Triage, monitoring, and treatment of mass casualty events involving chemical, biological, radiological, or nuclear agents

J Pharm Bioallied Sci. 2010 Jul;2(3):239-47. doi: 10.4103/0975-7406.68506.


In a mass casualty situation due to chemical, biological, radiological, or nuclear (CBRN) event, triage is absolutely required for categorizing the casualties in accordance with medical care priorities. Dealing with a CBRN event always starts at the local level. Even before the detection and analysis of agents can be undertaken, zoning, triage, decontamination, and treatment should be initiated promptly. While applying the triage system, the available medical resources and maximal utilization of medical assets should be taken into consideration by experienced triage officers who are most familiar with the natural course of the injury presented and have detailed information on medical assets. There are several triage systems that can be applied to CBRN casualties. With no one standardized system globally or nationally available, it is important for deploying a triage and decontamination system which is easy to follow and flexible to the available medical resources, casualty number, and severity of injury.

Keywords: Chemical; biological; casualty; or nuclear event; radiological; treatment.