Volume 17, Issue 1 (3-2023)
payavard 2023, 17(1): 86-96 |
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Nazari S, Sharififar S T, Ahmadi Marzaleh M, Zargar Balaye Jame S, Azarmi S, Akbari Shahrestanaki Y. Structure of Pre-Hospital Rapid Response Teams to Chemical, Biological, Radiation and Nuclear Accidents in Iran, A Qualitative Study. payavard 2023; 17 (1) :86-96
URL: http://payavard.tums.ac.ir/article-1-7435-en.html
URL: http://payavard.tums.ac.ir/article-1-7435-en.html
Saeed Nazari1 
, Simin Taj Sharififar * 2, Milad Ahmadi Marzaleh3 , Sanaz Zargar Balaye Jame4 , Somayeh Azarmi5 , Yousuf Akbari Shahrestanaki6
, Simin Taj Sharififar * 2, Milad Ahmadi Marzaleh3 , Sanaz Zargar Balaye Jame4 , Somayeh Azarmi5 , Yousuf Akbari Shahrestanaki6
1- Ph.D. Candidate in Disasters and Emergencies, Student Research Committee, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran
2- Assistant Professor, Department of Health in Disasters and Emergencies, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran ,s.sharififar@ajaums.ac.ir
3- Assistant Professor, Department of Health in Disasters and Emergencies, Faculty of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
4- Associate Professor, Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
5- Assistant Professor, Department of Health in Disasters and Emergencies, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran
6- Assistant Professor, Department of Prehospital Emergency Medicine, School of Paramedical Sciences, Qazvin University of Medical Sciences, Qazvin, Iran
2- Assistant Professor, Department of Health in Disasters and Emergencies, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran ,
3- Assistant Professor, Department of Health in Disasters and Emergencies, Faculty of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
4- Associate Professor, Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
5- Assistant Professor, Department of Health in Disasters and Emergencies, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran
6- Assistant Professor, Department of Prehospital Emergency Medicine, School of Paramedical Sciences, Qazvin University of Medical Sciences, Qazvin, Iran
Abstract: (1161 Views)
Background and Aim: The field of pre-hospital rapid response teams is facing major challenges in the field of chemical, biological, radiation and nuclear accidents. Considering that the country of Iran is exposed to the occurrence of these incidents, the possibility of the danger of these incidents and threats cannot be ignored. This study was conducted with the aim of determining effective factors in the formation of pre-hospital rapid response teams in the field of health in response to CBRN accidents.
Materials and Methods: the current study is qualitative research with a content analysis approach; which was conducted using semi-structured in-depth interviews with 18 specialists and experts through purposive and snowball sampling. Sampling was done until data saturation. Thematic analysis method was used to analyze the data. The study aimed to extract effective factors in the formation of pre-hospital rapid response teams in the field of health in response to chemical, biological, radiation and nuclear accidents in Iran in 2022.
Results: The factors affecting the formation of the team were divided into 5 main classes and 5 subgroups including capacity building (Education, training), operational requirements (information and communication, command and control, emergency response operational plan, internal and external coordination), required resources (equipment, financing), team formation requirements (decontamination requirements, structural requirements) and team formation structure (general team composition, specialized team composition). The highest number of codes with 39% was related to the emergency response operational plan subcategory and the lowest number of codes with 8% was related to the equipment subcategory.
Conclusion: This study presented the design of the local pre-hospital rapid response team in the field of health in chemical, biological, radiation and nuclear accidents in Iran. This plan is for quick pre-hospital response to attend and intervene in the acute phase of these incidents. In order to increase the response capacity and capability of these teams, in addition to the general composition of the team, in order to improve the specialized preparation to deal with the health effects of these incidents, a specialized composition has also been provided. It is suggested; A separate team should be formed for each CBRN area based on the risk assessment of the offending areas of the country.
Materials and Methods: the current study is qualitative research with a content analysis approach; which was conducted using semi-structured in-depth interviews with 18 specialists and experts through purposive and snowball sampling. Sampling was done until data saturation. Thematic analysis method was used to analyze the data. The study aimed to extract effective factors in the formation of pre-hospital rapid response teams in the field of health in response to chemical, biological, radiation and nuclear accidents in Iran in 2022.
Results: The factors affecting the formation of the team were divided into 5 main classes and 5 subgroups including capacity building (Education, training), operational requirements (information and communication, command and control, emergency response operational plan, internal and external coordination), required resources (equipment, financing), team formation requirements (decontamination requirements, structural requirements) and team formation structure (general team composition, specialized team composition). The highest number of codes with 39% was related to the emergency response operational plan subcategory and the lowest number of codes with 8% was related to the equipment subcategory.
Conclusion: This study presented the design of the local pre-hospital rapid response team in the field of health in chemical, biological, radiation and nuclear accidents in Iran. This plan is for quick pre-hospital response to attend and intervene in the acute phase of these incidents. In order to increase the response capacity and capability of these teams, in addition to the general composition of the team, in order to improve the specialized preparation to deal with the health effects of these incidents, a specialized composition has also been provided. It is suggested; A separate team should be formed for each CBRN area based on the risk assessment of the offending areas of the country.
Keywords: Pre-Hospital Emergency, Chemical-Biological-Radiation and Nuclear Accidents, Rapid Response Teams
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