; Epstein, Jonathan H.; Virgin, Herbert W.; Feinberg, Mark B.

    2015-01-01

    Zoonotic viruses, such as HIV, Ebola virus, coronaviruses, influenza A viruses, hantaviruses, or henipaviruses, can result in profound pathology in humans. In contrast, populations of the reservoir hosts of zoonotic pathogens often appear to tolerate these infections with little evidence of disease. Why are viruses more dangerous in one species than another? Immunological studies investigating quantitative and qualitative differences in the host-virus equilibrium in animal reservoirs will be key to answering this question, informing new approaches for treating and preventing zoonotic diseases. Integrating an understanding of host immune responses with epidemiological, ecological, and evolutionary insights into viral emergence will shed light on mechanisms that minimize fitness costs associated with viral infection, facilitate transmission to other hosts, and underlie the association of specific reservoir hosts with multiple emerging viruses. Reservoir host studies provide a rich opportunity for elucidating fundamental immunological processes and their underlying genetic basis, in the context of distinct physiological and metabolic constraints that contribute to host resistance and disease tolerance. PMID:25533784

  14. The Spacecraft Emergency Response System (SERS) for Autonomous Mission Operations

    NASA Technical Reports Server (NTRS)

    Breed, Julia; Chu, Kai-Dee; Baker, Paul; Starr, Cynthia; Fox, Jeffrey; Baitinger, Mick

    1998-01-01

    Today, most mission operations are geared toward lowering cost through unmanned operations. 7-day/24-hour operations are reduced to either 5-day/8-hour operations or become totally autonomous, especially for deep-space missions. Proper and effective notification during a spacecraft emergency could mean success or failure for an entire mission. The Spacecraft Emergency Response System (SERS) is a tool designed for autonomous mission operations. The SERS automatically contacts on-call personnel as needed when crises occur, either on-board the spacecraft or within the automated ground systems. Plus, the SERS provides a group-ware solution to facilitate the work of the person(s) contacted. The SERS is independent of the spacecraft's automated ground system. It receives and catalogues reports for various ground system components in near real-time. Then, based on easily configurable parameters, the SERS determines whom, if anyone, should be alerted. Alerts may be issued via Sky-Tel 2-way pager, Telehony, or e-mail. The alerted personnel can then review and respond to the spacecraft anomalies through the Netscape Internet Web Browser, or directly review and respond from the Sky-Tel 2-way pager.

  15. Emergent Phototactic Responses of Cyanobacteria under Complex Light Regimes.

    PubMed

    Chau, Rosanna Man Wah; Bhaya, Devaki; Huang, Kerwyn Casey

    2017-03-07

    Environmental cues can stimulate a variety of single-cell responses, as well as collective behaviors that emerge within a bacterial community. These responses require signal integration and transduction, which can occur on a variety of time scales and often involve feedback between processes, for example, between growth and motility. Here, we investigate the dynamics of responses of the phototactic, unicellular cyanobacterium Synechocystis sp. PCC6803 to complex light inputs that simulate the natural environments that cells typically encounter. We quantified single-cell motility characteristics in response to light of different wavelengths and intensities. We found that red and green light primarily affected motility bias rather than speed, while blue light inhibited motility altogether. When light signals were simultaneously presented from different directions, cells exhibited phototaxis along the vector sum of the light directions, indicating that cells can sense and combine multiple signals into an integrated motility response. Under a combination of antagonistic light signal regimes (phototaxis-promoting green light and phototaxis-inhibiting blue light), the ensuing bias was continuously tuned by competition between the wavelengths, and the community response was dependent on both bias and cell growth. The phototactic dynamics upon a rapid light shift revealed a wavelength dependence on the time scales of photoreceptor activation/deactivation. Thus, Synechocystis cells achieve exquisite integration of light inputs at the cellular scale through continuous tuning of motility, and the pattern of collective behavior depends on single-cell motility and population growth.IMPORTANCE The photosynthetic cyanobacterium Synechocystis sp. exhibits phototaxis that is dependent on the incident light wavelength through the action of various photoreceptors. In natural environments, cells experience a set of highly dynamic and complex light inputs, yet how cells transduce

  16. Emergency response puff model at the Oak Ridge National Laboratory

    SciTech Connect

    Sharp, R.D.; Kornegay, F.C.

    1987-01-01

    An emergency response computer code has been implemented at the Oak Ridge National Laboratory to assist decision makers during the accidental airborne release of an agent. This paper describes the necessary steps to run the FORTRAN 77 computer program that simulates the movement of a substance over time. This series of steps involves obtaining the appropriate meteorological and other input data for the program execution of the program, and analysis of the results. The computer program runs on the IBM PC and the HP 9000 supermicro computer. Both of these computers communicate with a PDP 11/23, which stores real-time meteorological data, to obtain data necessary to run the computer code.

  17. Multi-Criteria Sensor Placement for Emergency Response

    SciTech Connect

    Southworth, Frank

    2008-01-01

    This paper describes an approach to locating a set of sensors to provide early warning of a dangerous chemical or biological agent release. The objective of the warning system is to minimize potential fatalities and any other health-related problems resulting from either an accidental release (such as a chemical spill) or from of a deliberate act of terrorism. The sensor placement solution is described as part of a broader simulation approach that considers the number of sensors available for deployment, the effect of weather conditions on the spread and concentration of the agent released, the speed at which appropriate emergency response actions can be taken to evacuate or shelter-in-place, and factors that make some release points more likely than others, such as the relative ease of site access or the presence of high priority or high impact targets within the at-risk area. Aerial photography and GIS also play important roles in the decision support environment described.

  18. HAZBOT - A hazardous materials emergency response mobile robot

    NASA Astrophysics Data System (ADS)

    Stone, H. W.; Edmonds, G.

    The authors describe the progress that has been made towards the development of a mobile robot that can be used by hazardous materials emergency response teams to perform a variety of tasks including incident localization and characterization, hazardous material identification/classification, site surveillance and monitoring, and ultimately incident mitigation. In September of 1991, the HAZBOT II vehicle performed its first end-to-end demonstration involving a scenario in which the vehicle: navigated to the incident location from a distant (150-200 ft.) deployment site; entered a building through a door with thumb latch style handle and door closer; located and navigated to the suspected incident location (a chemical storeroom); unlocked and opened the storeroom's door; climbed over the storeroom's 12 in. high threshold to enter the storeroom; and located and identified a broken container of benzene.

  19. [Travel and accidents].

    PubMed

    Cha, Olivier

    2015-04-01

    Traumatic pathologies are the most frequent medical events to be observed among French travellers. Accidents on the public highway by lack of respect of the fundamental rules of road security, particularly abroad, traffic conditions in bad repair in numerous emergent countries, usually the destination of mass tourism and underdeveloped organization of health care and local urgency help. Sports activities are also a source of accidents. A good physical training is essential. Drowning is a real plague, especially among children due to a lack of vigilance. Preventive measures are simple, keep them constantly in mind and apply them carefully so as to have beautiful memories of our trip back home.

  20. Accidents and repatriation.

    PubMed

    Leggat, Peter A; Fischer, Philip R

    2006-01-01

    Accidents and injury contribute greatly to the morbidity and mortality of travellers worldwide, with road traffic accidents being a major contributer. Those travelers with serious illness and injury may need specialised medical evacuation services, which may involve an air ambulance and a specialised medical team. Such aeromedical repatriations require considerable organisation and liaison between the sending and receiving medical services and other interested parties. However, the majority of travellers requiring emergency assistance are stable patients requiring referral for medical or dental attention or special requirements for carriage on scheduled aircraft.

  1. Influence of warning information changes on emergency response

    NASA Astrophysics Data System (ADS)

    Heisterkamp, Tobias; Ulbrich, Uwe; Glade, Thomas; Tetzlaff, Gerd

    2014-05-01

    Mitigation and risk reduction of natural hazards is significantly related to the possibility of predicting the actual event. Some hazards can already be forecasted several days in advance. For these hazards, early warning systems have been developed, installed and improved over the years. The formation of winter storms for example can be recognized up to one week before they pass through Central Europe. This relative long early warning time has the advantage that forecasters can concretise the warnings over time. Therefore, warnings can even be adapted to alternating conditions within the process, the observation or changes in its modelling. Emergency managers are one group of warning recipients in the civil protection sector. They have to prepare or initiate prevention or response measures at a specific point of time, depending on the required lead time of the referring actions. At this point of time already, the forecast and its equivalent warning, has to be assumed as a stage of reality, hence the decision-makers have to come to a conclusion. These decisions are based on spatial and temporal knowledge of the forecasted event and the consequential situation of risk. With incoming warning updates, the detailed status of information is permanently being alternated. Consequently, decisions can be influenced by the development of the warning situation and the inherent tendency before a certain point of time. They can also be adapted to updates later on, according to the changing 'decision reality'. The influence of these dynamic hazard situations on operational planning and response by emergency managers is investigated in case studies on winter storms for Berlin, Germany. Therefore, the issued warnings by the weather service and data of operation of Berlin Fire Brigades are analysed and compared. This presentation shows and discusses first results.

  2. The Communication of Information Such as Evacuation Orders at the Time of a Nuclear Power Station Accident: -Recommendations for responses by the national government and electric power utilities to the "Information Disaster".

    PubMed

    Hatanaka, Takashi; Yoshida, Sumito; Ojino, Mayo; Ishii, Masami

    2014-12-01

    This research was carried out from the perspective that the damage to the people of Fukushima and others from the Fukushima Daiichi Nuclear Power Station (NPS) accident was an "information disaster." It evaluated the critical problems raised by and actual condition analysis on the process of events in the Fukushima Daiichi NPS disaster and responses of the governments and others, notification of the occurrence of the accident and evacuation order by the national and local governments and the evacuation of residents, and guidance for distribution and intake of stable iodine tablets. The research aimed to provide a basis for the implementation of effective distribution and intake of stable iodine tablets and responses to the "information disaster" in the nuclear power disaster. On March 15 at the time that the most radioactive substances were dispersed, even when the average wind speed at the site area was 1.6 m/s, the radioactive substances had reached the outer boundary of Urgent Protective action planning Zone (UPZ, the region with a radius of 30 km) within about five hours. Because of this, every second counted in the provision of information about the accident and the issuance of evacuation orders. This study evaluated the actual condition of information provision by the national government and others from the perspective of this awareness of the importance of time. On the basis of the results of this kind of consideration, we come to the following recommendations: The Nuclear Emergency Response Guidelines and the system for communication of information to medical providers should be revised. The national government should make preparations for the effective advance distribution and intake of stable iodine tablets.

  3. DOD Response to an Accident or Significant Incident Involving Radioactive Materials

    DTIC Science & Technology

    1989-12-21

    and FI Oia if ’CS ’Ct)io :onh’r’,a.’nL otim !,n~ l acinoweg off citerrentorakntiwipted The D~epartment of Enrg-iy I anti the jiid conditioiins...tmy for all Federal agency Ct.0s and Upoxn arrival at the emergency socene. lit winee meargny treasitpubtinc t a Congressionial staff seeking...for the State regarding other Public Information Releases from the planning process . protective measures and re-entry Headquarters International

  4. Emergent Archetype Hydrological-Biogeochemical Response Patterns in Heterogeneous Catchments

    NASA Astrophysics Data System (ADS)

    Jawitz, J. W.; Gall, H. E.; Rao, P.

    2013-12-01

    What can spatiotemporally integrated patterns observed in stream hydrologic and biogeochemical signals generated in response to transient hydro-climatic and anthropogenic forcing tell us about the interactions between spatially heterogeneous soil-mediated hydrological and biogeochemical processes? We seek to understand how the spatial structure of solute sources coupled with hydrologic responses affect observed concentration-discharge (C-Q) patterns. These patterns are expressions of the spatiotemporal structure of solute loads exported from managed catchments, and their likely ecological consequences manifested in receiving water bodies (e.g., wetlands, rivers, lakes, and coastal waters). We investigated the following broad questions: (1) How does the correlation between flow-generating areas and biogeochemical source areas across a catchment evolve under stochastic hydro-climatic forcing? (2) What are the feasible hydrologic and biogeochemical responses that lead to the emergence of the observed archetype C-Q patterns? and; (3) What implications do these coupled dynamics have for catchment monitoring and implementation of management practices? We categorize the observed temporal signals into three archetypical C-Q patterns: dilution; accretion, and constant concentration. We introduce a parsimonious stochastic model of heterogeneous catchments, which act as hydrologic and biogeochemical filters, to examine the relationship between spatial heterogeneity and temporal history of solute export signals. The core concept of the modeling framework is considering the types and degree of spatial correlation between solute source zones and flow generating zones, and activation of different portions of the catchments during rainfall events. Our overarching hypothesis is that each of the archetype C-Q patterns can be generated by explicitly linking landscape-scale hydrologic responses and spatial distributions of solute source properties within a catchment. The model

  5. Emergency Response Damage Assessment using Satellite Remote Sensing Data

    NASA Astrophysics Data System (ADS)

    Clandillon, Stephen; Yésou, Hervé; Schneiderhan, Tobias; de Boissezon, Hélène; de Fraipont, Paul

    2013-04-01

    During disasters rescue and relief organisations need quick access to reliable and accurate information to be better equipped to do their job. It is increasingly felt that satellites offer a unique near real time (NRT) tool to aid disaster management. A short introduction to the International Charter 'Space and Major Disasters', in operation since 2000 promoting worldwide cooperation among member space agencies, will be given as it is the foundation on which satellite-based, emergency response, damage assessment has been built. Other complementary mechanisms will also be discussed. The user access, triggering mechanism, an essential component for this user-driven service, will be highlighted with its 24/7 single access point. Then, a clear distinction will be made between data provision and geo-information delivery mechanisms to underline the user need for geo-information that is easily integrated into their working environments. Briefly, the path to assured emergency response product quality will be presented beginning with user requirements, expressed early-on, for emergency response value-adding services. Initiatives were then established, supported by national and European institutions, to develop the sector, with SERTIT and DLR being key players, providing support to decision makers in headquarters and relief teams in the field. To consistently meet the high quality levels demanded by users, rapid mapping has been transformed via workflow and quality control standardisation to improve both speed and quality. As such, SERTIT located in Alsace, France, and DLR/ZKI from Bavaria, Germany, join their knowledge in this presentation to report about recent standards as both have ISO certified their rapid mapping services based on experienced, well-trained, 24/7 on-call teams and established systems providing the first crisis analysis product in 6 hours after satellite data reception. The three main product types provided are then outlined: up-to-date pre

  6. Development of the table of initial isolation distances and protective action distances for the 2004 emergency response guidebook.

