The Norwegian Center for NBC medicine

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Tittel Engelsk tittel Versjon Status
Utgiver(e) Redaktør
  • Norsk tittel - Håndbok i NBC-medisin, 2011/2012
  • Engelsk tittel - NBC-medicine
  • Versjon - 3
  • Status - Publisert
  • IS-nr -
  • ISBN -
  • DOI -
  • Revisjonsdato - 01.12.2011
  • Neste revisjon -
  • Publikasjonsdato -
  • Utløpsdato -
  • Utgiver(e) - Nasjonalt kompetansesenter for NBC-medisin, Akuttmedisinsk avdeling, Oslo universitetssykehus (OUS), Ullevål
  • Redaktør - Overlege dr. med. Helge Opdahl
  • Publikasjonstype -

(The NBC center)

The center deals with the medical consequences of CBRN incidents; its responsibilities are defined by the Norwegian Directorate of Health. The scope of activities include i) establishment of pre- and in-hospital routines and principles for treatment for victims injured by CBRN agents, ii) information and education for medical personnel and first responders about medical aspects of CBRN agents and iii) advice to government agencies about medical aspects of CBRN incidents. The center also works closely with first responder organizations.

The NBC center is organized as a center of competence within the Department of Acute Medicine in a major emergency and level 1 trauma hospital (Oslo University Hospital, Ullevål). This hospital will also be the main medical facility for victims of CBRN incidents in the most populated central part of Norway. The staff physicians are qualified specialists in pertinent fields of medicine: Acute and Emergency Medicine, Toxicology, Intensive care, Infectious medicine and Hematology. All have also scientific experience, the majority holds a PhD degree. The staff physicians work 50% of the time as clinicians within their respective specialties in order to maintain clinical competence and skills as well as be up to date on general and emergency hospital routines. The center can in addition draw on the medical expertise of the whole hospital. A nurse specialist responsible for equipment, a part-time pharmacist responsible for antidotes and medical intensive care pharmaceuticals, and a secretary completes the staff. The center can be reached round the clock through the senior consultant on call at the Department of Acute Medicine.

One of the main objectives of the center has been to simplify the routines for handling of victims of a CBRN incident at the scene. Due to the geography, population pattern and organisation of emergency services in Norway, it is unrealistic to expect a full-fledged decontamination facility to be operative within the first 1-2 hours after an unexpected incident; the first responders will have to deal with the initial medical emergencies on their own. As an optimal outcome for seriously affected victims of a CBRN incident requires that life-saving emergency treatment starts as early as possible, simplified routines for decontamination before start of medical treatment (emergency or life saving decontamination) that can be carried out by first responders anywhere are recommended.

This handbook describes the medical aspects of CBRN incidents, with recommendations adapted to Norwegian conditions and medical tradition. Suggestions for actions during the acute phase of an incident are not necessarily based on what can be considered optimal, but on what tasks the first responders in most locations in Norway should be able to carry out. As a consequence of the national focus, the handbook is published only in the Norwegian language. The recommendations made by the NBC center are based on both scientific data from the literature and the clinical experience of the medical staff, and does not necessarily reflect the views of the Norwegian government.
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