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Hazardous materials exposure information service: development, analysis, and medical implications.

Authors
Burgess-JL; Keife-MC; Barnhart-S; Richardson-M; Robertson-WO
Source
Ann Emerg Med 1997 Feb; 29(2):248-254
NIOSHTIC No.
20032072
Abstract
The Hazardous Materials Exposure Information Service (HMEIS) was established at the Washington Poison Center (WPC) to rapidly provide information to medical professionals who treat victims of hazardous-materials exposure. Incident description and exposure information is collected from on-site hazardous-materials teams and immediately analyzed by WPC medical toxicologists. Diagnostic and treatment recommendations are provided to prehospital personnel and receiving physicians. Over the first 22 months of operation, 50 calls were received that met HMEIS criteria. Of the 466 individuals exposed, 256 (55%) were transported to a medical facility for treatment. When the WPC was contacted before the decision to transport a patient to a medical facility, 28 of 185 exposure victims (15%) were transported, compared with a transport rate of 81% of exposure victims (66% change; 95% confidence interval [CI], 60% to 72%) in all other concurrent incidents and a historical transport rate of 63% (25% change; 95% CI, 14% to 36%) before the establishment of the HMEIS. These findings, although preliminary and subject to potential confounding, suggest that the HMEIS reduces health care costs through more efficient use of medical resources.
Keywords
Hazards; Hazardous-materials; Exposure-limits; Exposure-levels; Exposure-assessment; Treatment; Injuries; Injury-prevention; Medical-facilities; Medical-personnel; Medical-research; Medical-monitoring; Medical-examinations; Medical-treatment
Contact
Washington Poison Center, 155 Northeast 100th St. Suite 400, Seattle, Washington 98125-8012
CODEN
AEMED3
Publication Date
19970201
Document Type
Journal Article
Email Address
burgessj@u.washington.edu
Funding Amount
161987
Funding Type
Grant
Fiscal Year
1997
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-K01-OH-000123
Issue of Publication
2
ISSN
0196-0644
Source Name
Annals of Emergency Medicine
State
WA; NY
Performing Organization
Division of Environmental and Occupational Medicine, Department of Community Medicine, Mount Sinai School of Medicine, New York, New York
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