title: Willingness to respond for radiologic incidents: a hands-on approach.
abstract: The Center for Disease Control and Prevention published two Radiological Terrorism Toolkits: Public Health Officials (PHTK) and Emergency Services Clinicians (ESCTK). The study consisted of training public health workers and Medical Reserve Corps volunteers to rate 10 distinct virtual survivors each and route them through a Community Reception Center (CRC) pretraining and post-training. The training's effect on the rater's radiation medical knowledge and willingness to respond (WTR) was also measured. Correctly routed survivors increased from a baseline 3.6-5.3, of 10 survivors per rater for the PHTK, and to 5.7 for the ESCTK (p = 0.000). Medical knowledge increased from a baseline of 50 percent to 66.7 percent for the PHTK (nine raters) and to 71.4 percent for the ESCTK (seven raters) (p = 0.000). WTR regardless of severity increased from 34.8 percent to 54.4 percent for the PHTK (p = 0.046). Odds of correctly routing survivors decreased with perception of confidence (0.569, 95% CI 0.375-0.863), while perceptions of preparedness (2.1, 1.4-3.2) and prior training increased the odds (1.8, 1.05-3.16). When taking into account raters unwillingness to respond, the odds of correctly routing survivors decreased with perceptions of confidence in detector use (0.556, 0.365-0.846), with confidence to process persons through a CRC (0.390, 0.215-0.709), and by training with the ESCTK (0.252, 0.12-0.53), while perceptions of preparedness (18.7, 8.4-41.6), and demonstrated medical knowledge (20, 3.26-122) increased ability to correctly route survivors. These findings support the local use of PHTK training to develop surge capacity for a radiological emergency and suggest the interaction between the level of confidence and medical knowledge be studied further.
authors: Division of Aerospace Medicine, Boonshoft School of Medicine, Wright State University, Dayton, Ohio.
authors: John Richard
authors: JR
authors: Ludtke
authors: Center for Global Health, Wright State University Boonshoft School of Medicine, Kettering, Ohio.
authors: Roopsi
authors: R
authors: Narayan
authors: Center for Global Health, Wright State University Boonshoft School of Medicine, Kettering, Ohio.
authors: Ameer
authors: A
authors: Matariyeh
authors: Greene County Medical Reserve Corps, Greene County Combined Health District, Xenia, Ohio.
authors: Donald
authors: D
authors: Brannen
authors: Center for Global Health, Wright State University Boonshoft School of Medicine, Kettering, Ohio; Greene County Medical Reserve Corps, Greene County Combined Health District, Xenia, Ohio.
authors: Kim
authors: K
authors: Caudill
authors: Greene County Medical Reserve Corps, Greene County Combined Health District, Xenia, Ohio.
authors: Melissa
authors: M
authors: Howell
authors: Environmental Solutions, Energy, Environment, and Material Sciences Global Business, Battelle, Cincinnati, Ohio.
authors: Stephanie
authors: S
authors: Hines
mesh_terms: D001291:Attitude of Health Personnel; D002487:Centers for Disease Control and Prevention, U.S.; D054597:Disaster Medicine / Q000193:education*; D004189:Disaster Planning; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D011634:Public Health / Q000193:education*; D018788:Radioactive Hazard Release; D023481:Terrorism; D014481:United States