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Simple Triage and Rapid Decontamination of Mass Casualties with Colored Clothes Pegs (STARDOM-CCP) System against Chemical Releases

Published online by Cambridge University Press:  28 June 2012

Tetsu Okumura ,
Hisayoshi Kondo ,
Hitomi Nagayama ,
Toshiro Makino ,
Toshiharu Yoshioka  and
Yasuhiro Yamamoto
Tetsu Okumura*
Affiliation:
Narita NBC Counter-Terrorism Network, Narita, Chiba, Japan Department of Crisis Management Medicine on CBRNE Hazards, Saga University, Saga, Saga, Japan
Hisayoshi Kondo
Affiliation:
Narita NBC Counter-Terrorism Network, Narita, Chiba, Japan Ministry of Health, Labor and Welfare, Chiyoda, Tokyo, Japan
Hitomi Nagayama
Affiliation:
Narita NBC Counter-Terrorism Network, Narita, Chiba, Japan Ex-staff, Narita Quarantine Office, Ministry of Health, Labor and Welfare, Narita, Chiba, Japan Department of Internal Medicine, Ishioka Daiichi Hospital, Ishioka, Ibaragi, Japan
Toshiro Makino
Affiliation:
Narita NBC Counter-Terrorism Network, Narita, Chiba, Japan Nihon Medical School Narita International Airport Clinic, Narita, Chiba, Japan
Toshiharu Yoshioka
Affiliation:
Disaster Task Force of the Japanese Association for Acute Medicine, Tokyo, Japan Japan Poison Information Center, Tsukuba, Ibaragi, Japan
Yasuhiro Yamamoto
Affiliation:
Ministry of Health, Labor and Welfare, Chiyoda, Tokyo, Japan Japanese Association for Acute Medicine, Tokyo, Japan Professor, Department of Emergency Medicine, Nippon Medical School, Bunkyo, Tokyo, Japan
*
Tetsu Okumura Department of Crisis Management Medicine on CBRNE Hazards, Saga University, Nabeshima 5-1-1 Saga, Saga, Japan E-mail: [email protected]
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Abstract

The efficiency and speed with which first responders, paramedics, and emergency physicians respond to an event caused by the release of a chemical is an important concern in all modern cities worldwide. A system for the initial triage and decontamination of victims of a chemical release was developed using colored clothes pegs of the following seven colors: red, yellow, green, black, white, and blue. Red indicates the need for emergency care, yellow for semi-emergency care, green for non-emergency care, black for expectant, white for dry decontamination, and blue for wet decontamination. The system can be employed as one of the techniques directed at improving the efficiency of decontamination in countries where there is a risk of chemical releases. It is recommended that this system should be adopted internationally and used for both drills and actual events.

Keywords

chemical disasterchemical terrorismdecontaminationtriage
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 22 , Issue 3 , June 2007 , pp. 233 - 236
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

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References

1.White, SR, Klein, KR, Eitzen, EM: Disaster Management for Chemical Agents of Mass Casualty In: Tintinalli, JE, Kelen, GD, Stapczynski, JS (eds) Emergency Medicine: A Comprehensive Study Guide 6th ed. New York: McGraw-Hill, 2003, pp 42–46.Google Scholar
2.Kales, SN, Christiani, DC: Acute chemical emergencies. N Eng J Med 2004;350:800–808.CrossRefGoogle ScholarPubMed
3.Lepler, L, Lucci, E: Responding to and managing casualties: Detection, personal protection, and decontamination. Respir Care Clin 2004;10: 9–21.CrossRefGoogle ScholarPubMed
4.Ohashi, N: Chemical disasters and emergency medicine. Kyukyu-Igaku 1995;19:1819–1823. (In Japanese).Google Scholar
5.Okumura, T, Suzuki, K, Fukuda, A, Kohama, A, Takasu, N, Ishimatsu, S, Hinohara, S: The Tokyo subway sarin attack: Disaster management. Part II. Hospital Rresponse. Acad Emerg Med 1998;5:618–624.CrossRefGoogle Scholar
6.Okumura, T, Miura, K, Yamada, A, Okumura, S, Takeuchi, Y, Kobayashi, H: Development of triage tags for the hospital setting and its application for the disaster drills. Japan J Disast Med 2005;9:240. (in Japanese).Google Scholar
7.Murphy, MF: Emergency Medical Services in Disasters. In: Hogan, DE, Burstein, JL (eds), Disaster Medicine. Philadelphia: Lippincott Williams & Wilkins, 2002, pp 90–103.Google Scholar