Issues associated in chemical, biological and radiological emergency department response preparedness

SummaryAn increasing level of dissatisfaction amongst minority groups has led to an increase in the use of chemical, biological and in some instances radiological agents in an attempt to persuade public opinion. Preparedness to mount a response to these chemical, biological or radiological (CBR) threats is a very complex task that presents many new challenges to staff of healthcare facilities, emergency departments in particular.As healthcare professionals we must be prepared for CBR incidents so that we may provide adequate care for the people affected. Being prepared for such an incident includes, addressing concerns (public and staff), regular training both on a local and national level as well as having a tested system in place prior to such incidents occurring.It is an unfortunate reality that natural disasters, industrial accidents and terrorism, involving CBR substances will occur. Even though these incidents are unpredictable, if recent times are an example of the future, there will be no argument that we have reached a point in time where it is no longer a ‘possibility’!