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| Name | Class |
|---|---|
| Quebec Heart and Lung Institute, Quebec City, Canada | UNKNOWN |
| Sorbonne University | OTHER |
| Medical Intelligence CBRNE inc.; Quebec City, Canada | UNKNOWN |
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Observation study measuring medical response in contaminated environment.
This is an ongoing multicentric observational study that aims to assess the medical response to chemical, biological, radiological, nuclear, explosive (cbrne) events during the last five (5) decades (i.e.: 1970-2020), and in any future cbrne attack that might occur within the next 15 years (i.e.: 2021-2036). Of note, the data collection will be performed retrospectively and after sites review ethic board (REB) approval.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| adult inflicted by a CBRNE weapon | Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. |
| |
| Infant inflicted by a CBRNE weapon | Part of the population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. |
| |
| Women inflicted by a CBRNE weapon | Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. |
| |
| Men inflicted by a CBRNE weapon | Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clinical interventions performed in acute settings (contaminated environment) | Procedure | Any clinical intervention performed on the patient inflicted by at least one of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) weapons in acute settings (from the incident site up to his/her admission to the clean zone of a emergency room or its equivalent (ie.: walking clinic). |
| Measure | Description | Time Frame |
|---|---|---|
| Intervention and location | The percentage of patients to whom the World Health Organization's healthcare guidelines were applied without any delay (i.e.: during a medical extraction/evacuation) | At the patient's admission at the hospital emergency room (i.e.: end-point of the medical extraction/evacuation). |
| Measure | Description | Time Frame |
|---|---|---|
| Contamination is under-control due to efficient protective measures applied during a medical extraction/evacuation | The percentage of patients whose health condition remained stable during a medical extraction due to efficient WHO's protective measures applied | At the patient's admission at the hospital emergency room (i.e.: end-point of the medical extraction/evacuation). |
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Inclusion Criteria:
i. a CBRNE attack caused at least one casualty who required the assistance of the participating health care system (e.g.: physicians, nurses, paramedics and other health-care specialists of a medical facility) during a medical extraction from the incident site until admission to a medical facility;
ii. Patients are eligible if they were exposed to the CBRNE attack;
iii. Medical information concerning the CBRNE exposures, even if partial, is accessible to health care professionals for the purposes of filling out the online case report form (eCRF);
iv. Participants must be able to complete the online case report form in English; and
v. The approval of an Ethics Review Board is obtained by each medical centre participant.
Exclusion Criteria:
A negative response to any of the inclusion criteria results in an exclusion.
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Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system.
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| Name | Affiliation | Role |
|---|---|---|
| Stephane Bourassa | Ste-Justine's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Director, Unconventional Weapons & Technology Division, National Consortium for the Study of Terrorism and Responses to Terrorism University of Maryland | College Park | Maryland | 20740 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36175098 | Derived | Bourassa S, Noebert D, Dauphin M, Rambaud J, Kawaguchi A, Leger F, Beijer D, Fortier Y, Dligui M, Ivanovski H, Simard S, Jouvet P, Leclerc J. Acute care for patients exposed to a chemical attack: protocol for an international multicentric observational study. BMJ Open. 2022 Sep 29;12(9):e065015. doi: 10.1136/bmjopen-2022-065015. |
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At this stage, we do have any plan. However, for the interest of pursuing the research, that matter will require to be addressed in due time.