    SciTech Connect

    Brown, D. F.; Freeman, W. A.; Carhart, R. A.; Krumpolc, M.; Decision and Information Sciences; Univ. of Illinois at Chicago

    2005-09-23

    This report provides technical documentation for values in the Table of Initial Isolation and Protective Action Distances (PADs) in the 2004 Emergency Response Guidebook (ERG2004). The objective for choosing the PADs specified in the ERG2004 is to balance the need to adequately protect the public from exposure to potentially harmful substances against the risks and expenses that could result from overreacting to a spill. To quantify this balance, a statistical approach is adopted, whereby the best available information is used to conduct an accident scenario analysis and develop a set of up to 1,000,000 hypothetical incidents. The set accounts for differences in containers types, incident types, accident severity (i.e., amounts released), locations, times of day, times of year, and meteorological conditions. Each scenario is analyzed using detailed emission rate and atmospheric dispersion models to calculate the downwind chemical concentrations from which a 'safe distance' is determined. The safe distance is defined as the distance downwind from the source at which the chemical concentration falls below health protection criteria. The American Industrial Hygiene Association's Emergency Response Planning Guideline Level 2 (ERPG-2) or equivalent is the health criteria used. The statistical sample of safe distance values for all incidents considered in the analysis are separated into four categories: small spill/daytime release, small spill/nighttime release, large spill/daytime release, and large spill/nighttime release. The 90th-percentile safe distance values for each of these groups became the PADs that appear in the ERG2004.

  7. Department of Defense Global Emerging Infections Surveillance and Response System Indian Ocean tsunami response.

    PubMed

    Chretien, Jean-Paul; Glass, Jonathan S; Coldren, Rodney C; Noah, Donald L; Hyer, Randall N; Gaydos, Joel C; Malone, Joseph L

    2006-10-01

    The Department of Defense (DoD) Global Emerging Infections Surveillance and Response System (DoD-GEIS) identifies and addresses DoD vulnerabilities to emerging infections through a global network of partners. Following the Indian Ocean tsunami of December 26, 2004, DoD-GEIS facilitated the DoD medical response and coordination with the Centers for Disease Control and Prevention and the World Health Organization. DoD-GEIS partners in Southeast Asia (U.S. Naval Medical Research Unit 2, Jakarta, Indonesia; and Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand) rapidly conducted health assessments and established surveillance for communicable diseases that threatened survivors. Preexisting collaboration with the Centers for Disease Control and Prevention, the World Health Organization, and host countries was critical for the DoD-GEIS tsunami response.

  8. Typhoon emergency response planning for the South China Sea

    SciTech Connect

    Corona, E.N.; Lynch, R.D.; Riffe, D.; Cardone, V.J.; Cox, A.; Chen, H.

    1996-12-31

    This paper describes the development, implementation and performance of a comprehensive typhoon emergency response plan (ERP) utilized during 1995 by Arco China Inc. (ACI) for their offshore Hainan Is. South China Sea development. An important component of the enhanced plan is a new system to forecast winds and sea states generated by tropical cyclones (TC) built around known uncertainties in forecasts of cyclones and well proven numerical models of the TC surface wind field and the spectral wave field. The forecast system provides specification of time histories of the winds and waves at the site for the nominally predicted track as well as the probabilities of exceedance of critical evacuation thresholds of wind speed and sea state. The ERP and forecast system were operated throughout the 1995 typhoon season and evaluated at the Yacheng development, which was seriously threatened by 15 tropical cyclones between June and November. The response to these threats in terms of interruption of operations, partial or total evacuation of offshore personnel and average downtime is described and compared to previous experience which used more conventional forecast services. The evaluation has shown the new system to provide significant benefits in terms of safety, efficiency and cost savings. The wind and sea state forecast histories provided year-round by the forecast system are also of significant benefit to the management of floating production systems.

  9. Atmospheric dispersion modeling and meteorological monitoring in support of emergency planning and response for the US Army's Chemical Stockpile Disposal Program

    SciTech Connect

    Miller, R.L.

    1990-08-01

    This technical memorandum examines the role of atmospheric dispersion modeling and meteorological monitoring in support of emergency planning and response for the US Army's Chemical Stockpile Disposal Program (CSDP). Air dispersion modeling and meteorological monitoring are expected to form key components in integrated accident assessment and warning systems at each of the eight CSDP installations. This report assesses the capabilities of operating state-of-the-art systems in order to establish a baseline for developing the requirements of the CSDP systems. A general tutorial on the types of atmospheric dispersion models currently available is provided, and the criteria for selection of emergency response models are developed. The requirements for meteorological monitoring are also described. In addition, the basic limitations of modeling and monitoring are discussed, and the importance of model verification is emphasized. Staffing requirements to operate an integrated modeling and monitoring system are characterized. The current state of modeling, monitoring, and staffing levels in support of emergency response at the eight US Army chemical stockpile depots involved in the CSDP is examined. Specific requirements appropriate to emergency planning and response at each of the eight sites are described. Recommendations are made for both the integrated system and the individual components of air dispersion modeling and meteorological monitoring. Finally, future work required to prepare for emergency response is discussed. 22 refs., 4 figs., 3 tabs.

  10. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Office of Solid Waste and Emergency... ORGANIZATION AND GENERAL INFORMATION Headquarters § 1.47 Office of Solid Waste and Emergency Response. The Office of Solid Waste and Emergency Response (OSWER), under the supervision of the...

  11. Evaluation of Rugged Wireless Mesh Nodes for Use In Emergency Response

    SciTech Connect

    Kevin L Young; Alan M Snyder

    2007-11-01

    During the summer of 2007, engineers at the Idaho National Laboratory (INL) conducted a two-day evaluation of commercially available battery powered, wireless, self-forming mesh nodes for use in emergency response. In this paper, the author describes the fundamentals of this emerging technology, applciations for emergency response and specific results of the technology evaluation conducted at the Idaho National Laboratory.

  12. 49 CFR 1.44 - Office of Intelligence, Security and Emergency Response.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Office of Intelligence, Security and Emergency... DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.44 Office of Intelligence, Security and Emergency Response. The Director of the Office of Intelligence, Security and Emergency Response...

  13. 49 CFR 1.44 - Office of Intelligence, Security and Emergency Response.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Office of Intelligence, Security and Emergency... DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.44 Office of Intelligence, Security and Emergency Response. The Director of the Office of Intelligence, Security and Emergency Response...

  14. 49 CFR 1.44 - Office of Intelligence, Security and Emergency Response.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Office of Intelligence, Security and Emergency... DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.44 Office of Intelligence, Security and Emergency Response. The Director of the Office of Intelligence, Security and Emergency Response...

  15. Emergency Preparedness and Response: Information for Pregnant Women - Fact Sheet

    MedlinePlus

    ... Situation Awareness Hurricanes Wildfire Flooding Earthquakes Volcanos Winter Weather Recent Outbreaks and Incidents 2016 2015 2014 2013 ... 2009 2008 2007 2006 Natural Disasters and Severe Weather 2016 Hurricane Matthew Radiation Emergencies Chemical Emergencies Bioterrorism ...

  16. Biogeochemical and Hydrological Heterogeneity and Emergent Archetypical Catchment Response Patterns

    NASA Astrophysics Data System (ADS)

    Jawitz, J. W.; Gall, H. E.; Rao, P. S.

    2014-12-01

    What can stream hydrologic and biogeochemical signals tell us about interactions among spatially heterogeneous hydrological and biogeochemical processes at the catchment-scale? We seek to understand how the spatial structure of solute sources coupled with both stationary and nonstationary hydroclimatic drivers affect observed archetypes of concentration-discharge (C-Q) patterns. These response patterns are the spatially integrated expressions of the spatiotemporal structure of solutes exported from managed catchments, and can provide insight into likely ecological consequences of receiving water bodies (e.g., wetlands, rivers, lakes, and coastal waters). We investigated the following broad questions: (1) How does the spatial correlation between the structure of flow-generating areas and biogeochemical source areas across a catchment evolve under stochastic hydro-climatic forcing? (2) What are the feasible hydrologic and biogeochemical responses that lead to the emergence of archetypical C-Q patterns? and; (3) What implications do these coupled dynamics have for catchment monitoring and implementation of management practices? We categorize the observed temporal signals into three archetypical C-Q patterns: dilution; accretion, and constant concentration. We applied a parsimonious stochastic model of heterogeneous catchments, which act as hydrologic and biogeochemical filters, to examine the relationship between spatial heterogeneity and temporal history of solute export signals. The core concept of the modeling framework is considering the type and degree of spatial correlation between solute source zones and flow generating zones, and activation of different portions of the catchments during rainfall events. Our overarching hypothesis is that each archetype C-Q pattern can be generated by explicitly linking landscape-scale hydrologic responses and spatial distributions of solute source properties within a catchment. We compared observed multidecadal data to

  17. Utilizing SAR and Multispectral Integrated Data for Emergency Response

    NASA Astrophysics Data System (ADS)

    Havivi, S.; Schvartzman, I.; Maman, S.; Marinoni, A.; Gamba, P.; Rotman, S. R.; Blumberg, D. G.

    2016-06-01

    the emergency response following an event.

  18. U.S. EPA response to the Fukushima Daiichi Nuclear Power Plant accident.

    PubMed

    Tupin, Edward A; Boyd, Michael A; Mosser, Jennifer E; Wieder, Jessica S

    2012-05-01

    During the spring of 2011, the U.S. Environmental Protection Agency (EPA) used its national radiation monitoring and sampling system, RadNet, to detect, identify, and inform the public about radioactive material in the United States resulting from Japan's Fukushima Daiichi Nuclear Power Plant release. The RadNet system monitors ambient air, drinking water, precipitation, and pasteurized milk for radionuclides. To supplement its existing stationary (fixed) continuous air monitoring system, EPA deployed additional air monitors to Saipan, Guam, and locations in the western United States. The Agency also accelerated the regular quarterly sampling of milk and drinking water and collected an additional round of samples. For two months, staff located at EPA's Headquarters Emergency Operations Center, west coast regional offices, and National Air and Radiation Environmental Lab worked seven days a week to handle the increased radiochemical sample analysis from air filters, precipitation, drinking water, and milk; provide interagency scientific input; and answer press and public inquiries. EPA's data was consistent with what was expected from the Fukushima Daiichi Nuclear Power Plant release. The levels of radioactivity were so low that the readings from the near-real-time RadNet air monitors stayed within normal background ranges. Detailed sample analyses were needed to identify the radionuclides associated with the release. Starting at the end of April and continuing through May 2011, levels of radioactive material decreased as expected.

  19. Numerical simulation of PWR response to a small break LOCA (loss-of-coolant accident) with reactor coolant pumps operating

    SciTech Connect

    Adams, J.P.; Dobbe, C.A.; Bayless, P.D.

    1986-01-01

    Calculations have been made of the response of pressurized water reactors (PWRs) during a small-break, loss-of-coolant accident with the reactor coolant pumps (RCPs) operating. This study was conducted, as part of a comprehensive project, to assess the relationship between measurable RCP parameters, such as motor power or current, and fluid density, both local (at the RCP inlet) and global (average reactor coolant system). Additionally, the efficacy of using these RCP parameters, together with fluid temperature, to identify an off-nominal transient as either a LOCA, a heatup transient, or a cooldown transient and to follow recovery from the transient was assessed. The RELAP4 and RELAP5 computer codes were used with three independent sets of RCP, two-phase degradation multipliers. These multipliers were based on data obtained in two-phase flow conditions for the Semiscale, LOFT, and Creare/Combustion Engineering (CE)/Electric Power Research Institute (EPRI) pumps, respectively. Two reference PWRs were used in this study: Zion, a four-loop, 1100-MWe, Westinghouse plant operated by Commonwealth Edison Co. in Zion, Illinois and Bellefonte, a two-by-four loop, 1213 MWe, Babcock and Wilcox designed plant being built by the Tennessee Valley Authority in Scottsboro, Alabama. The results from this study showed that RCP operation resulted in an approximately homogeneous reactor coolant system and that this result was independent of reference plant, computer code, or two-phase RCP head degradation multiplier used in the calculation.

  20. The 2012 derecho: emergency medical services and hospital response.

    PubMed

    Kearns, Randy D; Wigal, Mark S; Fernandez, Antonio; Tucker, March A; Zuidgeest, Ginger R; Mills, Michael R; Cairns, Bruce A; Cairns, Charles B

    2014-10-01

    During the early afternoon of June 29, 2012, a line of destructive thunderstorms producing straight line winds known as a derecho developed near Chicago (Illinois, USA). The storm moved southeast with wind speeds recorded from 100 to 160 kilometers per hour (kph, 60 to 100 miles per hour [mph]). The storm swept across much of West Virginia (USA) later that evening. Power outage was substantial as an estimated 1,300,000 West Virginians (more than half) were without power in the aftermath of the storm and approximately 600,000 citizens were still without power a week later. This was one of the worst storms to strike this area and occurred as residents were enduring a prolonged heat wave. The wind damage left much of the community without electricity and the crippling effect compromised or destroyed critical infrastructure including communications, air conditioning, refrigeration, and water and sewer pumps. This report describes utilization of Emergency Medical Services (EMS) and hospital resources in West Virginia in response to the storm. Also reported is a review of the weather phenomena and the findings and discussion of the disaster and implications.

  1. Rapid screening of radioactivity in food for emergency response.

    PubMed

    Bari, A; Khan, A J; Semkow, T M; Syed, U-F; Roselan, A; Haines, D K; Roth, G; West, L; Arndt, M

    2011-06-01

    This paper describes the development of methods for the rapid screening of gross alpha (GA) and gross beta (GB) radioactivity in liquid foods, specifically, Tang drink mix, apple juice, and milk, as well as screening of GA, GB, and gamma radioactivity from surface deposition on apples. Detailed procedures were developed for spiking of matrices with (241)Am (alpha radioactivity), (90)Sr/(90)Y (beta radioactivity), and (60)Co, (137)Cs, and (241)Am (gamma radioactivity). Matrix stability studies were performed for 43 days after spiking. The method for liquid foods is based upon rapid digestion, evaporation, and flaming, followed by gas proportional (GP) counting. For the apple matrix, surface radioactivity was acid-leached, followed by GP counting and/or gamma spectrometry. The average leaching recoveries from four different apple brands were between 63% and 96%, and have been interpreted on the basis of ion transport through the apple cuticle. The minimum detectable concentrations (MDCs) were calculated from either the background or method-blank (MB) measurements. They were found to satisfy the required U.S. FDA's Derived Intervention Levels (DILs) in all but one case. The newly developed methods can perform radioactivity screening in foods within a few hours and have the potential to capacity with further automation. They are especially applicable to emergency response following accidental or intentional contamination of food with radioactivity.

  2. Hanford Site emergency response needs, Volumes 1 and 2

    SciTech Connect

    Good, D.E.

    1996-04-16

    This report presents the results of a comprehensive third party needs assessment of the Hanford Fire Department (HFD), conducted by Hughes Associates Inc. The assessment was commissioned with the intent of obtaining an unbiased report which could be used as a basis for identifying needed changes/modifications to the fire department and its services. This report serves several functions: (1) it documents current and future site operations and associated hazards and risks identified as a result of document review, site and facility surveys, and interviews with knowledgeable personnel; (2) describes the HFD in terms of organization, existing resources and response capabilities; (3) identifies regulatory and other requirements that are applicable to the HFD and includes a discussion of associated legal liabilities; and (4) provides recommendations based on applicable requirements and existing conditions. Each recommendation is followed by a supporting statement to clarify the intent or justification of the recommendation. This report will be followed by a Master Plan document which will present an implementation method for the recommendations (with associated costs) considered to be essential to maintaining adequate, cost effective emergency services at the Hanford site in the next five to seven years.

