Evidence map›Paper›PMID 39948462›Full record

SynthesisBMC emergency medicine2025

Preparedness dimensions and components of emergency medical services in chemical hazards: a systematic review.

Abed Khanizade, Shandiz Moslehi, Mohsen Dowlati, Parisa Moradimajd, Mohammad Javad Moradian

Abstract readSystematic Review
In one paragraph

Synthesis in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

5 authors.

Abed KhanizadeDepartment of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Shandiz MoslehiDepartment of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. moslehi.sh@iums.ac.ir.
Mohsen DowlatiDepartment of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Parisa MoradimajdAnesthesia Department, Allied Medical School, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Javad MoradianDepartment of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEMS providers are often the only emergency workers with medical knowledge at the scene of chemical hazards and are exposed to severe risks. They should always be prepared to face chemical hazards to be able to provide an effective response to them. Therefore, this study identified the dimensions and components of emergency medical services system preparedness in chemical hazards.

methodsWe searched the relevant electronic databases, including ProQuest, Embase, PubMed, Web of Science, and Scopus. The search included articles in English published up to November 2, 2023. In addition, organizational websites, including WHO, CDC, OSHA, NIOSH, FEMA, IFRC, NFPA, OECD, and OPCW, were searched to find gray literature. Studies were selected using the PRISMA checklist, and thematic analysis was used to analyze the findings.

resultsFinally, of 8193 selected records, 16 papers were included in the final analysis. Using thematic analysis, two main themes, 15 categories, and 57 subcategories were revealed. The categories for management measures included Plans and guidelines, Communication and coordination, Risk management, Management of physical spaces and Sources of funding, and for technical measures were recognition of chemical release, incident scene management, personal protection, casualty management, ambulance equipment and drugs, decontamination, psychological support, supporting units, Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) ambulances, and training.

conclusionsDue to the importance and extent of the effects of chemical hazards, EMS systems need to develop their preparedness using more specific approaches to provide medical services in chemical hazards. EMS systems should provide medical equipment and antidotes, chemical ambulances, chemical protective equipment, and necessary physical spaces with appropriate financing. Also, preparedness and response plans should be prepared and practiced regularly based on previous lessons learned and with the cooperation and participation of other organizations involved in chemical disasters.

Indexed as

Chemical Hazard ReleaseDisaster PlanningEmergency Medical ServicesHazardous SubstancesHumansHazardous SubstancesChemical disastersEmergency medical servicesPrehospital emergenciesPreparedness

Identifiers

PMID39948462
PMCPMC11827237

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.