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| Department of Intensive Care Medicine, Tokyo, Japan |
| UNKNOWN |
| Centre for Defence and Security Studies, University of Manitoba, Winnipeg, Canada | UNKNOWN |
| Biomedical Telematics Laboratory, Quebec Respiratory Health Research Network, Sherbrooke, Canada | UNKNOWN |
| Tokyo University | OTHER |
| Tokyo Women's Medical University | OTHER |
| University of Maryland, College Park | OTHER |
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| Elderly inflicted by a CBRNE weapon | Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. |
|
| Diagnosed with chronic disease(s) inflicted by a CBRNE weapon | Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. |
|
| Clinician (adult) whom performs his/her clinical interventions | Clinician (adult) whom performs his/her clinical interventions while integrating competences in protections and decontamination. Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. This is the case of when the clinician is required to ensure safety toward his/her patient while performing his/her interventions & procedures. |
|
| Clinician (adult) injured by duties circumstances | Part of the Population is being studied includes any individual who was affected by CBRNE attacks and needed an intervention of the healthcare system. This is the case of when the clinician becomes inflicted by a CBRNE weapon while intervening toward contaminated patient due to any failure in protection and decontamination. |
|
|
| Protection (clinician and patient) | Procedure | As interrelated competence of the clinical intervention, any protection procedure and capability applied on the patient inflicted by at least one of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) weapons in acute settings (from the incident site up to his/her admission to the clean zone of a emergency room or its equivalent (ie.: walking clinic). Concerning the clinician, the protection implied for his/her own safety and for the patient to whom she/he was in closed/contact with. |
|
| Decontamination (clinician and patient) | Procedure | As interrelated competence of the clinical intervention and protection, any decontamination procedure and capability applied on the patient inflicted by at least one of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) weapons in acute settings (from the incident site up to his/her admission to the clean zone of a emergency room or its equivalent (ie.: walking clinic). Concerning the clinician, the protection implied for his/her own safety and for the patient to whom she/he was in closed/contact with. This crucial step is usually expected prior the patient's transfer into a clean zone like the emergency room or its equivalent. |
|
| Contamination under-control due to efficient decontamination measures applied during a medical extraction/evacuation | The percentage of patients whose health condition remained stable during a medical extraction due to efficient WHO's decontamination measures applied | At the patient's admission at the hospital emergency room (i.e.: end-point of the medical extraction/evacuation). |
| Deterioration of the patient's health condition due to compromised means of protection | The percentage of patients whose health condition deteriorate during a medical extraction due to the misuse of WHO's protective measures (e.g.: mask, suit, gloves, boots, etc). | At the patient's admission at the hospital emergency room (i.e.: end-point of the medical extraction/evacuation). |
| Deterioration of the patient's health condition due to compromised means of decontamination | The percentage of patients whose health condition deteriorated during a medical extraction due to the misuse of WHO's decontamination measures (e.g.: immediate (roughly) or/and thorough (specialized one)). | At the patient's admission at the hospital emergency room (i.e.: end-point of the medical extraction/evacuation). |
| Centre for Defence and Security Studies, University of Manitoba | Winnipeg | Manitoba | R3T 2N2 | Canada |
| Royal Canadian Medical Corps | Ottawa | Ontario | K1A0K2 | Canada |
| École de Technologie Supérieure Université du Québec | Montreal | Quebec | H3C 1K3 | Canada |
| Research Center of the CHU St-Justine, University of Montreal | Montreal | Quebec | H3T 1C5 | Canada |
| Research Centre, Quebec Heart and Lung Institute, Laval University | Québec | Quebec | G1V 4G5 | Canada |
| Medical Intelligence CBRNE Inc. | Québec | Quebec | G1V0C8 | Canada |
| Biomedical Telematics Laboratory Platform of the Quebec Respiratory Health Research Network | Sherbrooke | Quebec | J1K 2R1 | Canada |
| University of Finance and Administration Department of Criminology and Forensic Disciplines | Prague | Prague | 10100 | Czechia |
| Sorbonne University | Paris | Île-de-France Region | France |
| Tokyo Women's Medical University, Department of Intensive Care Medicine | Tokyo | Shinjuku-ku | Japan |
| Department of Critical care, Miyagi Children's Hospital | Tokyo | Japan |
| Department of Disaster Medical Management, The University of Tokyo Hospital | Tokyo | Japan |
| Surrey and Sussex Healthcare NHS Trust | Surrey Quays | Redhill | RH1 5RH | United Kingdom |
| CBRNE World Journal | Winchester | SO23 8UT | United Kingdom |
| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| D001261 | Pulmonary Atelectasis |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| ID | Term |
|---|---|
| D003666 | Decontamination |
| ID | Term |
|---|---|
| D015980 | Public Health Practice |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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