  3. Social response to technological disaster: the accident at Three Mile Island

    SciTech Connect

    Richardson, B.B.

    1984-01-01

    Until recently the sociological study of man environment relations under extreme circumstances has been restricted to natural hazards (e.g., floods, hurricanes, tornadoes). Technological disasters are becoming more commonplace (e.g., Times Beach, MO, Love Canal, TMI-2) and are growing as potential sources of impact upon human populations. However, theory regarding the social impact of such disasters has not been developed. While research on natural disasters is in part applicable to technological disasters, theory adapted from environmental sociology and psychology are also utilized to develop a theory of social response to extreme environmental events produced by technology. Hypotheses are developed in the form of an empirically testable model based on the literature reviewed.

  4. Using the /phi/resund experimental data to evaluate the ARAC emergency response models

    SciTech Connect

    Gudiksen, P.H.; Gryning, S.E.

    1988-07-01

    A series of meteorological and tracer experiments, was conducted during May and June 1984 over the 20-km wide /O/resund strait between Denmark and Sweden for the purpose of studying atmospheric dispersion processes over cold water and warm land surfaces and providing the data needed to evaluate meso-scale models in a coastal environment. In concert with these objectives the data from these experiments have been used as part of a continuing effort to evaluate the capability of the three-dimensional MATHEW/ADPIC (M/A) atmospheric dispersion models to simulate pollutant transport and diffusion characteristics of the atmospheric during a wide variety of meteorological conditions. Since previous studies have focused primarily on M/A model evaluations over rolling and complex terrain at inland sites, the /O/resund experiments provide a unique opportunity to evaluate the models in a coastal environment. The M/A models are used by the Atmospheric Release Advisory Capability (ARAC), developed by the Lawrence Livermore National Laboratory, for performing real-time assessments of the environmental consequences of potential or actual releases of radioactivity into the atmosphere. These assessments include estimation of radiation doses to nearby population centers and of the extent of surface contamination. Model evaluations, using field experimental data such as those generated by the /O/resund experiments, serve as a basis for providing emergency response managers with estimated of the uncertainties associated with accident consequence assessments. This report provides a brief description of the /O/resund experiments, the current understanding of the meteorological processes governing pollutant dispersion over the /O/resund strait, and the results of the M/A model simulations of these experiments. 11 refs., 7 figs., 1 tab.

  5. EPA’s Role in Emergency Response - Special Teams

    EPA Pesticide Factsheets

    The Environmental Response Team; Radiological Response Team; Chemical, Biological, Radiological, and Nuclear Consequence Management Advisory Division; and National Criminal Enforcement Response Team provide specialized support.

  6. All-terrain vehicle accidents: the experience of one hospital located near a major recreational area.

    PubMed

    Trager, G W; Grayman, G; Harr, S

    1986-11-01

    In two separate studies, charts of 169 all-terrain vehicle (ATV) accident victims admitted to the emergency department of Desert Hospital in Palm Springs, California, were reviewed. Twenty-four percent of the cases were women, 30% were hospitalized, and 1% (two patients) died. The youngest patient was 3 and the oldest was 76. About 31% had been drinking, and the major type of bony injury (16%) was to the clavicle, ribs, or sternum. The accident rate was calculated as ten accidents per 1,000 ATV rider days, which is comparable to the ski accident rate of six per 1,000 skier days. The three-wheeled variety of ATV is responsible for nearly all the accidents.

  7. 41 CFR 102-74.230 - Who is responsible for establishing an occupant emergency program?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... establishing, staffing and training an Occupant Emergency Organization with agency employees. Federal agencies... of this chapter) is responsible for developing, implementing and maintaining an Occupant...

  8. Computational fluid dynamics modeling for emergency preparedness & response

    SciTech Connect

    Lee, R.L.; Albritton, J.R.; Ermak, D.L.; Kim, J.

    1995-07-01

    Computational fluid dynamics (CFD) has played an increasing role in the improvement of atmospheric dispersion modeling. This is because many dispersion models are now driven by meteorological fields generated from CFD models or, in numerical weather prediction`s terminology, prognostic models. Whereas most dispersion models typically involve one or a few scalar, uncoupled equations, the prognostic equations are a set of highly-coupled, nonlinear equations whose solution requires a significant level of computational power. Until recently, such computer power could be found only in CRAY-class supercomputers. Recent advances in computer hardware and software have enabled modestly-priced, high performance, workstations to exhibit the equivalent computation power of some mainframes. Thus desktop-class machines that were limited to performing dispersion calculations driven by diagnostic wind fields may now be used to calculate complex flows using prognostic CFD models. The Atmospheric Release and Advisory Capability (ARAC) program at Lawrence Livermore National Laboratory (LLNL) has, for the past several years, taken advantage of the improvements in hardware technology to develop a national emergency response capability based on executing diagnostic models on workstations. Diagnostic models that provide wind fields are, in general, simple to implement, robust and require minimal time for execution. Such models have been the cornerstones of the ARAC operational system for the past ten years. Kamada (1992) provides a review of diagnostic models and their applications to dispersion problems. However, because these models typically contain little physics beyond mass-conservation, their performance is extremely sensitive to the quantity and quality of input meteorological data and, in spite of their utility, can be applied with confidence to only modestly complex flows.

  9. Review of current neutron detection systems for emergency response

    SciTech Connect

    Mukhopadhyay, Sanjoy; Maurer, Richard; Guss, Paul; Kruschwitz, Craig

    2014-09-05

    Neutron detectors are utilized in a myriad of applications—from safeguarding special nuclear materials (SNM) to determining lattice spacing in soft materials. The transformational changes taking place in neutron detection and imaging techniques in the last few years are largely being driven by the global shortage of helium-3 (3He). This article reviews the status of neutron sensors used specifically for SNM detection in radiological emergency response. These neutron detectors must be highly efficient, be rugged, have fast electronics to measure neutron multiplicity, and be capable of measuring direction of the neutron sources and possibly image them with high spatial resolution. Neutron detection is an indirect physical process: neutrons react with nuclei in materials to initiate the release of one or more charged particles that produce electric signals that can be processed by the detection system. Therefore, neutron detection requires conversion materials as active elements of the detection system; these materials may include boron-10 (10B), lithium-6 (6Li), and gadollinium-157 (157Gd), to name a few, but the number of materials available for neutron detection is limited. However, in recent years, pulse-shape-discriminating plastic scintillators, scintillators made of helium-4 (4He) under high pressure, pillar and trench semiconductor diodes, and exotic semiconductor neutron detectors made from uranium oxide and other materials have widely expanded the parameter space in neutron detection methodology. In this article we will pay special attention to semiconductor-based neutron sensors. Finally, modern microfabricated nanotubes covered inside with neutron converter materials and with very high aspect ratios for better charge transport will be discussed.

  10. Review of current neutron detection systems for emergency response

    DOE PAGES

    Mukhopadhyay, Sanjoy; Maurer, Richard; Guss, Paul; ...

    2014-09-05

    Neutron detectors are utilized in a myriad of applications—from safeguarding special nuclear materials (SNM) to determining lattice spacing in soft materials. The transformational changes taking place in neutron detection and imaging techniques in the last few years are largely being driven by the global shortage of helium-3 (3He). This article reviews the status of neutron sensors used specifically for SNM detection in radiological emergency response. These neutron detectors must be highly efficient, be rugged, have fast electronics to measure neutron multiplicity, and be capable of measuring direction of the neutron sources and possibly image them with high spatial resolution. Neutronmore » detection is an indirect physical process: neutrons react with nuclei in materials to initiate the release of one or more charged particles that produce electric signals that can be processed by the detection system. Therefore, neutron detection requires conversion materials as active elements of the detection system; these materials may include boron-10 (10B), lithium-6 (6Li), and gadollinium-157 (157Gd), to name a few, but the number of materials available for neutron detection is limited. However, in recent years, pulse-shape-discriminating plastic scintillators, scintillators made of helium-4 (4He) under high pressure, pillar and trench semiconductor diodes, and exotic semiconductor neutron detectors made from uranium oxide and other materials have widely expanded the parameter space in neutron detection methodology. In this article we will pay special attention to semiconductor-based neutron sensors. Finally, modern microfabricated nanotubes covered inside with neutron converter materials and with very high aspect ratios for better charge transport will be discussed.« less

  11. Industry's voluntary program: Community Awareness and Emergency Response Program and the Emergency Planning and Community Right-to-Know Act

    SciTech Connect

    Cooper, J.S. )

    1990-10-01

    This paper describes the chemical industry's Community Awareness and Emergency Response (CAER) Program, and voluntary and mandatory actions by the chemical industry to comply with the major environmental legislation. The chemical industry started the voluntary CAER Program soon after the Bhopal Disaster in 1984; it is coordinated through the Chemical Manufacturer's Association. This program, which began in March 1985, is a long-term industry commitment to develop a community outreach program and to improve local emergency response planning. The Congress of the United States began, in 1985, to consider proposals for mandatory programs. This led to enactment of the Superfund Amendments and Reauthorization Act of 1986, known as SARA. A portion of this Act, entitled Title III is also known as the Emergency Planning and Community Right-to-Know Act. Although this legislation has many mandatory requirements, it should be emphasized that a significant degree of voluntary industrial participation is needed if the purposes of the statute are to be achieved. Title III has created an intricate and still evolving system that ties together the EPA, industrial plant managers, state emergency response commissions, local emergency planning committees and fire departments with jurisdiction over the facility. Each of these groups has a different role and responsibilities but must work cooperatively with other participants. Because of the intricate network of participants, the magnitude of the information flow, and the continuing evolution of the system, unique public relations problems exist in order to comply with Title III.

  12. Psychosocial assistance after environmental accidents: a policy perspective.

    PubMed Central

    Becker, S M

    1997-01-01

    There is a substantial body of literature on psychosocial impacts of chemical and nuclear accidents. Less attention, however, has been focused on the program and policy issues that are connected with efforts to provide psychosocial assistance to the victims of such accidents. Because psychosocial assistance efforts are certain to be an essential part of the response to future environmental emergencies, it is vital that relevant program and policy issues by more fully considered. This article discusses the highly complex nature of contamination situations and highlights some of the key policy issues that are associated with the provision of psychosocial services after environmental accidents. One issue concerns the potential for assistance efforts to become objects of conflict. In the context of the intense controversy typically associated with chemical or nuclear accidents, and with debates over the causation of illness usually at the center of environmental accidents, psychosocial assistance services may themselves become contested terrain. Other significant program and policy issues include determining how to interface with citizen self-help and other voluntary groups, addressing the problem of stigma, and deciding how to facilitate stakeholder participation in the shaping of service provision. This article offers a series of policy proposals that may help smooth the way for psychosocial assistance programs in future environmental emergencies. PMID:9467082

  13. WETLAND INVERTEBRATE COMMUNITY RESPONSES TO VARYING EMERGENT LITTER IN A PRAIRIE POTHOLE EMERGENT MARSH

    EPA Science Inventory

    Plant litter produced in the interior of dense emergent stands may directly or indirectly influence invertebrate communities. Low litter may provide structure and refuge to invertebrates while high litter may shade out vegetation and algae and decrease oxygen concentrations. With...

  14. Letter from EPA to All State Emergency Response Commissions

    EPA Pesticide Factsheets

    Provides information related to the implementation of the Emergency Planning and Community Right to Know Act, and the Risk Management Program under Section 112r of the Clean Air Act, and suggestions for future actions.

  15. Criticality accident alarm system

    SciTech Connect

    Malenfant, R.E.

    1991-01-01

    The American National Standard ANSI/ANS-8.3-1986, Criticality Accident Alarm System provides guidance for the establishment and maintenance of an alarm system to initiate personnel evacuation in the event of inadvertent criticality. In addition to identifying the physical features of the components of the system, the characteristics of accidents of concern are carefully delineated. Unfortunately, this ANSI Standard has led to considerable confusion in interpretation, and there is evidence that the minimum accident of concern'' may not be appropriate. Furthermore, although intended as a guide, the provisions of the standard are being rigorously applied, sometimes with interpretations that are not consistent. Although the standard is clear in the use of absorbed dose in free air of 20 rad, at least one installation has interpreted the requirement to apply to dose in soft tissue. The standard is also clear in specifying the response to both neutrons and gamma rays. An assembly of uranyl fluoride enriched to 5% {sup 235}U was operated to simulate a potential accident. The dose, delivered in a free run excursion 2 m from the surface of the vessel, was greater than 500 rad, without ever exceeding a rate of 20 rad/min, which is the set point for activating an alarm that meets the standard. The presence of an alarm system would not have prevented any of the five major accidents in chemical operations nor is it absolutely certain that the alarms were solely responsible for reducing personnel exposures following the accident. Nevertheless, criticality alarm systems are now the subject of great effort and expense. 13 refs.

  16. Effects of the accident at Three Mile Island on the mental health and behavior responses of the general population and the nuclear workers

    SciTech Connect

    Fabrikant, J.I.

    1982-02-01

    A main conclusion drawn from the investigation by the President's Commission was that the most serious health effect of the Three Mile Island nuclear accident was severe mental stress, which was short-lived. The highest levels of psychological distress were found among those living within 5 miles of Three Mile Island, in families with preschool children, and among the Three Mile Island nuclear workers. This report provides some understanding of how these conclusions were drawn, the methods used to obtain information of the experiences of mental stress and the behavioral effects and responses of the general population and the nuclear workers to the accident at Three Mile Island. In order to limit the scope of the discussion, information is taken from the Behavioral Effects Task Group Report (TMI79c) to the President's Commission, and thus from the labors of the many behavioral scientists.

  17. Planning on a regional basis for a major radiation accident

    SciTech Connect

    Casey, W.R.

    1981-01-01

    As a part of the Radiological Assistance Program, members of the Safety and Environmental Protection Division of Brookhaven National Laboratory have served as a response team for many years to the northeastern section of the United States. During this time, responses have been made to several significant incidents, including the accident at Three Mile Island. The planning and preparation for emergency response activities will be discussed. Included will be a review of instrument requirements, analytical and support equipment, modes of response, and communication needs. Interaction with and support from other response teams will be discussed. In particular, the lessons from the respone to Three Mile Island will be reviewed.

  18. Emergent Intraverbal Responses VIA Tact and Match-to-Sample Instruction

    ERIC Educational Resources Information Center

    Grannan, Leigh; Rehfeldt, Ruth Anne

    2012-01-01

    The present investigation evaluated the effectiveness of category tact and match-to-sample instruction in facilitating the emergence of intraverbal responses (i.e., naming several items belonging to a specific category) for 2 children with autism. Results demonstrated the emergence of untaught responses, suggesting an effective instructional…

  19. 49 CFR 1.69 - Delegations to the Director of Intelligence, Security, and Emergency Response.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Delegations to the Director of Intelligence... Intelligence, Security, and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority for the following: (a) Intelligence and Security. Carry out the...

  20. 49 CFR 1.69 - Delegations to the Director of Intelligence, Security, and Emergency Response.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Delegations to the Director of Intelligence... Intelligence, Security, and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority for the following: (a) Intelligence and Security. Carry out the...

