突发环境事件应急监测演习脚本的编写

简述了突发环境事件应急监测演习脚本编写的重要性及相关原则,介绍了按事故情景演变和应急监测工作响应程序两种应急监测演习脚本的编写方法。     

Using data linkage to assess the impact of motorized recreational vehicle-related injuries in Ohio

Problem

Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio.

Method

Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and emergency department) data for 2003 and 2004 were examined. Record pairs with a MRV-related E-code (E821-E823, E825) were included in this study.

Results

There were 2,893 patients with MRV-related injuries, who had linked EMS and hospital records, resulting in more than $15 million in hospital charges and 1,921 inpatient days of hospitalization. The male-to-female ratio was nearly 4:1, and 19% were younger than 16. Almost 82% of cases were not wearing a helmet; there was a trend of decreasing helmet use with increasing age. Mean (SE) inpatient hospital charges and length of stay (LOS) were $22,218 ($1,290) and 3.8 (0.2) days, respectively. The mean (SE) Injury Severity Score (ISS) for inpatients was 9.2 (0.4). Individuals injured on a street/highway were 3.20 times more likely to sustain an ISS ≥ 16 (95% CI: 1.03, 9.88; p = 0.044) and 3.05 times more likely to sustain a traumatic brain injury (TBI) (95% CI: 1.17, 7.94; p = 0.024) than those who were injured at a place designated for sport or recreation. Children aged 12 to 15 and young adults aged 16 to 25 were 2.47 and 2.14 times more likely, respectively, to sustain a TBI than adults aged 36 or older (aged 12 to 15: 95% CI: 1.13, 5.38; p = 0.024; aged 16 to 25: 95% CI: 1.26, 3.64; p = 0.005). Higher ISS was associated with both higher total charges (p < 0.001) and longer LOS (p < 0.001).

Discussion

This study demonstrates that MRV-related injuries are an important public health problem in Ohio, with a substantial clinical and financial impact.

Impact on Industry

Enactment and enforcement of statewide MRV safety legislation and training of MRV users offer valuable opportunities to prevent these costly injuries.     

The 2004 Madrid train bombings: an analysis of pre-hospital management

The terrorist train bombings in Madrid, Spain, on 11 March 2004 triggered a swift and massive medical response. This paper analyses the pre-hospital response to the attacks to gain insight into current trends in disaster management among Madrid's Emergency Medical Services (EMSs). To this end, the existing emergency planning framework is described, the basic structures of the different EMSs are presented, and the attacks are briefly depicted before consideration is given to pre-hospital management. Finally, an explanation of the main underlying misconceptions in emergency planning and management in Madrid is provided to aid understanding of the origins of some of the problems detected during the response. These are attributable mainly to inappropriate planning rather than to mistakes in field-level decision-making. By contrast, many of the successes are attributable to individual initiatives by frontline medics who compensated for the lack of clear command by senior managers by making adaptive and flexible decisions.     

便携式分光光度计法快速测定水中砷方法研究

通过研究各仪器性能指标以及测定实际水质样品,对3种便携式分光光度计快速测定水中砷的方法进行了优化和比对研究。结果表明,ZZW-Ⅱ测试仪快速测定水中砷的方法检出限(0.2 mg/L)高于JH 916检测仪和PORS-15 V光谱仪的方法检出限(0.008和0.009 mg/L),在突发性环境污染事故应急监测中,JH 916检测仪和PORS-15 V光谱仪具有相对较高的灵敏度。ZZW-Ⅱ测试仪和JH 916检测仪快速测定水中砷的方法精密度相近,其测定结果相对标准偏差均未超过5.7%(n=6),PORS-15 V光谱仪快速测定水中砷的方法精密度稍差,其相对标准偏差最大值为17%。测定实际样品时,加标回收率分别为110%~126%(ZZW-Ⅱ测试仪),63%~108%(PORS-15 V光谱仪),78%~101%(JH 916检测仪)。3种便携式分光光度计与实验室分析方法相比,测定结果精密度均存在显著性差异,测定结果相对偏差亦较大,相对偏差最大值分别为-19.0%(ZZW-Ⅱ测试仪),17.0%(PORS-15 V光谱仪),-15.0%(JH 916检测仪)。     

Attitudes of rural population in emergency exposure situations

People growing crops in kitchen gardens eat locally self-produced food and are the subject of growing attention as the potential for a more sustainable development. A survey was carried out in two provinces in northern Italy to gather information on the consumption of local horticultural products, peoples’ expectations of authorities in the case of a nuclear accident and peoples’ behaviour in the absence of official information. Results show that up to 70% of the owners of kitchen gardens possess diets comprised of more than 60% of self-produced vegetables and can be regarded as particular groups of population. In the case of a dispersion of radioactive material, the local population would take advantage of official information on preventive measures to protect farms and local crops from contamination. Results of the survey show differences in the attitude of the population due to age, gender and past experience.     

对由制定抗震救灾工作预案引起地震误传的平息与启示

本文概述了在制定和部署抗震救灾工作预案时，所引起地震误传事件的经过、对社会造成的影响，以及采取的对策和所汲取的教训。     

公路运输化学事故应急救援体系研究

以动态源的定义为基础 ,结合危化品公路运输特殊性 ,阐述了危化品在公路运输过程中发生化学事故后应急救援的原则、工作特点与基本要求 ;提出化学事故应急救援中的基本任务是控制危险源 ,抢救受害人员 ,指导并组织群众疏散、自救和做好事故现场清理洗消工作 ,消除危害后果 ;提出公路运输化学事故应急救援预案系统建设的总体目标是 ,在应用ITS智能交通系统对动态源精确定位的基础上 ,建立公路运输化学事故应急救援预案动态库及应急救援组织保障系统和应急救援技术支持系统 ,一旦事故发生 ,能够做到尽快有效处理 ,最大限度地减小或消除事故损失。     

石油化工企业事故应急救援预案现状及改进建议

石油化工行业是一个高危行业 ,具有易燃易爆、高温高压、有毒有害的特点 ,发生事故的概率高 ,且后果严重。制定事故应急救援预案是风险控制措施的一个重要组成部分 ,可以有效地防止事故的扩大 ,减轻事故造成的财产和生命损失。笔者主要探讨应急救援管理层面上的问题 ;阐述了我国政府和有关部门在应急救援管理方面的有关规定 ,石化行业的应急救援体系 ;指出了目前事故应急救援预案存在的不完善、不规范 ,应急装备不完备和缺乏社会救援联动机制等问题 ;建议企业和政府联合制定应急预案 :形成企业、地方政府和国家三方事故应急救援联动机制 ,实现统一指挥 ,资源共享 ,协调作战 ,发挥整体应急救援能力。     

突发性环境污染事故应急监测的措施分析

突发性环境污染事故会对环境造成较大的伤害,如果不能及时采取措施,就会使污染进一步扩大,不仅带来经济的损失,而且会破坏到生态的平衡。因此,要建立起突发环境污染事故的应急监测,这样才能尽可能的减少突发性环境污染事件的影响。基于此,本文从突发性环境污染事故的特征入手,首先分析其应急监测的意义,然后探究具体的措施,希望可以借此给突发性环境污染应急监测的相关研究提供一定的参考意见。     

环境污染事故应急监测装备的配置思路

分析了应急监测装备的配置形势,提出了应急监测装备的配置思想和配置原则,剖析了配置的关键点在于实现快速响应功能,准确、快速监测数据获取功能,快速解析、准确判断污染趋势功能,图像和声讯实时双向传输功能,以及安全保障和防护功能.