Evidence map›Paper›PMID 25551496›Full record

ArticleHealth physics2015

Public health and medical preparedness for a nuclear detonation: the nuclear incident medical enterprise.

C Norman Coleman, Julie M Sullivan, Judith L Bader, Paula Murrain-Hill, John F Koerner, Andrew L Garrett, David M Weinstock, Cullen Case, Chad Hrdina, Steven A Adams and 6 more

Abstract read
In one paragraph

Article in Health physics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Radiation biology workforce in the United States.Journal of applied clinical medical physics · 2022
    Review
  5. Article
  6. Article
  7. Article
  8. United States medical preparedness for nuclear and radiological emergencies.Journal of radiological protection : official journal of the Society for Radiological Protection · 2021
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

C Norman Coleman*Office of Emergency Management, Office of the Assistant Secretary for Preparedness and Response, Department of Health and Human Services, Washington, DC; †Radiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD; ‡Dana Farber Cancer Institute, Harvard Medical School, Boston, MA; §Radiation Injury Treatment Network, National Marrow Donor Program, Minneapolis, MN; **Office of Policy and Planning, Office of the Assistant Secretary for Preparedness and Response, Department of Health and Human Services, Washington, DC; ††Division of Strategic National Stockpile, Office of Public Health Preparedness and Response; Centers for Disease Control and Prevention, Atlanta, GA; ‡‡Radiation Studies Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA; §§Gryphon Scientific, LLC, Rockville, MD; ***Biomedical Advanced Research & Development Authority, Office of the Assistant Secretary for Preparedness and Response, Department of Health and Human Services, Washington, DC; †††Radiation/Nuclear Countermeasures Program, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Julie M Sullivan
Judith L Bader
Paula Murrain-Hill
John F Koerner
Andrew L Garrett
David M Weinstock
Cullen Case
Chad Hrdina
Steven A Adams
Robert C Whitcomb
Ellie Graeden
Robert Shankman
Timothy Lant
Bert W Maidment
Richard C Hatchett

Funding

Radiation-induced molecular targetsZIABC010670 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI COLEMAN, NORMAN · 2009 to 2024
$17.3M
Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

Resilience and the ability to mitigate the consequences of a nuclear incident are enhanced by (1) effective planning, preparation and training; (2) ongoing interaction, formal exercises, and evaluation among the sectors involved; (3) effective and timely response and communication; and (4) continuous improvements based on new science, technology, experience, and ideas. Public health and medical planning require a complex, multi-faceted systematic approach involving federal, state, local, tribal, and territorial governments; private sector organizations; academia; industry; international partners; and individual experts and volunteers. The approach developed by the U.S. Department of Health and Human Services Nuclear Incident Medical Enterprise (NIME) is the result of efforts from government and nongovernment experts. It is a "bottom-up" systematic approach built on the available and emerging science that considers physical infrastructure damage, the spectrum of injuries, a scarce resources setting, the need for decision making in the face of a rapidly evolving situation with limited information early on, timely communication, and the need for tools and just-in-time information for responders who will likely be unfamiliar with radiation medicine and uncertain and overwhelmed in the face of the large number of casualties and the presence of radioactivity. The components of NIME can be used to support planning for, response to, and recovery from the effects of a nuclear incident. Recognizing that it is a continuous work-in-progress, the current status of the public health and medical preparedness and response for a nuclear incident is provided.

Indexed as

Nuclear WarfareCommunicationDisaster PlanningFederal GovernmentGovernment AgenciesHumansInterdisciplinary CommunicationMass Casualty IncidentsRadiationRadiation InjuriesRadioactive Hazard ReleaseRadiobiologyRadiometryRiskUnited StatesUnited States Department of Homeland Security

Identifiers

PMID25551496
PMCPMC4295641

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.