Vorbereitung auf Katastrophen mit chemischen, biologischen und radionuklearen (CBRN) Gefahrenstoffen

manuel.burkert@disaster-medicine.com

www.disaster-medicine.com

Deutsches Institut für Katastrophenmedizin GmbH
German Institute for Disaster Medicine and Emergency Medicine
Bahnhofstraße 1
72072 Tübingen
Germany

Tel.: +49 (0) 700 700 11 22 33
Fax: +49 (0) 700 700 11 22 44

Questionnaire

In order to evaluate European preparedness for Chemical, Biological, Radio-/ Nuclear and Explosive Incidents (CBRNE Incidents) we developed the following questionnaire. We appreciate your efforts in answering our questions.

If you are interested in receiving our results, please feel free to send an e-mail to our coordinator manuel.burkert@disaster-medicine.com.

1. Personal Data

Profession:
	Physician
	Paramedic
	Emergency Medical Technician
	Fire-Fighter

Other Profession:

Place of Work:
	Prehospital
	Military
	Hospital
	Fire Fighting
	Rescue Coordination Centre
	Disaster-response

Other Place of Work:

Please specify your position:

I am working:
	full-time
	part-time
	Volunteer

Sex:
	male
	female

Age:

Country:

City (working area):

Years of working experience:

2. Educational background

Have you had any training in:
Chemical hazardous material (i.e. Sarin, E605)	theory lessons practical training both none
Biological hazardous material (i.e. Anthrax, Mexican Flu, Avian Flue)	theory lessons practical training both none
Radiological/Nuclear hazardous material (i.e. dirty bomb)	theory lessons practical training both none
Explosive hazards (i.e. Improvised explosive devices)	theory lessons practical training both none
Management of Mass Casualty Incidents (MCI)	theory lessons practical training both none

To which degree do you feel prepared for dealing with incidents involving CBRNE-hazards?:

		0	1	2	3	4	5
Chemical	not prepared							well prepared
Biological	not prepared							well prepared
Radiological/Nuclear hazardous material	not prepared							well prepared
Explosive hazardous materials	not prepared							well prepared

Have you ever received training in any state assisted programme for your individual preparedness in private, if yes, please specify:

3. Mass Casualty Incident (MCI)

Are you familiar with the strategies of treatment in case of a MCI? Do you know specific strategies of treatment in case of a MCI?:

Yes No

To which degree do you feel prepared for a MCI?:

		0	1	2	3	4	5
	not prepared							well prepared

Are you using standing operation procedures (SOPs) or checklists in preparation for a MCI?:
Yes No

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

4. Chemical hazards

Are you familiar with the symptoms of a patient after contamination with chemical hazardous material (i.e. E605, Sarin)?:

Yes No Don't Know

Are you using standing operation procedures (SOPs) or checklists in preparation for Chemical hazard incidents?:
Yes No

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

Do you have special equipment in preparation for chemical hazard incidents (i.e. special clothing, detection devices)? If yes, please specify:
Detection devices Protective equipment Both

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

To which degree do you feel prepared for the detection of chemical hazardous material?:

		0	1	2	3	4	5
	not prepared							well prepared

To which degree do you feel prepared for medical treatment of a patient after a contamination with chemical hazardous materials?:

		0	1	2	3	4	5
	not prepared							well prepared

5. Biological hazards

Are you familiar with the symptoms of a patient after contamination with biological hazardous material (i.e. Avian flu, Anthrax, swine flu)?:

Yes No Don't Know

Are you using standing operation procedures (SOPs) or checklists in preparation for biological hazard incidents?:
Yes No

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

Do you have special equipment in preparation for biological hazard incidents (i.e. special clothing, detection devices)? If yes, please specify :
Special clothing Detection devices Both

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

To which degree do you feel prepared for the detection of biological hazardous material?:

		0	1	2	3	4	5
	not prepared							well prepared

To which degree do you feel prepared for medical treatment of a patient after a contamination with biological hazardous materials?:

		0	1	2	3	4	5
	not prepared							well prepared

6. Radiological and nuclear

Are you familiar with the symptoms of a patient after contamination with radiological and nuclear hazardous material (i.e. dirty bomb, nuclear power plant incident)?:

Yes No Don't Know

Are you using standing operation procedures (SOPs) or checklists in preparation for radiological and nuclear hazard incidents?:
Yes No

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

Do you have special equipment in preparation for radiological and nuclear hazard incidents (i.e. special clothing, detection devices)? If yes, please specify :
Special clothing Detection devices Both

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

To which degree do you feel prepared for the detection of radiological and nuclear hazardous material?:

		0	1	2	3	4	5
	not prepared							well prepared

To which degree do you feel prepared for medical treatment of a patient after a contamination with radiological and nuclear hazardous materials?:

		0	1	2	3	4	5
	not prepared							well prepared

7. Explosive hazards

Are you familiar with the symptoms of a patient after an IED Incident?:

Yes No Don't Know

Are you using standing operation procedures (SOPs) or checklists in preparation for of IEDs?:
Yes No

...if yes:
Did you receive any training in using them?	Yes No
Do you have training on a regular basis?	Yes No
Have you ever used them in real life?	Yes No

To which degree do you feel prepared for the detection of IEDs:

		0	1	2	3	4	5
	not prepared							well prepared

To which degree do you feel prepared for medical treatment of a patient after an IED Incident?:

		0	1	2	3	4	5
	not prepared							well prepared

8. Team of Experts

Do you have access to a team of experts for the detection of hazardous material?:
Chemical	Yes No Don't Know
Biological	Yes No Don't Know
Radiological/Nuclear	Yes No Don't Know
Explosives	Yes No Don't Know

Do you know their location/estimated time of arrival at your place?:

Yes No Don't Know

Do you know their chain of command/how to call them for help?:
Yes No

Have you ever worked together (exercise or real life) with the team responsible for your region?

Yes No Don't Know

...if yes, please describe your cooperation:

		0	1	2	3	4	5
	very bad							very good

9. Equipment

In case you do have special equipment, please specify:
Decontamination Shower Antidotes Both

Please describe other special equipment:

To which degree do you feel prepared for using the equipment?:

		0	1	2	3	4	5
	not prepared							well prepared

Do you have any suggestions for the improvement of your equipment? If yes, please specify:

10. Hospital

Do you know which hospital in your area is responsible for hazardous contaminated patients?:
Yes No

To which degree do you think your responsible hospital is prepared for dealing with hazardous materials/contaminated patients?:

		0	1	2	3	4	5
	not prepared							well prepared

Have you ever cooperated with this hospital in this context?:
Yes No

...if yes, please describe your cooperation:

Do you have any suggestions for improvements in the hospital concerned? If yes, please specify:

11. Miscellaneous

To which degree is your emergency medical service prepared for dealing with hazardous materials/contaminated patients?:

		0	1	2	3	4	5
	not prepared							well prepared

Do you have any suggestions for improvements in the emergency medical service? If yes, please specify:

Do you perceive your personal physical health as endangered when dealing with a hazardous contaminated patient?:

		0	1	2	3	4	5
	not endangered							highly endangered

Please give us your opinion/experiences and recommend homepages, books, checklists and teaching materials which might be of interest for your education:

12. Field reports

Have you ever dealt with hazardous contaminated patients?:
Yes No

...if yes, please explain problems you had to face (i.e. communication, fear/panic, secondary contamination etc.):