Human Consequences of Multiple Nuclear Detonations in New Delhi (India): Interdisciplinary Requirements in Triage Management
Open Access
- 11 February 2021
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 18 (4), 1740
- https://doi.org/10.3390/ijerph18041740
Abstract
The human casualties from simulated nuclear detonation scenarios in New Delhi, India are analyzed, with a focus on the distribution of casualties in urban environments and the theoretical application of a nuclear-specific triage system with significant innovation in interdisciplinary disaster management applicable generally to urban nuclear detonation medical response. Model estimates of nuclear war casualties employed ESRI’s ArcGIS 9.3, blast and prompt radiation were calculated using the Defense Nuclear Agency’s WE program, and fallout radiation was calculated using the Defense Threat Reduction Agency’s (DTRA’s) Hazard Prediction and Assessment Capability (HPAC) V404SP4, as well as custom GIS and database software applications. ESRI ArcGISTM programs were used to calculate affected populations from the Oak Ridge National Laboratory’s LandScanTM 2007 Global Population Dataset for areas affected by thermal, blast and radiation data. Trauma, thermal burn, and radiation casualties were thus estimated on a geographic basis for New Delhi, India for single and multiple (six) 25 kt detonations and a single 1 mt (1000 kt) detonation. Major issues related to the emergency management of a nuclear incident are discussed with specific recommendations for improvement. The consequences for health management of thermal burn and radiation patients is the worst, as burn patients require enormous resources to treat, and there will be little to no familiarity with the treatment of radiation victims. Of particular importance is the interdisciplinary cooperation necessary for such a large-scale emergency response event, which would be exemplified by efforts such as the application of a Nuclear Global Health Workforce.This publication has 10 references indexed in Scilit:
- Readiness for Radiological and Nuclear Events among Emergency Medical PersonnelFrontiers in Public Health, 2017
- Justification for a Nuclear Global Health Workforce: multidisciplinary analysis of risk, survivability & preparedness, with emphasis on the triage management of thermal burnsConflict and Health, 2017
- Developing a Nuclear Global Health Workforce Amid the Increasing Threat of a Nuclear CrisisDisaster Medicine and Public Health Preparedness, 2015
- Nuclear war between Israel and Iran: lethality beyond the paleConflict and Health, 2013
- Civilian mortality after the 2003 invasion of IraqThe Lancet, 2013
- Medical Planning and Response for a Nuclear Detonation: A Practical GuideBiosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 2012
- Triage and Treatment Tools for Use in a Scarce Resources-Crisis Standards of Care Setting After a Nuclear DetonationDisaster Medicine and Public Health Preparedness, 2011
- Social, Psychological, and Behavioral Responses to a Nuclear Detonation in a US City: Implications for Health Care Planning and DeliveryDisaster Medicine and Public Health Preparedness, 2011
- The “RTR” Medical Response System for Nuclear and Radiological Mass-Casualty Incidents: A Functional TRiage-TReatment-TRansport Medical Response ModelPrehospital and Disaster Medicine, 2009
- Impact of Public Health Emergencies on Modern Disaster Taxonomy, Planning, and ResponseDisaster Medicine and Public Health Preparedness, 2008