Emergency preparedness for biological and chemical incidents: a survey of anesthesiology residency programs in the United States.

Authors:
Dr Paul Barach, BSc, MD, MPH
Dr Paul Barach, BSc, MD, MPH
Wayne State University School of Medicine
Clinical Professor
Anesthesia, critical care
Chicago, IL | United States

Anesth Analg 2005 Oct;101(4):1135-40, table of contents

Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami School of Medicine/Jackson Memorial Hospital, R-C370, 1611 NW 12th Ave., Miami, Florida 33101, USA.

Unlabelled: We surveyed health care professionals about their preparations to manage the clinical problems associated with patients exposed to hazardous substances, including weapons of mass destruction (WMD). Training for WMD is considered a key part of public health policy and preparedness. Although such events are rare, when they do occur, they can cause mass casualties. In many models of mass casualty management, anesthesiology personnel are responsible for treating patients immediately on arrival at the hospital. We studied the extent of training offered to anesthesiology personnel in the use of WMD protective gear and patient management in United States (US) anesthesiology residency programs. Information was obtained via an online survey to all program directors and chair persons of anesthesiology programs. We polled all of the 135 US anesthesiology programs of which 90 (67%) responded. Only 37% had any form of training, and many of them did not repeat training after initial sessions. Twenty-eight percent of programs east of the Mississippi River reported some form of training whereas only 17% of programs west of it reported training available. The majority of anesthesia residency programs in the US that responded to our survey provided little or no training in the management of patients exposed to WMD.

Implications: In an attack involving weapons of mass destruction or toxic chemicals, anesthesiologists will provide care. Our survey of United States anesthesiology residency programs demonstrated that there is limited training of residents regarding the anesthetic management of patients injured by weapons of mass destruction. This has serious public health implications.

Download full-text PDF

Source
http://dx.doi.org/10.1213/01.ane.0000167642.11429.f5DOI Listing
October 2005
40 Reads
1 Citation
3.472 Impact Factor

Publication Analysis

Top Keywords

residency programs
16
weapons mass
12
anesthesiology residency
12
mass destruction
12
united states
12
form training
8
programs
8
anesthesiology programs
8
states anesthesiology
8
anesthesiology personnel
8
public health
8
training
8
patients exposed
8
management patients
8
anesthesiology
7
mass
5
involving weapons
4
wmd protective
4
attack involving
4
personnel wmd
4

Similar Publications