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About this book
A nuclear attack on a large U.S. city by terrorists--even with a low-yield improvised nuclear device (IND) of 10 kilotons or less--would cause a large number of deaths and severe injuries. The large number of injured from the detonation and radioactive fallout that would follow would be overwhelming for local emergency response and health care systems to rescue and treat, even assuming that these systems and their personnel were not themselves incapacitated by the event.The United States has been struggling for some time to address and plan for the threat of nuclear terrorism and other weapons of mass destruction that terrorists might obtain and use. The Department of Homeland Security recently contracted with the Institute of Medicine to hold a workshop, summarized in this volume, to assess medical preparedness for a nuclear detonation of up to 10 kilotons.This book provides a candid and sobering look at our current state of preparedness for an IND, and identifies several key areas in which we might begin to focus our national efforts in a way that will improve the overall level of preparedness.
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Table of contents
- COVER PAGE
- THE NATIONAL ACADEMIES
- COMMITTEE ON MEDICAL PREPAREDNESS FOR A TERRORIST NUCLEAR EVENT
- Reviewers
- Preface
- Contents
- Tables, Figures, and Boxes
- Abbreviations and Acronyms
- INTRODUCTION
- COMMITTEE PROCESS
- WORKSHOP ASSUMPTIONS AND TOPICS
- TOPIC 1: EFFECTS OF A 10-kt IND DETONATION ON HUMAN HEALTH AND THE AREA HEALTH CARE SYSTEM
- TOPIC 2: MEDICAL CARE OF VICTIMS OF THE IMMEDIATE AND FALLOUT EFFECTS OF A 10-kt IND DETONATION
- TOPIC 3: EXPECTED BENEFIT OF RADIATION COUNTERMEASURES
- TOPIC 4: PROTECTIVE ACTIONS AND INTERVENTIONS IN THE EVENT OF A 10-kt IND DETONATION
- TOPIC 5: RISK COMMUNICATION, PUBLIC REACTIONS, AND PSYCHOLOGICAL CONSEQUENCES IN THE EVENT OF A 10-kt IND DETONATION
- SUMMARY OF KEY POINTS FROM THE JUNE WORKSHOP
- TOPIC 6: FEDERAL AND STATE MEDICAL RESOURCES FOR RESPONDING TO AN IND EVENT
- TOPIC 7: CURRENT PREPAREDNESS FOR RESPONDING TO THE IMMEDIATE CASUALTIES OF AN IND EVENT
- TOPIC 8: CURRENT PREPAREDNESS TO PREVENT AND TREAT THE DELAYED CASUALTIES OF AN IND EVENT
- WRAP-UP AND FINAL THOUGHTS
- REFERENCES
- Appendix A Workshop Agendas
- Appendix B Registered Workshop Attendees*
- Appendix C Biographical Sketches of Workshop Speakers and Panelists
- Appendix D Biographical Sketches of Committee Members, Consultant, and Staff