Disaster Medicine Compendium and the Necessity of Preparation of Medical Techniques for Handling NBC/CBRNE Hazards, for General Surgeons

Introduction: The risks of NBC (Nuclear, Biological and Chemical) or CBRNE (R: radiological, E: explosive) hazards are rapidly increasing even in civilian areas, as well those natural disasters (earthquakes, hurricanes, etc.). Therefore, one the most important emergent issues for medical staff, especially general surgeons is necessity skills to deal with various mega- major help people as, protecting themselves. This has been a point emphasis since 2005, when Disaster Medicine Compendium was published continues be updated today. Method: research focuses on NBC/CBRNE hazards: Pandemics such COVID-19, Monkeypox, influenza, Tokyo Subway Sarin Incident, 2011 Tōhoku Earthquake, followed by Fukushima Plant Chernobyl, earthquakes tsunami, 2004 Indian Ocean earthquake, September 11 terrorist attacks US. Results: that should accustomed protection, prevention, diminution toxicity, decontamination, routine medical/surgical treatments. relevant education varied not easily performed. For example, it found Japan DMAT disaster assistant teams struggled lack techniques nuclear plant hazard during above-mentioned accident. Conclusion: In event including NBC/CBRNE, surgical necessary. However, require training advance. Surgical methods other skills, intensive care, examinations performed wearing PPE personal protection equipment important, safety security teams, addition, supporting vulnerable/weak victims, ensured using an Incident Command System.