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2023 | OriginalPaper | Hoofdstuk

58. CBRNe voor ambulanceprofessionals

Auteur : Elfriede Conradie-Thiessens

Uitgeverij: Bohn Stafleu van Loghum

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CBRNe wordt gebruikt voor incidenten en ongevallen waarbij Chemische, Biologische, Radiologische, Nucleaire en explosieve stoffen zijn betrokken. In dit hoofdstuk wordt uitgelegd wat CBRNe is, hoe ambulanceprofessionals ermee te maken kunnen krijgen en wat het handelingsperspectief is. Bij de bespreking van incidenten met chemische stoffen, die relatief vaak voorkomen, gaan we in op irriterende/bijtende gassen, verstikkende stoffen, cholinerg toxidroom, corrosieve stoffen, koolwaterstoffen. Er kunnen giftige gassen of dampen vrijkomen en zich verspreiden, of er kunnen explosies plaatsvinden. De AGS (adviseur gevaarlijke stoffen) gaat over de decontaminatie (ontsmetting) van materiaal en het voorkomen van verspreiding. De GAGS (gezondheidskundig adviseur gevaarlijke stoffen) adviseert over de medische kant van het incident. De GAGS is aanspreekpunt voor de ambulanceprofessional. Aan het einde van het hoofdstuk ligt de focus op biologische en radiologische/nucleaire incidenten. We sluiten af met explosieletsels en blastverwondingen.

vorige hoofdstuk Het mobiel medisch team (MMT)

volgende hoofdstuk De ethische dimensie van de professionaliteit van ambulancezorgverleners

Cernak, I., & Noble-Haeusslein, L. J. (2009). Traumatic brain injury: An overview of pathobiology with emphasis on military populations. Journal of Cerebral Blood Flow and Metabolism, 30(2), 255–266. https://doi.org/10.1038/jcbfm.2009.203CrossRefPubMedPubMedCentral

Dokoupil, M., Marecová, K., Uvíra, M., Joukal, M., Mrázková, E., Chmelová, J., & Handlos, P. (2019). Fatal delayed hemopericardium and hemothorax following blunt chest trauma. Forensic Science, Medicine and Pathology, 15(2), 272–275. https://doi.org/10.1007/s12024-018-0069-5CrossRefPubMed

Dries, D. (2009). Blast injury in a civilian trauma setting is associated with a delay in diagnosis of traumatic brain injury. Yearbook of Critical Care Medicine, 195–196. https://doi.org/10.1016/s0734-3299(08)79007-5.

Gummin, D. (2010). Hydrocarbons. In J. Fulton (Red.), Goldfrank’s Toxicologic Emergencies (Ninth Edition, pp. 1386–1387). McGraw-Hill Professional.

Harrison, C. D., Bebarta, V. S., & Grant, G. A. (2009). Tympanic membrane perforation after combat blast exposure in Iraq: A poor biomarker of primary blast injury. Journal of Trauma, 67(1), 210–211. https://doi.org/10.1097/ta.0b013e3181a5f1dbCrossRefPubMed

Kauvar, D. S., Thomas, S. B., Schechtman, D. W., & Walters, T. J. (2019). Predictors and timing of amputations in military lower extremity trauma with arterial injury. Journal of Trauma and Acute Care Surgery, 87(1S), S172–S177. https://doi.org/10.1097/ta.0000000000002185CrossRefPubMed

Leape, L. L., Ashcraft, K. W., Scarpelli, D. G., Holder, T. M. (1971). Hazard to Health – Liquid Lye. NEJM, 284(11), 578–581. https://doi.org/10.1056/nejm197103182841104.

Martellini, M., Rao, J. (2017). The risk of skilled scientist radicalization and emerging biological warfare threats (NATO Science for Peace and Security Series E: Human and Societal Dynamics). IOS Press.

Muzaffar, W., Khan, M. D., Akbar, M. K., Malik, A. M., & Durrani, O. M. (2000). Mine blast injuries: Ocular and social aspects. British Journal of Ophthalmology, 84(6), 626–630. https://doi.org/10.1136/bjo.84.6.626CrossRefPubMedPubMedCentral

Nelson, L., Lewin, N., Howland, M. A., Hoffman, R., Goldfrank, L. (2010a). Flomenbaum N. In J. Fulton (Red.), Goldfrank’s toxicologic emergencies. Ninth Edition. (Tomaszewski C, editie). McGraw-Hill Education.

Nelson, L., Lewin, N., Howland, M. A., Hoffman, R., Goldfrank, L. (2010b). Flomenbaum N. Caustics. In J. Fulton (Red.), Goldfrank’s toxicologic emergencies (Ninth Edition). McGraw-Hill Professional.

