title: How would military hospitals cope with a nuclear, biological, or chemical disaster?
abstract: In any nuclear, biological, or chemical (NBC) attack, it is clear that the hospitals may be overwhelmed with casualties. In these deliberate accidents, there will be an additional problem of contamination. Military hospitals must be prepared for NBC disasters with a detailed incident plan. Within this plan, decontamination facilities and shower systems are needed primarily to protect the hospital from self-contamination. Physical and collective protection measures of the staff should be taken into account, with evacuation routes under such an attack. Within this conjunction, the required equipment, including protective suits, detection means, drugs, antidotes, and vaccines, should be provided and stored properly. Qualified personnel should be assigned to the NBC first-aid and rescue team organized within the hospital, equipped, and trained according to such a possible task. Medical staff must be aware of the effects of the agents, and must be experienced in decontamination and first-aid to victims exposed to these agents. Therefore, this information must be put into practice by giving attack scenarios and responses to the hospital administration. It can be conclusively pointed out that military hospitals especially should be better prepared than any other civilian health unit to such attacks of weapons of mass destruction.
authors.affiliation: Department of NBC, Gulhane Military Medical Academy, 06018 Ankara, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Kenar
authors.forename: Turan
authors.initials: T
authors.lastname: Karayýlanoglu
authors.forename: Mahir
authors.initials: M
authors.lastname: Gulec
mesh_terms: D001694:Biological Warfare; D002618:Chemical Warfare; D003666:Decontamination; D004189:Disaster Planning; D006772:Hospitals, Military; D006801:Humans; D009689:Nuclear Warfare; D023481:Terrorism; D014218:Triage; D014857:Warfare