  1. Importance of risk communication during and after a nuclear accident.

    PubMed

    Perko, Tanja

    2011-07-01

    Past nuclear accidents highlight communication as one of the most important challenges in emergency management. In the early phase, communication increases awareness and understanding of protective actions and improves the population response. In the medium and long term, risk communication can facilitate the remediation process and the return to normal life. Mass media play a central role in risk communication. The recent nuclear accident in Japan, as expected, induced massive media coverage. Media were employed to communicate with the public during the contamination phase, and they will play the same important role in the clean-up and recovery phases. However, media also have to fulfill the economic aspects of publishing or broadcasting, with the "bad news is good news" slogan that is a well-known phenomenon in journalism. This article addresses the main communication challenges and suggests possible risk communication approaches to adopt in the case of a nuclear accident.

  2. Generating color terrain images in an emergency response system

    SciTech Connect

    Belles, R.D.

    1985-08-01

    The Atmospheric Release Advisory Capability (ARAC) provides real-time assessments of the consequences resulting from an atmospheric release of radioactive material. In support of this operation, a system has been created which integrates numerical models, data acquisition systems, data analysis techniques, and professional staff. Of particular importance is the rapid generation of graphical images of the terrain surface in the vicinity of the accident site. A terrain data base and an associated acquisition system have been developed that provide the required terrain data. This data is then used as input to a collection of graphics programs which create and display realistic color images of the terrain. The graphics system currently has the capability of generating color shaded relief images from both overhead and perspective viewpoints within minutes. These images serve to quickly familiarize ARAC assessors with the terrain near the release location, and thus permit them to make better informed decisions in modeling the behavior of the released material. 7 refs., 8 figs.

  3. Brain responses to symptom provocation and trauma-related short-term memory recall in coal mining accident survivors with acute severe PTSD.

    PubMed

    Hou, Cailan; Liu, Jun; Wang, Kun; Li, Lingjiang; Liang, Meng; He, Zhong; Liu, Yong; Zhang, Yan; Li, Weihui; Jiang, Tianzi

    2007-05-04

    Functional neuroimaging studies have largely been performed in patients with longstanding chronic posttraumatic stress disorder (PTSD). Additionally, memory function of PTSD patients has been proved to be impaired. We sought to characterize the brain responses of patients with acute PTSD and implemented a trauma-related short-term memory recall paradigm. Individuals with acute severe PTSD (n=10) resulting from a mining accident and 7 men exposed to the mining accident without PTSD underwent functional magnetic resonance imaging (fMRI) while performing the symptom provocation and trauma-related short-term memory recall paradigms. During symptom provocation paradigm, PTSD subjects showed diminished responses in right anterior cingulate gyrus, left inferior frontal gyrus and bilateral middle frontal gyrus and enhanced left parahippocampal gyrus response compared with controls. During the short-term memory recall paradigm, PTSD group showed diminished responses in right inferior frontal gyrus, right middle frontal and left middle occipital gyrus in comparison with controls. PTSD group exhibited diminished right parahippocampal gyrus response during the memory recall task as compared to the symptom provocation task. Our findings suggest that neurophysiological alterations and memory performance deficit have developed in acute severe PTSD.

  4. Massive Open Online Librarianship: Emerging Practices in Response to MOOCs

    ERIC Educational Resources Information Center

    Mune, Christina

    2015-01-01

    Massive Open Online Courses, or MOOCs, have recently emerged as a disruptive pedagogy gaining rapid momentum in higher education. In some states, proposed legislations would accredit MOOCs to provide college-credit courses in the name of cost saving, efficiency and access. While debates rage regarding the place of MOOCs in higher education, some…

  5. 40 CFR 266.204 - Standards applicable to emergency responses.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Military Munitions § 266.204 Standards applicable to emergency... CFR 262.10(i), 263.10(e), 264.1(g)(8), 265.1(c)(11), and 270.1(c)(3), or alternatively to 40 CFR...

  6. 40 CFR 266.204 - Standards applicable to emergency responses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Military Munitions § 266.204 Standards applicable to emergency... CFR 262.10(i), 263.10(e), 264.1(g)(8), 265.1(c)(11), and 270.1(c)(3), or alternatively to 40 CFR...

  7. 40 CFR 266.204 - Standards applicable to emergency responses.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Military Munitions § 266.204 Standards applicable to emergency... CFR 262.10(i), 263.10(e), 264.1(g)(8), 265.1(c)(11), and 270.1(c)(3), or alternatively to 40 CFR...

  8. Addressing the gap between public health emergency planning and incident response

    PubMed Central

    Freedman, Ariela M; Mindlin, Michele; Morley, Christopher; Griffin, Meghan; Wooten, Wilma; Miner, Kathleen

    2013-01-01

    Objectives: Since 9/11, Incident Command System (ICS) and Emergency Operations Center (EOC) are relatively new concepts to public health, which typically operates using less hierarchical and more collaborative approaches to organizing staff. This paper describes the 2009 H1N1 influenza outbreak in San Diego County to explore the use of ICS and EOC in public health emergency response. Methods: This study was conducted using critical case study methodology consisting of document review and 18 key-informant interviews with individuals who played key roles in planning and response. Thematic analysis was used to analyze data. Results: Several broad elements emerged as key to ensuring effective and efficient public health response: 1) developing a plan for emergency response; 2) establishing the framework for an ICS; 3) creating the infrastructure to support response; 4) supporting a workforce trained on emergency response roles, responsibilities, and equipment; and 5) conducting regular preparedness exercises. Conclusions: This research demonstrates the value of investments made and that effective emergency preparedness requires sustained efforts to maintain personnel and material resources. By having the infrastructure and experience based on ICS and EOC, the public health system had the capability to surge-up: to expand its day-to-day operation in a systematic and prolonged manner. None of these critical actions are possible without sustained funding for the public health infrastructure. Ultimately, this case study illustrates the importance of public health as a key leader in emergency response.

  9. Introduction of an Emergency Response Plan for flood loading of Sultan Abu Bakar Dam in Malaysia

    NASA Astrophysics Data System (ADS)

    Said, N. F. Md; Sidek, L. M.; Basri, H.; Muda, R. S.; Razad, A. Z. Abdul

    2016-03-01

    Sultan Abu Bakar Dam Emergency Response Plan (ERP) is designed to assist employees for identifying, monitoring, responding and mitigation dam safety emergencies. This paper is outlined to identification of an organization chart, responsibility for emergency management team and triggering level in Sultan Abu Bakar Dam ERP. ERP is a plan that guides responsibilities for proper operation of Sultan Abu Bakar Dam in respond to emergency incidents affecting the dam. Based on this study four major responsibilities are needed for Abu Bakar Dam owing to protect any probable risk for downstream which they can be Incident Commander, Deputy Incident Commander, On-Scene Commander, Civil Engineer. In conclusion, having organization charts based on ERP studies can be helpful for decreasing the probable risks in any projects such as Abu Bakar Dam and it is a way to identify and suspected and actual dam safety emergencies.

  10. Emergency response concept plan for Anniston Army Depot and vicinity

    SciTech Connect

    Carnes, S.A.; Sorensen, J.H.; Rogers, G.O.; Shumpert, B.L.; Miller, R.L.; Watson, A.P.; Chester, C.V.

    1989-10-01

    The continued storage and disposal of the United States' unitary chemical stockpile, including that portion stored at Anniston Army Depot (ANAD) near Anniston, Alabama, have the potential for accidental releases that could escape installation boundaries and pose a threat to civilian populations. The US Army, in conjunction with the Federal Emergency Management Agency and other federal agencies, is committed to implement an emergency preparedness program that will significantly reduce the probability of adverse effects from such releases. This concept plan, which is but a part of a comprehensive ongoing effort, provides a framework for initiating such a program for the UMDA stockpile. This report develops information and methodologies that bear on two major decisions for such a program -- determining emergency planning zones and selecting protective action strategies. These decisions are based on the hazards posed by the UMDA stockpile and its disposal. These hazards, in turn, are based largely on the distribution of potential accidental releases associated with interim storage and disposal activities and associated external events (e.g., earthquakes and airplane crashes), the distribution of natural features that can affect an agent release (topographical features and meteorological characteristics), and the distribution of people and resources (e.g., homes, schools, and hospitals) potentially affected by an accidental release. 25 refs., 9 figs., 13 tabs.

  11. Household Chemical Emergencies

    MedlinePlus

    ... Chemical Emergencies Hurricanes Landslides & Debris Flow Nuclear ... containing hazardous materials or chemicals. Although the risk of a chemical accident is slight, knowing how to handle these products ...

  12. Conceptual design report, Hazardous Materials Management and Emergency Response (HAMMER) Training Center

    SciTech Connect

    Kelly, K.E.

    1994-11-09

    For the next 30 years, the main activities at the US Department of Energy (DOE) Hanford Site will involve the management, handling, and cleanup of toxic substances. If the DOE is to meet its high standards of safety, the thousands of workers involved in these activities will need systematic training appropriate to their tasks and the risks associated with these tasks. Furthermore, emergency response for DOE shipments is the primary responsibility of state, tribal, and local governments. A collaborative training initiative with the DOE will strengthen emergency response at the Hanford Site and within the regional communities. Local and international labor has joined the Hazardous Materials Management and Emergency Response (HAMMER) partnership, and will share in the HAMMER Training Center core programs and facilities using their own specialized trainers and training programs. The HAMMER Training Center will provide a centralized regional site dedicated to the training of hazardous material, emergency response, and fire fighting personnel.

  13. Design of highway landslide warning and emergency response systems based on UAV

    NASA Astrophysics Data System (ADS)

    Huang, Yujie; Yi, Shen; Li, Zongyu; Shao, Shegang; Qin, Xiaochun

    2010-09-01

    Landslide is one of the serious geological disasters that bring serious impact on transportation construction and highway traffics. It is critical to improve the level of warning and emergency response to the highway landslide. Based on the application of unmanned aerial vehicles (UAV), the highway landslide warning and emergency response system is developed in this paper. The system consists of two main components, including landslide warning sub-system and the UAV emergency response sub-system. The establishment of this system will contribute to: 1) improving the warning and monitoring of highway landslide; 2) quickly understanding the situation of landslide disaster, and therefore helping the policy-makers with emergency rescue, disaster assessment, and reconstruction; and 3) using it as a research platform for large-scale landslides, debris flow monitoring and warning, and other emergency relief work.

  14. Something for pain: Responsible opioid use in emergency medicine.

    PubMed

    Strayer, Reuben J; Motov, Sergey M; Nelson, Lewis S

    2017-02-01

    The United States is currently experiencing a public health crisis of opioid addiction, which has its genesis in an industry marketing effort that successfully encouraged clinicians to prescribe opioids liberally, and asserted the safety of prescribing opioids for chronic non-cancer pain, despite a preponderance of evidence demonstrating the risks of dependence and misuse. The resulting rise in opioid use has pushed drug overdose deaths in front of motor vehicle collisions to become the leading cause of accidental death in the country. Emergency providers frequently treat patients for complications of opioid abuse, and also manage patients with acute and chronic pain, for which opioids are routinely prescribed. Emergency providers are therefore well positioned to both prevent new cases of opioid misuse and initiate appropriate treatment of existing opioid addicts. In opioid-naive patients, this is accomplished by a careful consideration of the likelihood of benefit and harm of an opioid prescription for acute pain. If opioids are prescribed, the chance of harm is reduced by matching the number of pills prescribed to the expected duration of pain and selecting an opioid preparation with low abuse liability. Patients who present to acute care with exacerbations of chronic pain or painful conditions associated with opioid misuse are best managed by treating symptoms with opioid alternatives and encouraging treatment for opioid addiction.

  15. Emergent response allocation and outcome ratings in slot machine gambling.

    PubMed

    Dymond, Simon; McCann, Kate; Griffiths, Joanne; Cox, Amanda; Crocker, Victoria

    2012-03-01

    The present study describes a contemporary behavior-analytic model of emergent simulated slot machine gambling. Three laboratory experiments investigated the conditions under which stimuli correlated with different slot machine payout probabilities come to have new, emergent functions without those functions being trained directly. After a successful test for verbal relations (A1-B1-C1 and A2-B2-C2), gamblers and nongamblers were exposed to a task in which high- and low-payout probability functions were established for two slot machines labeled with members of the derived relations (B1 and B2). In Experiment 1, participants provided ratings and chose between concurrently presented slot machines labeled with indirectly related stimuli (C1 and C2). In Experiments 2 and 3, participants made ratings and chose under conditions of nonreinforcement and matched payout probabilities, respectively. Across all three experiments, it was predicted that participants would make more selections of, and give higher liking ratings to, the slot machine indirectly related to the trained high-payout probability machine (C2) than the slot machine indirectly related to the trained low-payout probability machine (C1). Findings supported these predictions. The implications for behavior-analytic research on gambling and the development of verbally based interventions for disordered gambling are discussed.

  16. Association between neuroticism and amygdala responsivity emerges under stressful conditions.

    PubMed

    Everaerd, Daphne; Klumpers, Floris; van Wingen, Guido; Tendolkar, Indira; Fernández, Guillén

    2015-05-15

    Increased amygdala reactivity in response to salient stimuli is seen in patients with affective disorders, in healthy subjects at risk for these disorders, and in stressed individuals, making it a prime target for mechanistic studies into the pathophysiology of affective disorders. However, whereas individual differences in neuroticism are thought to modulate the effect of stress on mental health, the mechanistic link between stress, neuroticism and amygdala responsivity is unknown. Thus, we studied the relationship between experimentally induced stress, individual differences in neuroticism, and amygdala responsivity. To this end, fearful and happy faces were presented to a large cohort of young, healthy males (n=120) in two separate functional MRI sessions (stress versus control) in a randomized, controlled cross-over design. We revealed that amygdala reactivity was modulated by an interaction between the factors of stress, neuroticism, and the emotional valence of the facial stimuli. Follow-up analysis showed that neuroticism selectively enhanced amygdala responses to fearful faces in the stress condition. Thus, we show that stress unmasks an association between neuroticism and amygdala responsivity to potentially threatening stimuli. This effect constitutes a possible mechanistic link within the complex pathophysiology of affective disorders, and our novel approach appears suitable for further studies targeting the underlying mechanisms.

  17. Three Essays on Law Enforcement and Emergency Response Information Sharing and Collaboration: An Insider Perspective

    ERIC Educational Resources Information Center

    Treglia, Joseph V.

    2013-01-01

    This dissertation identifies what may be done to overcome barriers to information sharing among federal, tribal, state, and local law enforcement agencies and emergency responders. Social, technical, and policy factors related to information sharing and collaboration in the law enforcement and emergency response communities are examined. This…

  18. The computer emergency response team system (CERT-System)

    SciTech Connect

    Schultz, E.E.

    1991-10-11

    This paper describes CERT-System, an international affiliation of computer security response teams. Formed after the WANK and OILZ worms attacked numerous systems connected to the Internet, an operational charter was signed by representatives of 11 response teams. This affiliation's purpose is to provide a forum for ideas about incident response and computer security, share information, solve common problems, and develop strategies for responding to threats, incidents, etc. The achievements and advantages of participation in CERT-System are presented along with suggested growth areas for this affiliation. The views presented in this paper are the views of one member, and do not necessarily represent the views of others affiliated with CERT-System.

