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Developing best practice response to carbon monoxide incidents: a toolkit for health protection frontline staff.

机译:制定应对一氧化碳事件的最佳实践:健康保护前线人员的工具包。

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OBJECTIVES: Carbon monoxide (CO) poisoning represents a significant public health burden. CO incidents require multiple responders, including the Health Protection Agency (HPA). However, best practice guidance does not yet exist in the UK for chemicals. Since CO is a good template for chemical incidents, the authors aimed to develop an electronic 'best practice' CO incident response toolkit which could serve as a blueprint for chemicals in general, and have compatibility with HPZone, the electronic decision support system being implemented across the HPA. STUDY DESIGN: Public health guidance development. METHODS: (1) Literature review of CO incidents, risk management, public health, toxicology and environmental guidance; (2) expert opinion; (3) synthesis of information; (4) writing the toolkit; and (5) consultation and toolkit testing. RESULTS: The draft toolkit was designed integrating a best practice algorithm, risk assessment, links to CO guidance, and template incident forms. The risk assessment model is in development but key intermediate outcomes of this were proposed case definitions for CO exposure. CONCLUSION: The toolkit has been successfully piloted and further consultation and refinement will follow. It provides a platform for the expansion of electronic decision support tools in chemical incidents management with the potential for HPZone functionality.
机译:目的:一氧化碳(CO)中毒代表了巨大的公共卫生负担。 CO事件需要多个响应者,包括健康保护局(HPA)。但是,英国尚无关于化学品的最佳做法指南。由于CO是处理化学事故的良好模板,因此作者旨在开发一种电子“最佳实践” CO事故响应工具包,该工具包可作为一般化学品的蓝图,并与HPZone兼容,该电子决策支持系统已在HPA。研究设计:公共卫生指南的制定。方法:(1)对CO事件,风险管理,公共卫生,毒理学和环境指导的文献综述; (二)专家意见; (3)信息综合; (四)编写工具包; (5)咨询和工具包测试。结果:该工具箱草案的设计集成了最佳实践算法,风险评估,CO指导的链接和模板事件表单。风险评估模型尚在开发中,但其中的关键中间结果是建议的一氧化碳暴露病例定义。结论:该工具包已成功试用,将进行进一步的咨询和完善。它提供了一个平台,用于扩展化学事故管理中的电子决策支持工具,并具有HPZone功能的潜力。

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