基于操作层面的核事故现场医学应急处置流程优化探讨

Abstract

Abstract: By comparing the nuclear emergency standards at home and abroad, combining the medical emergency treatment experience during international major nuclear accident emergency and the experience of domestic nuclear emergency drills, the radiation protection, triage, decontamination, psychological intervention aspects during emergency response on nuclear accident site are analyzed. Suggestions on process optimization at the operational level are put forward to help improve the capability of professional nuclear emergency rescue teams.

Key words: nuclear accident, medical emergency, triage, operation level, process

CLC Number:

TL73

ZHAO Hongjun, WANG Fang, LU Zhijuan, JIAO Ling. Optimization of medical emergency treatment process at nuclear accident site based on operation level[J].RADIATION PROTECTION, 2022, 42(6): 618-624.

References

[1] 郭猜, 乔清党, 岳峰,等. 《生态环境部(国家核安全局)辐射事故应急预案》修订对辐射事故应急工作的指导与启示[J]. 辐射防护, 2021, 41(4):365-369.
GUO Cai, QIAO Qingdang, YUE Feng, et al. Guidance and enlightenment to radiological emergency provided by revised Radiological Emergency Plan of MEE (NNSA) [J]. Radiation Protection, 2021, 41(4):365-369.
[2] 张彦, 杨端节, 乔清党,等. 辐射事故应急预案管理现状及对策研究[J]. 辐射防护, 2021, 41(3):260-263.
ZHANG Yan,YANG Duanjie,QIAO Qingdang,et al.Management status and response measures study of radiation accident emergency plan[J]. Radiation Protection, 2021, 41(3):260-263.
[3] 祝贺, 刘彬, 金莉,等. 核电厂核事故应急演习新模式的实践[J]. 辐射防护, 2020, 40(2):162-167.
ZHU He, LIU Bin, JIN Li, et al.Practice on a new mode of nuclear accident emergency exercise in nuclear power plant [J]. Radiation Protection, 2020, 40(2):162-167.
[4] 王兵. 某核电厂核事故应急演习经验反馈[J]. 辐射防护, 2021, 41(4):370-373.
WANG Bing. Experience feedback on nuclear accident emergency drill in a certain nuclear power plant [J]. Radiation Protection, 2021, 41(4):370-373.
[5] The bulletin of the atomic scientists′ nuclear notebook[EB/OL]. [2022-06-09]. https://thebulletin.org/nuclear-notebook.
[6] The Federation of American Scientists. Status of world nuclear forces [EB/OL].[2022-06-09].https://fas.org/issues/nuclear-weapons/status-world-nuclear-forces.
[7] IAEA. Power reactor information system [EB/OL]. [2022-03-01].https://www.iaea.org/pris.
[8] 陈惠芳, 袁龙, 付熙明,等. 国家核辐射突发事件卫生应急队伍组建与管理探讨[J]. 中国辐射卫生, 2021,30(02):201-204.
CHEN Huifang,YUAN Long,FU Ximing,et al. Discussion on establishment and management of national health emergency team for nuclear radiation emergency[J]. Chin J Radiol Health, 2021,30(02):201-204.
[9] Dicarlo A L. Scientific research and product development in the United States to address injuries from a radiation public health emergency[J]. Journal of Radiation Research, 2021,62(5):752-763.
[10] 袁龙,付熙明,雷翠萍,等.全国核辐射突发事件卫生应急能力现状分析[J].中国辐射卫生,2019,28(01):28-32.
YUAN Long,FU Xiinming,LEI Cuping,et al. Analysis on current status of medical response capability to nuclear or radiological emergencies in China[J]. Chin J Radiol Health,2019,28(01):28-32.
[11] 国务院. 国务院关于印发“十四五”国家应急体系规划的通知:国发〔2021〕36号 [Z/OL]. [2022-02-14]. http://www.gov.cn/zhengce/content/2022-02/14/content_5673424.htm.
[12] 中华人员共和国国家卫生和计划生育委员会.核和辐射事故医学响应程序:WS/T 467—2014[S].2014.
[13] IAEA EPR-Medical Physicists 2020.Guidance for medical physicists responding to a nuclear or radiological emergency[R].Vienna:IAEA. 2020.
[14] 中华人员共和国国家卫生和计划生育委员会.核和辐射事故医学应急处理导则:GBZ/T 279—2017[S].北京:中国标准出版社,2017.
[15] 中华人员共和国国家卫生和计划生育委员会.核和辐射事故伤员分类方法和标识:GBZ/T 255—2014[S].北京:中国标准出版社,2014.
[16] Jfb A, Pf B, Vc C, et al. Lessons from past radiation accidents: Critical review of methods addressed to individual dose assessment of potentially exposed people and integration with medical assessment[J]. Environment International, 2021,146.
[17] International Atomic Energy Agency.IAEA EPR-Internal Contamination: Medical management of persons internally contaminated with radionuclides in a nuclear or radiological emergency[R]. Vienna:IAEA, 2018.
[18] 王静, 贾锦蕾, 林秀景,等. 操作干预水平应用经验[J]. 辐射防护, 2021, 41(S01):75-78.
WANG Jing, JIA Jinlei, LIN Xiujing, et al. Application experience of operational intervention level[J]. Radiation Protection, 2021, 41(S01):75-78.
[19] 中华人员共和国国家卫生和计划生育委员会.核或辐射应急准备与响应通用准则:GBZ/T 271—2016[S].北京:中国标准出版社,2016.
[20] Ohba T, Tanigawa K, Liutsko L. Evacuation after a nuclear accident: Critical reviews of past nuclear accidents and proposal for future planning[J]. Environment International, 2021, 148:106379.
[21] Collett G, Craenen K, Young W, et al. The psychological consequences of (perceived) ionizing radiation exposure: a review on its role in radiation-induced cognitive dysfunction [J]. International Journal of Radiation Biology, 2020(5).DOI: 10.1080/09553002.2020.1793017.
[22] 中华人员共和国国家卫生和计划生育委员会.核和辐射突发事件心理救助导则:GBZ/T 262—2014[S].北京:中国标准出版社,2014.
[23] World Health Organization. Psychological first aid: Guide for field workers. [EB/OL].[2020-05-05]. https://www.who.int/publications/i/item/9789241548205.

Optimization of medical emergency treatment process at nuclear accident site based on operation level

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