  19. Business Responses to Climate Change. Identifying Emergent Strategies

    SciTech Connect

    Kolk, A.; Pinkse, J.

    2005-07-01

    Companies face much uncertainty about the competitive effects of the recently adopted Kyoto Protocol on global climate change and the current and future regulations that may emerge from it. Companies have considerable discretion to explore different market strategies to address global warming and reduce greenhouse gas emissions. This article examines these strategic options by reviewing the market-oriented actions that are currently being taken by 136 large companies that are part of the Global 500. There are six different market strategies that companies use to address climate change and that consist of different combinations of the market components available to managers. Managers can choose between more emphasis on improvements in their business activities through innovation or employ compensatory approaches such as emissions trading. They can either act by themselves or work with other companies, NGOs, or (local) governments.

  20. The use of vaccination in emergency animal disease responses.

    PubMed

    Williams, Rob

    2007-01-01

    The author discusses the potential of vaccination to assist in the management and eradication of emergency animal diseases (EADs), as a complementary measure to either minimise the scale of, or to avoid, stamping out. Vaccination is only one of many tools available for disease control, especially for EADs. The decision on whether to use a vaccine in the face of an outbreak can be controversial, as policy-makers in the United Kingdom found during the foot and mouth disease outbreak in 2001. The advantages, disadvantages and limitations of using vaccination are discussed, as are strategies for EAD vaccination and the importance of contingency planning. The author identifies the potential for vaccines to lead to various problems, including encouraging genetic drift in field strains of pathogens, the risk of reassortment with naturally occurring pathogens, or the creation of a carrier state in an infected animal.

  1. Are archetypes transmitted or emergent? A response to Christian Roesler.

    PubMed

    Martin-Vallas, François

    2013-04-01

    In this paper the author argues that Jung's concept of archetype should not be reduced to an univocal definition. Jung himself proposed many definitions of this concept, some of them being partially or totally contradictory to others. A univocal and logical way of thinking can lead us to refute and reject part of those definitions, but a complex way of thinking, as proposed by Edgar Morin or Roy Bhaskar for example, can allow us to consider that those apparent contradictions in Jung's definitions of archetype reflect the complexity of the psychic reality. The main argument of the author is that Jung was missing the epistemological concept of emergence (which appeared in science at the time of his death) and that he tried to express it with the epistemological concepts of his time.

  2. Indian Point Nuclear Power Station: verification analysis of County Radiological Emergency-Response Plans

    SciTech Connect

    Nagle, J.; Whitfield, R.

    1983-05-01

    This report was developed as a management tool for use by the Federal Emergency Management Agency (FEMA) Region II staff. The analysis summarized in this report was undertaken to verify the extent to which procedures, training programs, and resources set forth in the County Radiological Emergency Response Plans (CRERPs) for Orange, Putnam, and Westchester counties in New York had been realized prior to the March 9, 1983, exercise of the Indian Point Nuclear Power Station near Buchanan, New York. To this end, a telephone survey of county emergency response organizations was conducted between January 19 and February 22, 1983. This report presents the results of responses obtained from this survey of county emergency response organizations.

  3. Notification: Audit of Region 6's Emergency and Rapid Response Services Contracts

    EPA Pesticide Factsheets

    Project #OA-FY13-0046, March 20, 2013. The Office of Inspector General plans to begin the fieldwork phase of our audit of Region 6’s management of the Emergency and Rapid Response Services contracts.

  4. 77 FR 25500 - Standard on Hazardous Waste Operations and Emergency Response (HAZWOPER); Extension of the Office...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-30

    ... Occupational Safety and Health Administration Standard on Hazardous Waste Operations and Emergency Response (HAZWOPER); Extension of the Office of Management and Budget's (OMB) Approval of Information Collection... Office of Management and Budget's (OMB) approval of the information collection requirements specified...

  5. Rapid Educational Response in Complex Emergencies: A Discussion Document.

    ERIC Educational Resources Information Center

    Aguilar, Pilar; Retamal, Gonzalo

    On-going political and economic instability impede access to regular education for large numbers of war-affected children and young adults. This brochure represents an effort to consolidate a systematic response to the special needs of children from the outset of the crisis until they can attend regular basic education. Attempts are made to ensure…

  6. Uses of the Internet in post-emergency response: Some issues

    SciTech Connect

    Herzenberg, C.L.

    1998-09-01

    Can the Internet be of value in post-emergency response? The answer is yes, to judge by its use following the Kobe earthquake in Japan and the ice storms in the US and Canada last winter. This will not be a technical account of the Internet, but rather a quick look at some advantages, disadvantages, promising applications, and issues that may arise in using the Internet for post-emergency response.

  7. The hydrological impact assessment in the decision support of nuclear emergency response.

    PubMed

    Vamanu, Dan V; Slavnicu, Dan S; Gheorghiu, Dorina; Acasandrei, Valentin T; Slavnicu, Elena

    2010-07-01

    The paper presents several aspects believed to be relevant for the integration in the decision support systems for the management of radiological emergencies, of assessment tools addressing surface water contamination. Three exemplary cases are discussed in the context-the CONVEX 2005 international alert exercise, AXIOPOLIS 09, a national drill targeting a CANDU reactor at Cernavoda nuclear power plant in Romania, and Oltenia 07-a nation-wide drill around a scenario, involving trans-border effects of a virtual accident at a VVER reactor at Kozloduy, Bulgaria. The capability of different analytic tools were tested, including public deliverables like real-time, online decision support system's HDM module and model-based computerised system for management support to identify optimal remedial strategies for restoring radionuclide-contaminated aquatic ecosystems and drainage areas, as well as research-grade, home-made facilities, in order to identify and sort out merits and issues of interest in steering their effective utilisation.

  8. Preparing EBS messages. [Emergency Broadcast System (EBS)

    SciTech Connect

    Vogt, B.M., Sorensen, J.H.

    1992-09-01

    Warning messages transmitted to populations at risk from an accidental release of chemical agent must be carefully designed to maximize appropriate responses from affected publics. This guide develops an approach for preparing Emergency Broadcast System (EBS) messages for the Chemical Stockpile Emergency Preparedness Program (CSEPP). Sample messages illustrate the application of this approach. While the sample messages do not cover every emergency situation, the texts are generic in that accident and location specific factors can be incorporated into the final message developed by local emergency planners. Thus they provide a starting point, not an end product, for emergency planners.

  9. Demand responsive programs - an emerging resource for competitive electricity markets?

    SciTech Connect

    Heffner, Grayson C. Dr.; Goldman, Charles A.

    2001-06-25

    The restructuring of regional electricity markets in the U.S. has been accompanied by numerous problems, including generation capacity shortages, transmission congestion, wholesale price volatility, and reduced system reliability. These problems have created significant new opportunities for technologies and business approaches that allow load serving entities and other aggregators, to control and manage the load patterns of their wholesale or retail end-users. These technologies and business approaches for manipulating end-user load shapes are known as Load Management or, more recently, Demand Responsive programs. Lawrence Berkeley National Laboratory (LBNL) is conducting case studies on innovative demand responsive programs and presents preliminary results for five case studies in this paper. These case studies illustrate the diversity of market participants and range of technologies and business approaches and focus on key program elements such as target markets, market segmentation and participation results; pricing scheme; dispatch and coordination; measurement, verification, and settlement; and operational results where available.

  10. The Americans with Disabilities Act and Emergency Preparedness and Response

    DTIC Science & Technology

    2010-06-30

    Disability ( NCD ), the Interagency Coordinating Council on Preparedness and Individuals with Disabilities, and other federal, state, local, and tribal...not coordinated with NCD as required by the Act, which could result in disability-related concerns not being fully addressed.”27 The National Council...Council on Disability ( NCD ), an independent federal agency responsible for gathering information on the development and implementation of federal laws

  11. Paragliding accidents in remote areas.

    PubMed

    Fasching, G; Schippinger, G; Pretscher, R

    1997-08-01

    Paragliding is an increasingly popular hobby, as people try to find new and more adventurous activities. However, there is an increased and inherent danger with this sport. For this reason, as well as the inexperience of many operators, injuries occur frequently. This retrospective study centers on the helicopter rescue of 70 individuals in paragliding accidents. All histories were examined, and 43 patients answered a questionnaire. Nineteen (42%) pilots were injured when taking off, 20 (44%) during the flight, and six (13%) when landing. Routine and experience did not affect the prevalence of accident. Analysis of the causes of accident revealed pilot errors in all but three cases. In 34 rescue operations a landing of the helicopter near the site of the accident was possible. Half of the patients had to be rescued by a cable winch or a long rope fixed to the helicopter. Seven (10%) of the pilots suffered multiple trauma, 38 (54%) had injuries of the lower extremities, and 32 (84%) of them sustained fractures. Injuries to the spine were diagnosed in 34 cases with a fracture rate of 85%. One patient had an incomplete paraplegia. Injuries to the head occurred in 17 patients. No paraglider pilot died. The average hospitalization was 22 days, and average time of working inability was 14 weeks. Fourteen (34%) patients suffered from a permanent damage to their nerves or joints. Forty-three percent of the paragliders continued their sport despite the accident; two of them had another accident. An improved training program is necessary to lower the incidence of paragliding accidents. Optimal equipment to reduce injuries in case of accidents is mandatory. The helicopter emergency physician must perform a careful examination, provide stabilization of airways and circulation, give analgesics, splint fractured extremities, and transport the victim on a vacuum mattress to the appropriate hospital.

  12. Automating Hyperspectral Data for Rapid Response in Volcanic Emergencies

    NASA Technical Reports Server (NTRS)

    Davies, Ashley G.; Doubleday, Joshua R.; Chien, Steve A.

    2013-01-01

    In a volcanic emergency, time is of the essence. It is vital to quantify eruption parameters (thermal emission, effusion rate, location of activity) and distribute this information as quickly as possible to decision-makers in order to enable effective evaluation of eruption-related risk and hazard. The goal of this work was to automate and streamline processing of spacecraft hyperspectral data, automate product generation, and automate distribution of products. Visible and Short-Wave Infrared Images of volcanic eruption in Iceland in May 2010." class="caption" align="right">The software rapidly processes hyperspectral data, correcting for incident sunlight where necessary, and atmospheric transmission; detects thermally anomalous pixels; fits data with model black-body thermal emission spectra to determine radiant flux; calculates atmospheric convection thermal removal; and then calculates total heat loss. From these results, an estimation of effusion rate is made. Maps are generated of thermal emission and location (see figure). Products are posted online, and relevant parties notified. Effusion rate data are added to historical record and plotted to identify spikes in activity for persistently active eruptions. The entire process from start to end is autonomous. Future spacecraft, especially those in deep space, can react to detection of transient processes without the need to communicate with Earth, thus increasing science return. Terrestrially, this removes the need for human intervention.

  13. Emergency response planning to reduce the impact of contaminated drinking water during natural disasters

    NASA Astrophysics Data System (ADS)

    Patterson, Craig L.; Adams, Jeffrey Q.

    2011-12-01

    Natural disasters can be devastating to local water supplies affecting millions of people. Disaster recovery plans and water industry collaboration during emergencies protect consumers from contaminated drinking water supplies and help facilitate the repair of public water systems. Prior to an event, utilities and municipalities can use "What if"? scenarios to develop emergency operation, response, and recovery plans designed to reduce the severity of damage and destruction. Government agencies including the EPA are planning ahead to provide temporary supplies of potable water and small drinking water treatment technologies to communities as an integral part of emergency response activities that will ensure clean and safe drinking water.

  14. A Vision-Based Emergency Response System with a Paramedic Mobile Robot

    NASA Astrophysics Data System (ADS)

    Jeong, Il-Woong; Choi, Jin; Cho, Kyusung; Seo, Yong-Ho; Yang, Hyun Seung

    Detecting emergency situation is very important to a surveillance system for people like elderly live alone. A vision-based emergency response system with a paramedic mobile robot is presented in this paper. The proposed system is consisted of a vision-based emergency detection system and a mobile robot as a paramedic. A vision-based emergency detection system detects emergency by tracking people and detecting their actions from image sequences acquired by single surveillance camera. In order to recognize human actions, interest regions are segmented from the background using blob extraction method and tracked continuously using generic model. Then a MHI (Motion History Image) for a tracked person is constructed by silhouette information of region blobs and model actions. Emergency situation is finally detected by applying these information to neural network. When an emergency is detected, a mobile robot can help to diagnose the status of the person in the situation. To send the mobile robot to the proper position, we implement mobile robot navigation algorithm based on the distance between the person and a mobile robot. We validate our system by showing emergency detection rate and emergency response demonstration using the mobile robot.

  15. A national census of ambulance response times to emergency calls in Ireland

    PubMed Central

    Breen, N.; Woods, J.; Bury, G.; Murphy, A.; Brazier, H.

    2000-01-01

    Background—Equity of access to appropriate pre-hospital emergency care is a core principle underlying an effective ambulance service. Care must be provided within a timeframe in which it is likely to be effective. A national census of response times to emergency and urgent calls in statutory ambulance services in Ireland was undertaken to assess current service provision. Methods—A prospective census of response times to all emergency and urgent calls was carried out in the nine ambulance services in the country over a period of one week. The times for call receipt, activation, arrival at and departure from scene and arrival at hospital were analysed. Crew type, location of call and distance from ambulance base were detailed. The type of incident leading to the call was recorded but no further clinical information was gathered. Results—2426 emergency calls were received by the services during the week. Fourteen per cent took five minutes or longer to activate (range 5–33%). Thirty eight per cent of emergencies received a response within nine minutes (range 10–47%). Only 4.5% of emergency calls originating greater than five miles from an ambulance station were responded to within nine minutes (range 0–10%). Median patient care times for "on call" crews were three times longer than "on duty" crews. Conclusion—Without prioritised use of available resources, inappropriately delayed responses to critical incidents will continue. Recommendations are made to improve the effectiveness of emergency medical service utilisation. PMID:11104237

  16. Aircraft accidents : method of analysis

    NASA Technical Reports Server (NTRS)

    1929-01-01

    This report on a method of analysis of aircraft accidents has been prepared by a special committee on the nomenclature, subdivision, and classification of aircraft accidents organized by the National Advisory Committee for Aeronautics in response to a request dated February 18, 1928, from the Air Coordination Committee consisting of the Assistant Secretaries for Aeronautics in the Departments of War, Navy, and Commerce. The work was undertaken in recognition of the difficulty of drawing correct conclusions from efforts to analyze and compare reports of aircraft accidents prepared by different organizations using different classifications and definitions. The air coordination committee's request was made "in order that practices used may henceforth conform to a standard and be universally comparable." the purpose of the special committee therefore was to prepare a basis for the classification and comparison of aircraft accidents, both civil and military. (author)

  17. Short-term emergency response planning and risk assessment via an integrated modeling system for nuclear power plants in complex terrain

    NASA Astrophysics Data System (ADS)

