Evidence map›Paper›PMID 41645553›Full record

ReviewDisaster medicine and public health preparedness2026

Health Care Systems: Responsibilities and Resilience.

Carol Iddins, Ziad Kazzi, Arthur Chang, Nicholas Maikai Studer, James Jeng, Ann Jakubowski, Ibrahim Ahmed, Cullen Case, Mark Ervin, Shannon G Loelius and 3 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Disaster medicine and public health preparedness, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Carol IddinsRadiation Emergency Assistance Center/Training Site, https://ror.org/040vxhp34Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.ORCID 0000-0002-7777-3760
Ziad Kazzihttps://ror.org/03czfpz43Emory University, Atlanta, GA, USA.
Arthur Changhttps://ror.org/042twtr12Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0001-6206-9191
Nicholas Maikai StuderRadiation Emergency Assistance Center/Training Site, https://ror.org/040vxhp34Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.ORCID 0000-0001-7212-0608
James Jenghttps://ror.org/04gyf1771University of California, Irvine, CA, USA.
Ann JakubowskiRadiation Injury Treatment Network, Minneapolis, MN, USA.
Ibrahim AhmedRadiation Injury Treatment Network, Minneapolis, MN, USA.
Cullen CaseRadiation Injury Treatment Network, Minneapolis, MN, USA.
Mark ErvinRadiation Emergency Assistance Center/Training Site, https://ror.org/040vxhp34Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
Shannon G LoeliusDepartment of Health and Human Services, Washington DC, USA.
Joel Rosshttps://ror.org/00py81415Duke University, Durham, NC, USA.
Jonathan GillDepartment of Homeland Security, Washington DC, USA.ORCID 0000-0002-9496-1288
Nelson Chaohttps://ror.org/00py81415Duke University, Durham, NC, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Somatostatin analogues as countermeasures against intestinal radiation toxicityU19AI067798 · NIAID · DUKE UNIVERSITY · PI CHAO, NELSON J. · 2005 to 2024
$82.1M
NCI NIH HHS P30 CA008748NIAID NIH HHS U19 AI067798
6 · The paper itself

Abstract

This paper addresses the challenges and preparedness strategies for health care systems in responding to nuclear and radiological emergencies. It emphasizes the critical role of medical centers in pre-incident preparedness, immediate response, and long-term care, focusing on the need for coordinated efforts between local, state, and federal agencies. Key components include specialized training, resource allocation, triage protocols, and the integration of networks like the Radiation Injury Treatment Network and the American Burn Association. This paper highlights the importance of resilience through collaboration, infrastructure planning, and community support to manage mass casualties and mitigate long-term health consequences. It underscores the lessons learned from historical responses and contemporary challenges, advocating for a proactive approach to enhance health care system readiness in the face of catastrophic events.

Indexed as

Delivery of Health CareDisaster PlanningHumanshospital systemsimmediate responseimprovised nuclear devicenuclear detonationpre-incident preparednessradiological dispersal deviceresilience

Identifiers

PMID41645553
PMCPMC12885216

What OpenQuestion holds

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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.