Injuries caused by hazardous materials accidents.
Kales-SN; Polyhronopoulos-GN; Castro-MJ; Goldman-RH; Christiani-DC
Ann Emerg Med 1997 Nov; 30(5):598-603
STUDY OBJECTIVE: To describe exposures that prehospital and ED personnel may encounter as a result of hazardous material incidents. METHODS: Retrospective analysis of hazardous material incident reports from six district hazardous material teams in Massachusetts from their inception through May 1996. RESULTS: The chemicals most frequently involved were various hydrocarbons and corrosive materials. Chlorine derivatives were involved in 18% of all incidents and 23% of all incidents resulting in victims. Victims were produced by 47 of 162 (29%) incidents. Respiratory exposures were the most frequent type of exposure and resulted in the largest number of victims transported to a hospital. Overall 24 of 26 (92%) incidents with chemical exposures resulted in symptomatic victims and 33 of 35 (94%) incidents produced victims requiring hospital transport. Respiratory symptoms were the most frequent, both in the number of incidents where they were observed and the total number of victims with symptoms.
Accidents; Epidemiology; Statistical-analysis; Exposure-levels; Exposure-limits; Hazardous-materials; Emergency-responders; Medical-personnel; Poisons; Lung-disease; Lung; Humans; Men; Women; Respiratory-system-disorders; Pulmonary-system; Pulmonary-system-disorders; Pulmonary-disorders; Hydrocarbons; Corrosives; Corrosive-materials; Injuries; Traumatic-injuries
Stephen N Kales, MD, MPH, Occupational Medicine, Department of Medicine, The Cambridge Hospital, 1493 Cambridge Street, Cambridge, MA 02139
Annals of Emergency Medicine
Occupational Medicine, Cambridge Hospital, Cambridge, Massachusetts