He indicated that the anatomy of a nuclear detonation can be dissected into blast, thermal, and radiation effects, each of which can cause significant injury. Flynn questioned whether those who volunteer to augment the initial emergency medical response would have access to enough first-aid and basic medical supplies. In that vacuum, spontaneous individual responses would be likely from local medically trained and untrained personnel who would step forward to augment the initial emergency medical response (this was seen, for example, at Hiroshima).Įven with volunteers, in an overwhelming mass casualty scenario there would be austere medical care rather than ideal standard-of-care practice. Initially, the preplanned medical response would not be able to match the medical needs. With an IND detonation, he noted, there would be an overwhelming number of casualties with physical trauma and thermal burns with radiation injury, and severely damaged infrastructure. The June workshop began when Daniel Flynn, the committee member who moderated this session, briefly summarized the health effects of an IND detonation.
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