    Chang, Ni-Bin; Weng, Yu-Chi

    2013-03-01

    Short-term predictions of potential impacts from accidental release of various radionuclides at nuclear power plants are acutely needed, especially after the Fukushima accident in Japan. An integrated modeling system that provides expert services to assess the consequences of accidental or intentional releases of radioactive materials to the atmosphere has received wide attention. These scenarios can be initiated either by accident due to human, software, or mechanical failures, or from intentional acts such as sabotage and radiological dispersal devices. Stringent action might be required just minutes after the occurrence of accidental or intentional release. To fulfill the basic functions of emergency preparedness and response systems, previous studies seldom consider the suitability of air pollutant dispersion models or the connectivity between source term, dispersion, and exposure assessment models in a holistic context for decision support. Therefore, the Gaussian plume and puff models, which are only suitable for illustrating neutral air pollutants in flat terrain conditional to limited meteorological situations, are frequently used to predict the impact from accidental release of industrial sources. In situations with complex terrain or special meteorological conditions, the proposing emergency response actions might be questionable and even intractable to decisionmakers responsible for maintaining public health and environmental quality. This study is a preliminary effort to integrate the source term, dispersion, and exposure assessment models into a Spatial Decision Support System (SDSS) to tackle the complex issues for short-term emergency response planning and risk assessment at nuclear power plants. Through a series model screening procedures, we found that the diagnostic (objective) wind field model with the aid of sufficient on-site meteorological monitoring data was the most applicable model to promptly address the trend of local wind field patterns

  18. Renaissance CFO emerges in response to market pressures.

    PubMed

    1995-08-01

    A 1995 survey of chief financial officers (CFOs) in healthcare organizations finds that as the healthcare industry reshapes itself through mergers, acquisitions, and downsizing, the CFOs of the mid-1990s also are reshaping themselves into "Renaissance CFOs." They are acquiring new skills and expertise beyond the traditional area of finance. About one-third of the CFOs who took part in the February 1995 survey, which updates similar surveys in 1992 and 1990, said they are working to enhance their knowledge of managed care because they expect to assume responsibility for managed care as part of their expanding CFO responsibilities. Other new areas survey respondents said they expect to oversee before the decade's end are financial costing and pricing and physician relations. The 1995 CFO survey was commissioned by HFMA and Executive Risk Management Associates, Inc., and was conducted by Elrick & Lavidge, Inc. Previous CFO profile surveys have included analysis of CFO compensation data. This year, however, a separate, more indepth survey of CFO compensation was commissioned by HFMA; the findings of this survey will be presented in the October issue of HFM.

  19. Airborne remote sensing for Deepwater Horizon oil spill emergency response

    NASA Astrophysics Data System (ADS)

    Kroutil, Robert T.; Shen, Sylvia S.; Lewis, Paul E.; Miller, David P.; Cardarelli, John; Thomas, Mark; Curry, Timothy; Kudaraskus, Paul

    2010-08-01

    On April 28, 2010, the Environmental Protection Agency's (EPA) Airborne Spectral Photometric Environmental Collection Technology (ASPECT) aircraft was deployed to Gulfport, Mississippi to provide airborne remotely sensed air monitoring and situational awareness data and products in response to the Deepwater Horizon oil rig disaster. The ASPECT aircraft was released from service on August 9, 2010 after having flown over 75 missions that included over 250 hours of flight operation. ASPECT's initial mission responsibility was to provide air quality monitoring (i.e., identification of vapor species) during various oil burning operations. The ASPECT airborne wide-area infrared remote sensing spectral data was used to evaluate the hazard potential of vapors being produced from open water oil burns near the Deepwater Horizon rig site. Other significant remote sensing data products and innovations included the development of an advanced capability to correctly identify, locate, characterize, and quantify surface oil that could reach beaches and wetland areas. This advanced identification product provided the Incident Command an improved capability to locate surface oil in order to improve the effectiveness of oil skimmer vessel recovery efforts directed by the US Coast Guard. This paper discusses the application of infrared spectroscopy and multispectral infrared imagery to address significant issues associated with this national crisis. More specifically, this paper addresses the airborne remote sensing capabilities, technology, and data analysis products developed specifically to optimize the resources and capabilities of the Deepwater Horizon Incident Command structure personnel and their remediation efforts.

  20. Using Geo-Data Corporately on the Response Phase of Emergency Management

    NASA Astrophysics Data System (ADS)

    Demir Ozbek, E.; Ates, S.; Aydinoglu, A. C.

    2015-08-01

    Response phase of emergency management is the most complex phase in the entire cycle because it requires cooperation between various actors relating to emergency sectors. A variety of geo-data is needed at the emergency response such as; existing data provided by different institutions and dynamic data collected by different sectors at the time of the disaster. Disaster event is managed according to elaborately defined activity-actor-task-geodata cycle. In this concept, every activity of emergency response is determined with Standard Operation Procedure that enables users to understand their tasks and required data in any activity. In this study, a general conceptual approach for disaster and emergency management system is developed based on the regulations to serve applications in Istanbul Governorship Provincial Disaster and Emergency Directorate. The approach is implemented to industrial facility explosion example. In preparation phase, optimum ambulance locations are determined according to general response time of the ambulance to all injury cases in addition to areas that have industrial fire risk. Management of the industrial fire case is organized according to defined actors, activities, and working cycle that describe required geo-data. A response scenario was prepared and performed for an industrial facility explosion event to exercise effective working cycle of actors. This scenario provides using geo-data corporately between different actors while required data for each task is defined to manage the industrial facility explosion event. Following developing web technologies, this scenario based approach can be effective to use geo-data on the web corporately.

  1. Bethesda hospitals' emergency preparedness partnership: a model for transinstitutional collaboration of emergency responses.

    PubMed

    Henderson, David K; Malanoski, Michael P; Corapi, Gene; Passamani, Eugene; Notobartolo, Cynthia; Gillette, Chris; Hawes, Patricia; Lee, Laura M

    2009-10-01

    The events of September 11, 2001 identified a need for health care institutions to develop flexible, creative, and adaptive response mechanisms in the event of a local, regional, or national disaster. The 3 major health care institutions in Bethesda, MD-the National Naval Medical Center (NNMC), the Suburban Hospital Healthcare System (SHHS), and the National Institutes of Health Clinical Center (NIHCC)-have created a preparedness partnership that outstrips what any of the institutions could provide independently by pooling complementary resources. The creation of the partnership initially was driven by geographic proximity and by remarkably complementary resources. This article describes the creation of the partnership, the drivers and obstacles to creation, and the functioning and initial accomplishments of the partnership. The article argues that similar proximity and resource relationships exist among institutions at academic centers throughout the United States and suggests that this partnership may serve as a template for other similarly situated institutions.

  2. Integrating international responses to complex emergencies, unconventional war, and terrorism.

    PubMed

    Burkle, Frederick M

    2005-01-01

    The world is experiencing unprecedented violence and threats of violence, taking the form of complex internal nation-state conflicts, unconventional or guerrilla warfare against established governments, and stateless threats of terrorism by potential biologic, chemical, and nuclear weapons. What happens locally has immediate ramifications internationally. Real and potential health consequences of these events have evoked global concerns and realization that capacities and capabilities to respond to such events require unparalleled integration, coordination, and cooperation of the international community. However, politics and the institutions singular governments form are inherently limited in their objectives and capability to effectively respond. Public health, broadly defined, must be recognized as a security and strategic requirement, one that serves to build a foundation for an international integrated response capacity.

  3. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS PLANNING Federal Participation § 352.26 Arrangements for... from commercial nuclear power plant licensees to State and local governments and to surrounding...

  4. 44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... NUCLEAR POWER PLANTS: EMERGENCY PREPAREDNESS PLANNING Federal Participation § 352.26 Arrangements for... from commercial nuclear power plant licensees to State and local governments and to surrounding...

  5. Proper oxygen use can help save lives in initial medical emergency response.

    PubMed

    Starr, L M

    1993-03-01

    For many people who deal with medical emergencies--some human resource managers, emergency team administrators, CPR and first aid instructors, EMTs, nurses and physicians--the topic of oxygen use by nonmedical responders at the workplace is poorly understood. Workplace emergency response administrators may find it helpful to become familiar with the current emergency medical literature and learn that the previous literature may no longer apply. Furthermore, fear that use of emergency oxygen by nonmedical responders is "playing doctor," and will lead to some imagined uncontrollable catastrophe is based on statistically and medically unfounded misinformation. As is the case with many uncertain events, the perception of risk is unrelated to the actual risk. Refusing to allow appropriately trained nonmedical responders to use reliable emergency oxygen when it is available is a potentially grave error and makes emergency care in the workplace less efficient and valuable. There are many cases of workplace injury or illness in which oxygen use is not only appropriate but may help save a patient's life. Ensuring that the proper emergency oxygen equipment is available where appropriate and properly training personnel are responsible for first aid can, in some cases, lessen the severity of workplace illness and injury incidents.

  6. 78 FR 33467 - Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-04

    ... Response to Hurricane Sandy: Response, Recovery & Resiliency; Correction AGENCY: Federal Transit... by Hurricane Sandy. This amount was in addition to the initial $2 billion allocation announced in the... allocation restoration FTA Section 5324 Emergency Relief Program Allocations for Hurricane Sandy, by...

  7. LEADERS: Lightweight Epidemiology Advanced Detection and Emergency Response System

    NASA Astrophysics Data System (ADS)

    Ritter, Todd A.

    2002-06-01

    Technological advancements in molecular biology now offer a wide-range of applications for bio-warfare defense, medical surveillance, agricultural surveillance and pure research. Idaho Technology has designed and produced the world's fastest DNA-based identifiers. The R.A.P.I.D. TM (Ruggedized Advanced Pathogen Identification Device) provides several options for using sensitive and specific molecular biology-based technology One of the key features of the RAPID is a software package called Detector*. Detector* allows Minimally Trained Care Providers (MTCP) to operate the instrument by automating the steps of running PCR and automatically analyzing the sample data. Pathogen identification is carried out automatically using positive and negative controls to protect against false positive and false negative results. As part of the LEADER system, the Remote RAPID Viewer (RRV) component allows for real-time remote monitoring of PCR reactions run on the RAPID, thus giving the Subject Matter Expert (SME) the ability to request specific tests when triggered by the auto-analysis system. In addition the RRV component facilitates in result verification of tests run by MTCP, assists in tracking outbreaks, and helps coordinate large scale real-time crisis management. The system will allow access to epidemiological data from thin client (i.e. web browser), thus allowing the SME to connect from anywhere with an internet connection. In addition the LEADER system will automatically contact and alert SME when threshold criteria are met, helping reduce the time to first response.

  8. Immune response in pemphigus and beyond: progresses and emerging concepts.

    PubMed

    Di Zenzo, Giovanni; Amber, Kyle T; Sayar, Beyza S; Müller, Eliane J; Borradori, Luca

    2016-01-01

    Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are two severe autoimmune bullous diseases of the mucosae and/or skin associated with autoantibodies directed against desmoglein (Dsg) 3 and/or Dsg1. These two desmosomal cadherins, typifying stratified epithelia, are components of cell adhesion complexes called desmosomes and represent extra-desmosomal adhesion receptors. We herein review the advances in our understanding of the immune response underlying pemphigus, including human leucocyte antigen (HLA) class II-associated genetic susceptibility, characteristics of pathogenic anti-Dsg antibodies, antigenic mapping studies as well as findings about Dsg-specific B and T cells. The pathogenicity of anti-Dsg autoantibodies has been convincingly demonstrated. Disease activity and clinical phenotype correlate with anti-Dsg antibody titers and profile while passive transfer of anti-Dsg IgG from pemphigus patients' results in pemphigus-like lesions in neonatal and adult mice. Finally, adoptive transfer of splenocytes from Dsg3-knockout mice immunized with murine Dsg3 into immunodeficient mice phenotypically recapitulates PV. Although the exact pathogenic mechanisms leading to blister formation have not been fully elucidated, intracellular signaling following antibody binding has been found to be necessary for inducing cell-cell dissociation, at least for PV. These new insights not only highlight the key role of Dsgs in maintenance of tissue homeostasis but are expected to progressively change pemphigus management, paving the way for novel targeted immunologic and pharmacologic therapies.

  9. Chernobyl nuclear accident hydrologic analysis and emergency evaluation of radionuclide distributions in the Dnieper River, Ukraine, during the 1993 summer flood

    SciTech Connect

    Voitsekhovitch, O.V.; Zheleznyak, M.J.; Onishi, Y.

    1994-06-01

    This report describes joint activities of Program 7.1.F, ``Radionuclide Transport in Water and Soil Systems,`` of the USA/Commonwealth of Independent States (CIS) Joint Coordinating Committee of Civilian Nuclear Reactor Safety to study the hydrogeochemical behavior of radionuclides released to the Pripyat and Dnieper rivers from the Chernobyl Nuclear Power Plant in Ukraine. These joint activities included rapid evaluation of radionuclide distributions in the Pripyat and Dnieper river system and field data evaluation and modeling for the 1993 summer flood to assist the Ukrainian government in their emergency response during the flood. In July-August 1993, heavy rainfall over the Pripyat River Catchment in Belarus and Ukraine caused severe flooding, significantly raising {sup 90}Sr concentrations in the river. Near the Chernobyl area, the maximum {sup 90}Sr concentration in the Pripyat River reached 20--25 PCi/L in early August; near the Pripyat River mouth, the concentration rose to 35 pCi/L. The peak {sup 90}Sr concentration in the Kiev Reservoir (a major source of drinking water for Kiev) was 12 pCi/L. Based on these measured radionuclide levels, additional modeling results and the assumption of water purification in a water treatment station, {sup 90}Sr concentrations in Kiev`s drinking water were estimated to be less than 8 pCi/L. Unlike {sup 90}Sr, {sup 137}Cs concentrations in the Pripyat River during the flood did not rise significantly to the pre-flood levels. Estimated {sup 137}Cs concentrations for the Kiev drinking water were two orders of magnitude lower than the drinking water standard of 500 pCi/L for {sup 137}Cs.

  10. Hospital organizational response to the nuclear accident at Three Mile Island: implications for future-oriented disaster planning.

    PubMed

    Maxwell, C

    1982-03-01

    The 1979 nuclear accident at Three Mile Island (TMI) near Harrisburg, Pennsylvania, caused severe organizational problems for neighboring health care institutions. Dauphin County, just north of TMI, contained four hospitals ranging in distance from 9.5 to 13.5 miles from the stricken plant. Crash plans put into effect within 48 hours of the initial incident successfully reduced hospital census to below 50 per cent of capacity, but retained bedridden and critically ill patients within the risk-zone. No plans existed for area-wide evacuation of hospitalized patients. Future-oriented disaster planning should include resource files of host institution bed capacity and transportation capabilities for the crash evacuation of hospitalized patients during non-traditional disasters.

  11. Hospital organizational response to the nuclear accident at Three Mile Island: implications for future-oriented disaster planning.

