Trusts perform better on chemical incidents but protective suits and tents still imperfect

April 20, 2005

Trusts are far better prepared to deal with patients injured in chemical incidents following national training but the design and distribution of chemical protective suits and shelters are still a problem, says research published this week in Emergency Medicine Journal.

Birmingham researchers sent a questionnaire to all UK acute hospital and ambulance trusts and organised simulated incidents at two acute trusts in the West Midlands, England.

Research in 1999 showed that most trusts were woefully unprepared to deal with chemical incident patients. Since 2001, The Department of Health has provided them with chemical personal protection equipment (CPPE) - made up of a protective suit and an inflatable decontamination shelter - and an accompanying training package.

Of the 55 trusts which responded to the new research, all the ambulance trusts had chemical personal protection equipment (CPPE) and 83% had trained staff in its use. Of the responding hospital trusts, 98% had CPPE and 82% had trained staff to use them.

Following the simulated incidents, staff interviewed were critical of the CPPE suits, saying - At both hospitals, the process of assembling the shelter took approximately four minutes but at one trust, estates personnel erected the shelter for clinical staff to then prepare it, while at the other trust, clinical staff had to perform both roles and felt overstretched.

Tests showed that staff failed to decontaminate patients adequately and staff decontamination was poor due to leaks in the boot area of the protective suits. At both hospitals, no one was certain of correct procedures to dispose of the contaminated suits and they were left uncovered in the open.

The report concludes: 'Although the training package and dogma seem to have been delivered effectively to hospitals, the current suit and inflatable shelter pose a number of considerable ergonomic and functional difficulties.'
-end-


BMJ Specialty Journals

Related Hospitals Articles from Brightsurf:

'Best' hospitals should be required to deliver tobacco treatment
A UCLA-led report published today in the Journal of the American Medical Association Internal Medicine exposes what the authors call a weakness in the high-profile 'Best Hospitals Honor Roll' published annually by US News and World Report.

Veterans undergoing elective PCI at community hospitals may have increased chance of death compared to those treated at VA hospitals
Veterans who underwent elective percutaneous coronary intervention (PCI) for stable angina at a community facility were at a 33% increased hazard, or chance, of death compared to patients treated within the Veterans Affairs (VA) Healthcare System, according to an analysis of nearly 9,000 veterans published today in the Journal of the American College of Cardiology.

How should hospitals ask patients for donations?
A new study looks for the first time at patients' views of hospital fundraising, including legally allowable practices that encourage physicians to work with their hospital's fundraising professionals.

Proximity of hospitals to mass shootings in US
Nontrauma center hospitals were the nearest hospitals to most of the mass shootings (five or more people injured or killed by a gun) that happened in the US in 2019.

'Five star' hospitals often provide fewer services than other hospitals, new data suggests
If you're looking for a top-notch hospital with a wide range of services, narrowing your list to hospitals with a five-star patient experience rating might lead you astray.

Costs of care similar or lower at teaching hospitals compared to non-teaching hospitals
Total costs of care are similar or somewhat lower among teaching hospitals compared to non-teaching hospitals among Medicare beneficiaries treated for common medical and surgical conditions, according to a new study led by researchers from Harvard T.H.

How common, preventable are sepsis-associated deaths in hospitals?
This study estimates how common sepsis-related deaths are in hospitals and how preventable those deaths might be.

Veterans health administration hospitals outperform non-VHA hospitals in most markets
In a new study, researchers from The Dartmouth Institute for Health Policy and Clinical Practice and the White River Junction VA Medical Center in White River Junction, Vermont, used the most current publicly available data to compare health outcomes for VA and non-VA hospitals within 121 local healthcare markets that included both a VA medical center and a non-VA hospital.

Tele-ERs can help strengthen rural hospitals
A new study from the University of Iowa finds rural hospitals that use tele-medicine to back up their emergency room health care providers save money and find it easier to recruit new physicians.

Hospitals may take too much of the blame for unplanned readmissions
A new study out of Beth Israel Deaconess Medical Center reveals that the preventability of readmissions changes over time: readmissions within the first week after discharge are often preventable by the hospital, whereas readmissions later are often related to patients' difficultly accessing outpatient clinics.

Read More: Hospitals News and Hospitals Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.