Nelson, L., Lewin, N., Howland, M. A., Hoffman, R., Goldfrank, L. (2010c). Flomenbaum N. Caustics. In J. Fulton (Red.), Goldfrank’s toxicologic emergencies (Ninth Edition, p. 1365). McGraw-Hill Professional.

Press, E., Williams, C., Chittenden, F., Christianson, J., Grayson, R., Steward, C., Everist, B. (1962). Co-operative kerosene poisoning study. Pediatrics, 4, 648–674. https://pediatrics.aappublications.org/content/29/4/648.

Robinson, M. E., McKee, A. C., Salat, D. H., Rasmusson, A. M., Radigan, L. J., Catana, C., et al. (2019). Positron emission tomography of tau in Iraq and Afghanistan Veterans with blast neurotrauma. Neuroimage Clin., 21, 101651. https://doi.org/10.1016/j.nicl.2019.101651CrossRefPubMedPubMedCentral

Roffey, R., Lantorp, K., Tegnell, A., Elgh, F. (2002). Biological weapons and bioterrorism preparedness: importance of public-health awareness and international cooperation. Clinical Microbiology and Infection, 8(8), 522–528. https://doi.org/10.1046/j.1469-0691.2002.00497.

Rubenfeld, G. D., Caldwell, E., Peabody, E., Weaver, J., Martin, D. P., Neff, M., et al. (2005). Incidence and outcomes of acute lung injury. NEJM, 353(16), 1685–1693. https://doi.org/10.1056/nejmoa050333CrossRefPubMed

Rubenfeld, G. D., & Herridge, M. S. (2007). Epidemiology and outcomes of acute lung injury. Chest, 131(2), 554–562. https://doi.org/10.1378/chest.06-1976CrossRefPubMed

Rubin, C. (1975). The effect of dilute corrosives on the esophagus. Journal of Pediatric Surgery, 10(2), 292. https://doi.org/10.1016/0022-3468(75)90320-6CrossRef

Säljö, A., Arrhén, F., Bolouri, H., Mayorga, M., & Hamberger, A. (2008). Neuropathology and pressure in the pig brain resulting from low-impulse noise exposure. Journal of Neurotrauma, 25(12), 1397–1406. https://doi.org/10.1089/neu.2008.0602CrossRefPubMed

Shuker, S. T. (2018). Emergency treatment of blast, shell fragment and bullet injuries to the central midface complex. Jounal of Oral and Maxillofacial Surgery, 18(1), 124–130. https://doi.org/10.1007/s12663-018-1107-2CrossRef

Shih, H. M., Duniho, S. M., & McDonough, J. H. (2003). Control of nerve agent induced seizures is critical for neuroprotection and survival. Toxicology and Applied Pharmacology, 188(2), 69–80.CrossRefPubMed

Sjöblom, E., Höjer, J., Kulling, P. E. J., Stauffer, K., Suneson, A., & Ludwigs, U. (1999). A placebo-controlled experimental study of steroid inhalation therapy in ammonia-induced lung injury. Journal of Toxicology – Clinical Toxicology, 37(1), 59–67. https://doi.org/10.1081/clt-100102409CrossRefPubMed

Van Haesendonck, G., Van Rompaey, V., Gilles, A., Topsakal, V., & Van de Heyning, P. (2018). Otologic outcomes after blast injury: The brussels bombing experience. Otology & Neurotology, 39(10), 1250–1255. https://doi.org/10.1097/mao.0000000000002012CrossRef

Williams, S. T., Harding, T. H., Statz, J. K., & Martin, J. S. (2017). Blast wave dynamics at the cornea as a function of eye protection form and fit. Military Medicine, 182(S1), 226–229. https://doi.org/10.7205/milmed-d-16-00042CrossRefPubMed

Xydakis, M. S., Bebarta, V. S., Harrison, C. D., Conner, J. C., Grant, G. A., & Robbins, A. S. (2007). Tympanic-membrane perforation as a marker of concussive brain injury in Iraq. NEJM, 357(8), 830–831. https://doi.org/10.1056/nejmc076071CrossRefPubMed

Titel: CBRNe voor ambulanceprofessionals
Auteur: Elfriede Conradie-Thiessens
Uitgeverij: Bohn Stafleu van Loghum
Boek: Leerboek ambulancezorg
Print ISBN: 978-90-368-2788-1

Elektronisch ISBN: 978-90-368-2789-8

Copyright: 2023
DOI: https://doi.org/10.1007/978-90-368-2789-8_58

Bohn Stafleu van Loghum

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