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By Institute of Medicine, Board on Health Sciences Policy, Committee on Medical Preparedness for a Terrorist Nuclear Event, Susan R. McCutchen, Michael McGeary, Georges C. Benjamin

A nuclear assault on a wide U.S. urban through terrorists--even with a low-yield improvised nuclear gadget (IND) of 10 kilotons or less--would reason lots of deaths and serious accidents. the massive variety of injured from the detonation and radioactive fallout that might persist with will be overwhelming for neighborhood emergency reaction and health and wellbeing care platforms to rescue and deal with, even assuming that those platforms and their body of workers weren't themselves incapacitated via the development. the U.S. has been suffering for it slow to handle and plan for the specter of nuclear terrorism and different guns of mass destruction that terrorists could receive and use. the dept of native land safety lately shriveled with the Institute of drugs to carry a workshop, summarized during this quantity, to evaluate scientific preparedness for a nuclear detonation of as much as 10 kilotons. This e-book offers a candid and sobering examine our present kingdom of preparedness for an IND, and identifies numerous key components during which we'd start to concentration our nationwide efforts in a manner that might increase the final point of preparedness.

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Given a bestcase (some would say unrealistic) scenario that half the beds within 300 miles would be available 48 hours after the event, the maximum number of available beds would be at most 120,000, about two-thirds of the number of injured predicted by the simulation. In reality, the actual number would probably be less, given the difficulties of emptying filled beds, the likelihood of staffing shortages, and the lack of capability to move so many patients in 2 days. Finally, Dallas looked at the effect on hospitals near the detonation points.

10 medical preparedness for a terrorist nuclear event FIGURE 1 Sources of injury from a 10-kt IND: approximate blast, thermal, and prompt radiation effects around—and fallout effects downwind from—the detonaFigure 1 tion point. R01441 SOURCE: Reprinted, with permission, from Lawrence Livermore National ­Laboratory, bitmapped, image, color Laboratory. 2009.  Efforts are under way to produce improved human casualty estimates, but the work is in the early stages and the issue needs further study (see Box 1 and footnote 13).

Treating ARS). John Mercier began with a quick review of the effects of the atomic bomb exploded over Hiroshima. There were 136,000 casualties, about half the population. Approximately 25,000 to 30,000 died the first day. After 4 months, the death toll was 64,000, leaving 72,000 injured. , radiation combined with trauma or burns) from the blast, thermal, and prompt radiation effects. ) The health care system was badly damaged. Only 3 of the 45 hospitals were functional, and their windows were blown out.

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