    PubMed Central

    Maxwell, C

    1982-01-01

    The 1979 nuclear accident at Three Mile Island (TMI) near Harrisburg, Pennsylvania, caused severe organizational problems for neighboring health care institutions. Dauphin County, just north of TMI, contained four hospitals ranging in distance from 9.5 to 13.5 miles from the stricken plant. Crash plans put into effect within 48 hours of the initial incident successfully reduced hospital census to below 50 per cent of capacity, but retained bedridden and critically ill patients within the risk-zone. No plans existed for area-wide evacuation of hospitalized patients. Future-oriented disaster planning should include resource files of host institution bed capacity and transportation capabilities for the crash evacuation of hospitalized patients during non-traditional disasters. PMID:7058968

  12. Transportation accident scenarios for commercial spent fuel

    SciTech Connect

    Wilmot, E L

    1981-02-01

    A spectrum of high severity, low probability, transportation accident scenarios involving commercial spent fuel is presented together with mechanisms, pathways and quantities of material that might be released from spent fuel to the environment. These scenarios are based on conclusions from a workshop, conducted in May 1980 to discuss transportation accident scenarios, in which a group of experts reviewed and critiqued available literature relating to spent fuel behavior and cask response in accidents.

  13. Independent accident investigation: a modern safety tool.

    PubMed

    Stoop, John A

    2004-07-26

    Historically, safety has been subjected to a fragmented approach. In the past, every department has had its own responsibility towards safety, focusing either on working conditions, internal safety, external safety, rescue and emergency, public order or security. They each issued policy documents, which in their time were leading statements for elaboration and regulation. They also addressed safety issues with tools of various nature, often specifically developed within their domain. Due to a series of major accidents and disasters, the focus of attention is shifting from complying with quantitative risk standards towards intervention in primary operational processes, coping with systemic deficiencies and a more integrated assessment of safety in its societal context. In The Netherlands recognition of the importance of independent investigations has led to an expansion of this philosophy from the transport sector to other sectors. The philosophy now covers transport, industry, defense, natural disaster, environment and health and other major occurrences such as explosions, fires, and collapse of buildings or structures. In 2003 a multi-sector covering law will establish an independent safety board in The Netherlands. At a European level, mandatory investigation agencies are recognized as indispensable safety instruments for aviation, railways and the maritime sector, for which EU Directives are in place or being progressed [Transport accident and incident investigation in the European Union, European Transport Safety Council, ISBN 90-76024-10-3, Brussel, 2001]. Due to a series of major events, attention has been drawn to the consequences of disasters, highlighting the involvement of rescue and emergency services. They also have become subjected to investigative efforts, which in return, puts demands on investigation methodology. This paper comments on an evolutionary development in safety thinking and of safety boards, highlighting some consequences for strategic

  14. Coordinating a Team Response to Behavioral Emergencies in the Emergency Department: A Simulation-Enhanced Interprofessional Curriculum

    PubMed Central

    Wong, Ambrose H.; Wing, Lisa; Weiss, Brenda; Gang, Maureen

    2015-01-01

    Introduction While treating potentially violent patients in the emergency department (ED), both patients and staff may be subject to unintentional injury. Emergency healthcare providers are at the greatest risk of experiencing physical and verbal assault from patients. Preliminary studies have shown that a team-based approach with targeted staff training has significant positive outcomes in mitigating violence in healthcare settings. Staff attitudes toward patient aggression have also been linked to workplace safety, but current literature suggests that providers experience fear and anxiety while caring for potentially violent patients. The objectives of the study were (1) to develop an interprofessional curriculum focusing on improving teamwork and staff attitudes toward patient violence using simulation-enhanced education for ED staff, and (2) to assess attitudes towards patient aggression both at pre- and post-curriculum implementation stages using a survey-based study design. Methods Formal roles and responsibilities for each member of the care team, including positioning during restraint placement, were predefined in conjunction with ED leadership. Emergency medicine residents, nurses and hospital police officers were assigned to interprofessional teams. The curriculum started with an introductory lecture discussing de-escalation techniques and restraint placement as well as core tenets of interprofessional collaboration. Next, we conducted two simulation scenarios using standardized participants (SPs) and structured debriefing. The study consisted of a survey-based design comparing pre- and post-intervention responses via a paired Student t-test to assess changes in staff attitudes. We used the validated Management of Aggression and Violence Attitude Scale (MAVAS) consisting of 30 Likert-scale questions grouped into four themed constructs. Results One hundred sixty-two ED staff members completed the course with >95% staff participation, generating a total of

  15. Project plan, Hazardous Materials Management and Emergency Response Training Center: Project 95L-EWT-100

    SciTech Connect

    Borgeson, M.E.

    1994-11-09

    The Hazardous Materials Management and Emergency Response (HAMMER) Training Center will provide for classroom lectures and hands-on practical training in realistic situations for workers and emergency responders who are tasked with handling and cleanup of toxic substances. The primary objective of the HAMMER project is to provide hands-on training and classroom facilities for hazardous material workers and emergency responders. This project will also contribute towards complying with the planning and training provisions of recent legislation. In March 1989 Title 29 Code of Federal Regulations Occupational Safety and Health Administration 1910 Rules and National Fire Protection Association Standard 472 defined professional requirements for responders to hazardous materials incidents. Two general types of training are addressed for hazardous materials: training for hazardous waste site workers and managers, and training for emergency response organizations.

  16. Seizure related accidents and injuries in childhood.

    PubMed

    Buffo, Thais Helena; Guerreiro, Marilisa M; Tai, Peter; Montenegro, Maria Augusta

    2008-09-01

    Several studies show that the risk of accidents involving patients with epilepsy is much higher compared to the general population. The objective of this study was to identify the frequency and type of seizure related injuries in children diagnosed with epilepsy. In addition we also assessed possible risk factors associated with this seizure related accidents in childhood. This study was conducted at the pediatric epilepsy clinic of Unicamp, from January 2005 to August 2006. We evaluated 100 consecutive children with epilepsy. Parents were interviewed by one of the authors using a structured questionnaire that included questions about seizure related accidents and related injuries. Forty-four patients reported seizure related accidents. Eighteen patients needed medical assistance at an emergency room due the severity of their seizure related accident. Forty patients reported having a seizure related accident prevented by a bystander. Another 14 patients reported avoiding a seizure related accident by luck alone. Contusions and lacerations were the most common type of lesion associated with seizures. Patients with symptomatic/probable symptomatic epilepsy and those using higher numbers of anti-epileptic drugs (AEDs) were at greater risk for seizure related accidents (p<0.05). We conclude that patients with symptomatic/probable symptomatic epilepsy and on multiple AEDs are at increased risk of seizure related accidents. Parents and caretakers should be even more cautious about risk of injury in such patients.

  17. [Accidents of toddlers and youngsters].

    PubMed

    von Nicolai, D

    2002-02-01

    The Public Health Department in Biberach an der Riss developed a questionnaire to investigate the incidence of accidents in children under school-starting age (6 years). This questionnaire was presented to the parents of more than 2,300 prospective first-graders from the town and rural district on the occasion of the pre-school medical examination 2000. As this examination is mandatory for all children starting school, and as the questions were answered by all the parents with very few exceptions (language reasons), a complete survey can be assumed. The investigation confirmed the results of last year: The incidence of children who suffered an accident requiring medical attention before reaching school age is approximately 33 %; boys are predominantly involved. The scene of accidents also changes with increasing age from living quarters to outside areas. The most frequent type of accidents are, of course, falls, resulting especially in injuries to the head and face. Scalds and burns, in particular at the age of 2, occur more frequently in the Biberach district than described in other up-to-date investigations in Germany. For this reason efforts have to be made to reduce this number over the next years. About 11 % of accidents occur in the streets or involve traffic, a result which is also higher in comparison to other investigations. According to the statement of parents, more than two-thirds of accidents are caused by the children themselves, including babies and toddlers. At the time of the accident 40 % of the children were without parental control, and 20 % completely alone.A great number of the accidents could certainly have been prevented. That is why the results of the study should be made available to all those responsible for the care and wellbeing of this age group. The last section of the paper deals with the most urgent needs of action to be implemented in the long run for the sake of the health of our children.

  18. Scaling up the predator functional response in heterogeneous environment: when Holling type III can emerge?

    PubMed

    Cordoleani, Flora; Nerini, David; Morozov, Andrey; Gauduchon, Mathias; Poggiale, Jean-Christophe

    2013-11-07

    Accurate parametrization of functional terms in model equations is of great importance for reproducing the dynamics of real food webs. Constructing models over large spatial and temporal scales using mathematical expressions obtained based on microcosm experiments can be erroneous. Here, using a generic spatial predator-prey model, we show that scaling up the microscale functional response of a predator can result in qualitative alterations of functional response on macroscales. In particular, a global functional response of sigmoid type (Holling type III) can emerge as a result of non-linear averaging of non-sigmoid local responses (Holling type I or II). We demonstrate that alteration between the local and the global response in the model is a result of the interplay between density-dependent dispersal of the predator across the habitat and heterogeneity of the environment. Using the method of aggregation of variables, we analytically derive the mathematical formulation of the global functional response as a function of the total amount of prey in the system, and reveal the key parameters which control the emergence of a Holling type III global response. We argue that this mechanism by which a global Holling type III emerges from a local Holling type II response has not been reported in the literature yet: in particular, Holling type III can emerge in the case of a fixed gradient of resource distribution across the habitat, which would be impossible in priorly suggested mechanisms. As a case study, we consider the interaction between phytoplankton and zooplankton grazers in the water column; and we show that the emergence of a Holling type III global response can allow for the efficient top-down regulation of primary producers and stabilization of planktonic ecosystems under eutrophic conditions.

  19. Effects of the accident at Three Mile Island on the mental health and behavioral responses of the general population and nuclear workers

    SciTech Connect

    Fabrikant, J.I.

    1983-02-01

    On March 28, 1979, an accident occurred at the Three Mile Island nuclear power plant Unit No. 2 near Middletown, PA. A Presidential Commission was established to investigate the incident and was given the responsibility to evaluate the actual and potential impact of the events on the health and safety of the workers and the public. A main conclusion of the investigation was that the most serious health effect was severe, short-lived mental stress. This paper describes the study and the findings for four different study groups: (1) the general population of heads of households located within 20 miles of the plant; (2) mothers of preschool children from the same area; (3) teenagers in the 7th, 9th, and 11th grades from the area; and (4) nuclear workers employed at the Three Mile Island nuclear power plant. (ACR)

  20. Survey of state and tribal emergency response capabilities for radiological transportation incidents

    SciTech Connect

    Vilardo, F J; Mitter, E L; Palmer, J A; Briggs, H C; Fesenmaier, J

    1990-05-01

    This publication is the final report of a project to survey the fifty states, the District of Columbia, Puerto Rico, and selected Indian Tribal jurisdictions to ascertain their emergency-preparedness planning and capabilities for responding to transportation incidents involving radioactive materials. The survey was conducted to provide the Nuclear Regulatory Commission and other federal agencies with information concerning the current level of emergency-response preparedness of the states and selected tribes and an assessment of the changes that have occurred since 1980. There have been no major changes in the states' emergency-response planning strategies and field tactics. The changes noted included an increased availability of dedicated emergency-response vehicles, wider availability of specialized radiation-detection instruments, and higher proportions of police and fire personnel with training in the handling of suspected radiation threats. Most Indian tribes have no capability to evaluate suspected radiation threats and have no formal relations with emergency-response personnel in adjacent states. For the nation as a whole, the incidence of suspected radiation threats declined substantially from 1980 to 1988. 58 tabs.

  1. A next generation electronic triage to aid mass casualty emergency medical response.

    PubMed

    Gao, Tia; White, D

    2006-01-01

    For years, emergency medical response communities have relied upon paper triage tags, clipboards of notes, and voice communications to share information during medical emergencies. This workflow, however, has proven labor intensive, time consuming, and prone to human error [1]. In collaboration with three EMS groups in the Washington, DC Metropolitan area, we have developed a next generation triage system to improve the effectiveness of emergency response. This system includes: 1) electronic triage tags, 2) wearable vital sign sensors, 3) base stations laptops to monitor and manage patients, 4) pervasive tracking software to locate patients at all stages of the disaster response process, and 5) PDAs to support documentation and communication. Our system has evolved through three iterations of rapid-development, field-studies, usability reviews, and focus-group interview. This paper summarizes engineering considerations for technologies that must operate under constraints of medical emergencies. It is our hope that the lessons reported in this paper will help technologists in developing future emergency response systems.

  2. Prevalence of Hyperthyroidism Following Exposure During Childhood or Adolescence to Radioiodines from the Chornobyl Nuclear Accident: Dose-Response Results from the Ukrainian-American Cohort Study

    PubMed Central

    Hatch, M.; Furukawa, K.; Brenner, A.; Olinjyk, V.; Ron, E.; Zablotska, L.; Terekhova, G.; McConnell, R.; Markov, V.; Shpak, V.; Ostroumova, E.; Bouville, A.; Tronko, M.

    2013-01-01

    Relatively few data are available on the prevalence of hyperthyroidism (TSH concentrations of < 0.3 mIU/L, with normal or elevated concentrations of free T4) in individuals exposed to radioiodines at low levels. The accident at the Chornobyl (Chernobyl) nuclear plant in Ukraine on April 26, 1986 exposed large numbers of residents to radioactive fallout, principally to iodine-131 (I-131) (mean and median doses = 0.6 Gray (Gy) and 0.2 Gy). We investigated the relationship of I-131 and prevalent hyperthyroidism among 11,853 individuals exposed as children or adolescents in Ukraine who underwent an in-depth, standardized thyroid gland screening examination 12–14 years later. Radioactivity measurements taken shortly after the accident were available for all subjects and were used to estimate individual thyroid doses. We identified 76 cases of hyperthyroidism (11 overt, 65 subclinical). Using logistic regression, we tested a variety of continuous risk models and conducted categorical analyses for all subjects combined and for females (53 cases, n=5,767) and males (23 cases, n=6,086) separately, but found no convincing evidence of a dose response relationship between I-131 and hyperthyroidism. There was some suggestion of elevated risk among females in an analysis based on a dichotomous dose model with a threshold of 0.5 Gy chosen empirically (OR=1.86, P=0.06), but the statistical significance level was reduced (P=0.13) in a formal analysis with an estimated threshold. In summary, after a thorough exploration of the data, we found no statistically significant dose response relationship between individual I-131 thyroid doses and prevalent hyperthyroidism. PMID:21128800

  3. Rainfall intensity-duration thresholds for postfire debris-flow emergency-response planning

    USGS Publications Warehouse

    Cannon, S.H.; Boldt, E.M.; Laber, J.L.; Kean, J.W.; Staley, D.M.

    2011-01-01

    Following wildfires, emergency-response and public-safety agencies can be faced with evacuation and resource-deployment decisions well in advance of coming winter storms and during storms themselves. Information critical to these decisions is provided for recently burned areas in the San Gabriel Mountains of southern California. A compilation of information on the hydrologic response to winter storms from recently burned areas in southern California steeplands is used to develop a system for classifying magnitudes of hydrologic response. The four-class system describes combinations of reported volumes of individual debris flows, consequences of debris flows and floods in an urban setting, and spatial extents of the hydrologic response. The range of rainfall conditions associated with different magnitude classes is defined by integrating local rainfall data with the response magnitude information. Magnitude I events can be expected when within-storm rainfall accumulations (A) of given durations (D) fall above the threshold A = 0.4D0.5 and below A = 0.5D0.6 for durations greater than 1 h. Magnitude II events will be generated in response to rainfall accumulations and durations between A = 0.4D0.5 and A = 0.9D0.5 for durations less than 1 h, and between A = 0.5D0.6 and A = 0.9D0.5 or durations greater than 1 h. Magnitude III events can be expected in response to rainfall conditions above the threshold A = 0.9D0.5. Rainfall threshold-magnitude relations are linked with potential emergency-response actions as an emergency-response decision chart, which leads a user through steps to determine potential event magnitudes and identify possible evacuation and resource-deployment levels. Use of this information in planning and response decision-making process could result in increased safety for both the public and emergency responders. ?? 2011 US Government.

