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  • 2019, July

    review

    A Novel Hospital-Based Mass Casualty Decontamination Facility for Hazardous Material DisastersOpen Access
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    Abstract [+]

    Since the Sarin incident in the subways of Tokyo in 1995, there has been an unprecedented increase in the use of chemical agents on civilian populations internationally. This scourge of chemical terrorism has been relentless worldwide and is likely to continue to be a public health issue that needs to be addressed by the relevant authorities as part of national disaster preparedness and response. One aspect of chemical disasters involves the need for mass decontamination of chemically-contaminated casualties from the scene. The traditional role of hazardous materials civil defence experts in providing such decontamination of victims in the pre-hospital setting is limited by many factors. The presence of congestion in densely populated areas in a highly built up environment of modern-day cities, compounds the timeliness of putting up cordons and crowd control and hence delays the prompt set up of such mobile decontamination facilities close to the incident site. The expected side effect is an almost instantaneous influx of contaminated casualties to the nearest hospital in such situations, which drives the need for public hospitals to be ultimately capable of performing mass casualty decontamination as part of hazardous materials disaster preparedness. This review presents an innovatively designed rapidly deployable hospital-based decontamination facility that has served a tertiary care hospital in Singapore for the last 2 decades in being prepared for managing mass casualties arriving from a chemical disaster in a timely manner.
    Keywords
    Decontamination; Chemical incident; Industrial disasters; Toxic industrial chemicals; Hazardous materials preparedness; Disaster contingency plans; Emergency preparedness.

About the Journal

Toxicology and Forensic Medicine – Open Journal (TFMOJ) is an online open access portal encompassing all aspects related to toxicology and forensic medicine.

Toxicology is derived from the ancient Greek word “Toxicos” which means toxic or poisonous. It is the branch of medicine that deals with the harmful effects of various chemicals on living beings or other organisms.

Forensic medicine is often considered to be a subset of toxicology where knowledge of the methodologies or clinical trials of the substances is used in the investigation of a crime to examine the causes of injury or death.

Through this journal, Openventio hopes to cater to the needs of professionals in this field with concise yet descriptive information.

Aims and Scope

This journal, with its complete overview of the subject, aims to benefit individuals with identification and relevant diagnosis.

Openventio aims to encourage documentation among the ever-growing medical community to ensure that the data gets recorded and passed on for the betterment and future reference of medical.

TFMOJ covers a wide array of subjects as given below

  • Mechanistic toxicology
  • Biomedical toxicology
  • Excitotoxicity
  • Medical examination
  • DNA fingerprinting
  • Mycotoxin
  • Poisonous effects
  • Forensic pathology
  • Drugs of abuse
  • Adulteration
  • Postmortem
  • Performance testing
  • Addiction
  • Poisoning
  • Workplace exposure
  • Impairment
  • Confirmatory tests

Submissions for this journal are accepted from all practitioners and students of toxicology and forensic medicine, from experts in the field to novices wanting to explore the field.

The audience of TFMOJ includes detectives, investigators, researchers, doctors, nurses, research assistants, forensic pathologists, clinical examiners, law enforcement, attorneys, clinical fellows, government watchdogs, local community practitioners, manufacturers, and students of various universities and general communities from different parts of the world.

The journal welcomes all types of articles such as original research, review, case-report, mini-review, editorial, short-communication, book review, opinion, commentary, letter to the editor, conference proceedings, technical report, errata, illustrations, etc.

We are open to receive comments or corrections from experts to improve the quality of our journal.