The Worried Well Response to CBRN Events: Analysis and Solutions

摘要: Abstract : Chemical, biological, radiological, or nuclear (CBRN) weapons in the hands of a terrorist rogue state is one greatest threats to security United States. These mass destruction (WMD) can cause catastrophic loss life and innumerable injuries challenge U.S. health care system beyond its capacity provide treatment. Most hospitals do not have beds, equipment, staff, facilities adequately respond WMD event. Compounding this problem that many people who minimal no exposure CBRN agent will seek medical slow down treatment genuinely affected patients. "worried well" patients may comprise as 20 times number legitimate become most difficult aspects dealing with events. This paper an examination worried well phenomenon. It looks at three events are often noted for unaffected masses seeking care: Goiania Radiation Incident, Aum Shinrikyo Attack, Anthrax Letters Incident. The purpose twofold. First, it provides better understanding response. Existing literature contains bold proclamations without substantial analysis; researchers cite cases but fail any indepth study them. closer shows response neither irrational nor characterized by panic. Instead, when examined from informational, medical, psychological perspectives, largely rational reaction. Second, strategy mitigate cannot detailed plan every possible event, does basic elements reduce still allow proper everyone