  4. Accidents associated with equipment.

    PubMed

    Heath, M L

    1984-01-01

    Serious accidents in which the possibility of equipment-related hazards are raised have been reported to the Scientific and Technical Branch of the Department of Health and Social Security. The author has examined anonymous summaries of 23 such reports of events which occurred over a 5-year period. The principle cause of catastrophe in seventeen of the incidents was user error involving disconnexion or misconnexion. Faulty systems of equipment management combined in some cases with inadequate pre-anaesthetic checking of apparatus were responsible for the other instances. Appropriate systems of equipment management and checking together with meticulous basic clinical monitoring are recommended as the best safeguards in anaesthetic practice.

  5. The leaking tank car on TC-4. [Industry and government response to hazardous material emergencies

    SciTech Connect

    Not Available

    1982-07-01

    Most hazardous waste spills are taken care of by the industries directly involved. U.S. EPA's Emergency Response Program encourages industry and the States to take all possible countermeasures without federal intervention.An example is given of an incident involving a leak of approximately one ton of sulfur dioxide from a tank car in Kansas. What might have been a serious problem was controlled successfully by a railroad environmental emergency response team with no injuries to the team personnel or to the community. (JMT)

  6. SAVANNAH RIVER SITE CAPABILITIES FOR CONDUCTING INGESTION PATHWAY CONSEQUENCE ASSESSMENTS FOR EMERGENCY RESPONSE

    SciTech Connect

    Hunter, C

    2007-12-11

    Potential airborne releases of radioactivity from facilities operated for the U. S. Department of Energy at the Savannah River Site could pose significant consequences to the public through the ingestion pathway. The Savannah River National Laboratory has developed a suite of technologies needed to conduct assessments of ingestion dose during emergency response, enabling emergency manager at SRS to develop initial protective action recommendation for state agencies early in the response and to make informed decisions on activation of additional Federal assets that would be needed to support long-term monitoring and assessment activities.

  7. A Coordinated Emergency Response: A Color Dust Explosion at a 2015 Concert in Taiwan

    PubMed Central

    Yang, Chih-Ching

    2016-01-01

    In June 2015, nearly 500 concert attendees suffered injuries from smoke inhalation and severe burns following a color-dust explosion at a waterpark in Taiwan. We report on the progressions of the incident and government responses, share cross-departmental mobilization and case management lessons, and reflect on clinical and complex policy issues emerged. The timely and coordinated emergency responses, a high-quality universal health care system, and dedicated clinicians voluntarily working overtime resulted in an unprecedented 2.4% mortality rate (international statistics predicted 26.8%). PMID:27459446

  8. NARAC: An Emergency Response Resource for Predicting the Atmospheric Dispersion and Assessing the Consequences of Airborne Radionuclides

    SciTech Connect

    Bradley, M M

    2005-08-23

    Hazardous radioactive materials can be released into the atmosphere by accidents at nuclear power plants, fuel processing facilities, and other facilities, and by transportation accidents involving nuclear materials. In addition, the post-cold-war proliferation of nuclear material has increased the potential for terrorism scenarios involving radiological dispersal devices, improvised nuclear devices, and inadequately secured military nuclear weapons. To mitigate these risks, the National Atmospheric Release Advisory Center (NARAC) serves as a national resource for the United States, providing tools and services to quickly predict the environmental contamination and health effects caused by airborne radionuclides, and to provide scientifically based guidance to emergency managers for the protection of human life. NARAC's expert staff uses computer models, supporting databases, software systems, and communications systems to predict the plume paths and consequences of radiological, chemical, and biological atmospheric releases.

  9. Mobility aid-related accidents in children.

    PubMed

    2012-02-01

    During the period 1991-2008, more than 63 000 children were examined in US emergency rooms following an accident related to a mobility aid: 40% of the children were less than 10 years old; 60% of the accidents occurred at home; and 4.4% of the children were hospitalised. Wheelchairs were the devices most often involved (67%), followed by crutches and walkers. Most accidents involving children under 10 years old were linked to a walker or wheelchair, and mainly resulted in head injuries. Most of the accidents in older children involved crutches and caused lower-limb sprains. In practice, the correct use of mobility aids should be explained to parents and children, and information given about the circumstances most likely to lead to accidents. Children using these devices should be supervised if necessary.

  10. Fatal traffic accidents among trailer truck drivers and accident causes as viewed by other truck drivers.

    PubMed

    Häkkänen, H; Summala, H

    2001-03-01

    Causality factors, the responsibility of the driver and driver fatigue-related factors were studied in fatal two-vehicle accidents where a trailer truck driver was involved during the period of 1991-1997 (n = 337). In addition, 251 long-haul truck drivers were surveyed in order to study their views regarding contributing factors in accidents involving trucks and the development of possible countermeasure against driver fatigue. Trailer truck drivers were principally responsible for 16% of all the accidents. Younger driver age and driving during evening hours were significant predictors of being principally responsible. In addition, the probability of being principally responsible for the accident increased by a factor of over three if the driver had a chronic illness. Prolonged driving preceding the accident, accident history or traffic offence history did not have a significant effect. Only 2% of the drivers were estimated to have fallen asleep while driving just prior to the accident, and altogether 4% of the drivers had been tired prior to the accident. Of the drivers 13% had however, been driving over 10 h preceding the accident (which has been criminally punishably in Finland since 1995 under the EC regulation) but no individual factors had a significant effect in predicting prolonged driving. The surveyed views regarding causes of truck accidents correspond well with the accident analysis. Accidents were viewed as being most often caused by other road users and driver fatigue was viewed to be no more than the fifth (out of eight) common cause of accidents. The probability of viewing fatigue as a more common cause increased significantly if the driver had experienced fatigue-related problems while driving. However, nearly half of the surveyed truck drivers expressed a negative view towards developing a technological countermeasure against driver fatigue. The negative view was not related to personal experiences of fatigue-related problems while driving.

  11. A description of the general aviation fixed wing accident

    NASA Technical Reports Server (NTRS)

    Hall, D. S.

    1981-01-01

    The Emergency Local Transmitter (ELT) is a radio transmitter with a self-contained power source designed to provide notification of and homing to aircraft accident sites. The Crash Research Institute has monitored general aviation fixed-wing accidents in the United States and in Canada and has found that: (1) the ELT was destroyed in approximately 25% of all fatal accidents; (2) the ELT activated in about 62% of the fatal accidents, 69% of the fatal with survivors accidents, almost 80% of the serious accidents and about 57% of the minor accidents; (3) in fatal accidents the aircraft sections least likely to be destroyed are the vertical and horizontal tail surfaces; (4) antenna cable disconnection and antenna breakage caused failure to transmit usable signals; and (5) initial alerting control occurred in nearly half of the situations where the ELT aided in search.

  12. Preparedness and emergency response research centers: using a public health systems approach to improve all-hazards preparedness and response.

    PubMed

    Leinhos, Mary; Qari, Shoukat H; Williams-Johnson, Mildred

    2014-01-01

    In 2008, at the request of the Centers for Disease Control and Prevention (CDC), the Institute of Medicine (IOM) prepared a report identifying knowledge gaps in public health systems preparedness and emergency response and recommending near-term priority research areas. In accordance with the Pandemic and All-Hazards Preparedness Act mandating new public health systems research for preparedness and emergency response, CDC provided competitive awards establishing nine Preparedness and Emergency Response Research Centers (PERRCs) in accredited U.S. schools of public health. The PERRCs conducted research in four IOM-recommended priority areas: (1) enhancing the usefulness of public health preparedness and response (PHPR) training, (2) creating and maintaining sustainable preparedness and response systems, (3) improving PHPR communications, and (4) identifying evaluation criteria and metrics to improve PHPR for all hazards. The PERRCs worked closely with state and local public health, community partners, and advisory committees to produce practice-relevant research findings. PERRC research has generated more than 130 peer-reviewed publications and nearly 80 practice and policy tools and recommendations with the potential to significantly enhance our nation's PHPR to all hazards and that highlight the need for further improvements in public health systems.

  13. Akt inhibition improves irinotecan treatment and prevents cell emergence by switching the senescence response to apoptosis

    PubMed Central

    Vétillard, Alexandra; Jonchère, Barbara; Moreau, Marie; Toutain, Bertrand; Henry, Cécile; Fontanel, Simon; Bernard, Anne-Charlotte; Campone, Mario; Guette, Catherine; Coqueret, Olivier

    2015-01-01

    Activated in response to chemotherapy, senescence is a tumor suppressive mechanism that induces a permanent loss of proliferation. However, in response to treatment, it is not really known how cells can escape senescence and how irreversible or incomplete this pathway is. We have recently described that cells that escape senescence are more transformed than non-treated parental cells, they resist anoikis and rely on Mcl-1. In this study, we further characterize this emergence in response to irinotecan, a first line treatment used in colorectal cancer. Our results indicate that Akt was activated as a feedback pathway during the early step of senescence. The inhibition of the kinase prevented cell emergence and improved treatment efficacy, both in vitro and in vivo. This improvement was correlated with senescence inhibition, p21waf1 downregulation and a concomitant activation of apoptosis due to Noxa upregulation and Mcl-1 inactivation. The inactivation of Noxa prevented apoptosis and increased the number of emergent cells. Using either RNA interference or p21waf1-deficient cells, we further confirmed that an intact p53-p21-senescence pathway favored cell emergence and that its downregulation improved treatment efficacy through apoptosis induction. Therefore, although senescence is an efficient suppressive mechanism, it also generates more aggressive cells as a consequence of apoptosis inhibition. We therefore propose that senescence-inducing therapies should be used sequentially with drugs favoring cell death such as Akt inhibitors. This should reduce cell emergence and tumor relapse through a combined induction of senescence and apoptosis. PMID:26485768

  14. Environmental Protection Agency (EPA) airborne gamma spectrometry system for environmental and emergency response surveys

    NASA Astrophysics Data System (ADS)

    Cardarelli, John, II; Thomas, Mark; Curry, Timothy

    2010-08-01

    The EPA Airborne Spectral Photometric Environmental Collection Technology (ASPECT) Program provides airborne ortho-rectified imagery, video, chemical and now radiological information directly to emergency response personnel via a commercial satellite link onboard the aircraft. EPA initiated the ASPECT Gamma Emergency Mapper GEM Project in 2008 to improve its airborne gamma-screening and mapping capability for monitoring any ground-based gamma contamination. This paper will provide an overview of the system, which can be configured to carry six 2"x4"x16" NaI(Tl) detectors and two 3"x3" LaBr3(Ce) detectors or eight 2"x4"x16" NaI(Tl) detectors. The paper will provide an overview of the analysis of gamma radiation spectra, system limitations, and emergency response applications.

  15. The Umbra Simulation and Integration Framework Applied to Emergency Response Training

    NASA Technical Reports Server (NTRS)

    Hamilton, Paul Lawrence; Britain, Robert

    2010-01-01

    The Mine Emergency Response Interactive Training Simulation (MERITS) is intended to prepare personnel to manage an emergency in an underground coal mine. The creation of an effective training environment required realistic emergent behavior in response to simulation events and trainee interventions, exploratory modification of miner behavior rules, realistic physics, and incorporation of legacy code. It also required the ability to add rich media to the simulation without conflicting with normal desktop security settings. Our Umbra Simulation and Integration Framework facilitated agent-based modeling of miners and rescuers and made it possible to work with subject matter experts to quickly adjust behavior through script editing, rather than through lengthy programming and recompilation. Integration of Umbra code with the WebKit browser engine allowed the use of JavaScript-enabled local web pages for media support. This project greatly extended the capabilities of Umbra in support of training simulations and has implications for simulations that combine human behavior, physics, and rich media.

  16. International Space Station Environmental Control and Life Support Emergency Response Verification for Node 1

    NASA Technical Reports Server (NTRS)

    Williams, David E.

    2008-01-01

    The International Space Station (ISS) Node 1 Environmental Control and Life Support (ECLS) System is comprised of five subsystems: Atmosphere Control and Supply (ACS), Atmosphere Revitalization (AR), Fire Detection and Suppression (FDS), Temperature and Humidity Control (THC), and Water Recovery and Management (WRM). This paper provides a summary of the Node 1 Emergency Response capability, which includes nominal and off-nominal FDS operation, off nominal ACS operation, and off-nominal THC operation. These subsystems provide the capability to help aid the crew members during an emergency cabin depressurization, a toxic spill, or a fire. The paper will also provide a discussion of the detailed Node 1 ECLS Element Verification methodologies for operation of the Node 1 Emergency Response hardware operations utilized during the Qualification phase.

  17. Response trees for detection, diagnosis, and treatment of emergency conditions at the LOFT facility

    SciTech Connect

    Nelson, W.R.

    1980-01-01

    A technique for detecting, diagnosing, and treating emergency conditions has been developed at the LOFT facility. A response tree is a pictorial representation of many different cooling modes which can be used to cool the reactor core. A comprehensive methodology is being developed which will assist the reactor operator in choosing the correct cooling mode, monitoring its performance, and selecting an alternate mode when required. The technique will be implemented using a computer to monitor system status and evaluate the response trees.

  18. National Training Course. Emergency Medical Technician. Paramedic. Instructor's Lesson Plans. Module I. The Emergency Medical Technician, His Role, Responsibility, and Training.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    This instructor's lesson plan guide is one of fifteen modules designed for use in the training of emergency medical technicians (EMT). Four units are presented: (1) role of the EMT, including the operation of an emerging medical services system; (2) the laws relevant to EMTs functioning in the field; (3) activities and responsibilities of an EMT…

  19. Emergency Preparedness and Response in the School Setting--The Role of the School Nurse. Position Statement

    ERIC Educational Resources Information Center

    Tuck, Christine M.; Haynie, Kathey; Davis, Catherine

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) provides leadership in all phases of emergency preparedness and response. School nurses are a vital part of the school team responsible for developing emergency response procedures for the…

  20. Preparing Emergency Physicians for Acute Disaster Response: A Review of Current Training Opportunities in the US.

    PubMed

    Hansoti, Bhakti; Kellogg, Dylan S; Aberle, Sara J; Broccoli, Morgan C; Feden, Jeffrey; French, Arthur; Little, Charles M; Moore, Brooks; Sabato, Joseph; Sheets, Tara; Weinberg, R; Elmes, Pat; Kang, Christopher

    2016-12-01

    Study Objective This study aimed to review available disaster training options for health care providers, and to provide specific recommendations for developing and delivering a disaster-response-training program for non-disaster-trained emergency physicians, residents, and trainees prior to acute deployment.