The Current Safety Regulation for Radiation Emergency Medicine in Korea

Radiation emergency medicine (REM) systems are operated around the world to provide specialized care for injured individuals who require immediate medical attention in accidents. This manuscript describes the current status of REM safety regulation in Korea and summarizes an assessment of the effects of this regulation. Responding to the requests of people for stronger safety regulations related to radiation exposure, a unique REM safety regulation for nuclear licensees, which is enforceable by laws, has been established and implemented. It is not found in other countries. It can provide a good example in practice for sustainable REM management including document reviews on medical response procedures and inspections of equipment and facilities. REM preparedness of nuclear or radiologic facilities has been improved with systematic implementation of processes contained in the regulation. In particular, the medical care system of licensees has become firmly coordinated in the REM network at the national level, which has enhanced their abilities by providing adequate medical personnel and facilities. This legal regulation service has contributed to preparing the actual medical emergency response for unexpected accidents and should ultimately secure the occupational safety for workers in radiation facilities.

Management of information processes under a radiation emergency

The article provides examples of radiation emergencies (ES), emergency response measures aimed at protecting the public and territories, including applicability of a comprehensive monitoring system of the public security conditions. A special attention is paid to scientific approaches and research results aimed at optimization of information processes during the operational use of data from monitoring systems on the conditions status under radiation emergencies. Besides, the expediency and sufficiency of using two data sources producing reports was determined and justified if one of the data sources is a monitoring system. Based on the research results, other provisions concerning the management of information processes under radiation ES conditions related to the requirements for operational public notification were justified. In particular, schemes for constructing such systems under special radiation ES conditions, algorithms for their operation, operating modes, and some parameters that these systems should provide with were justified. The information subsystem as a part of the CSPPCM is a kind of information system for the prompt public notification, and the research results are quite relevant for it.

Survey Instrument for Measuring Level of Preparedness amongst Healthcare Personnel in Radiation Emergency

Drills and exercises are globally practiced to investigate the level of preparedness towards disaster events. However, these activities are rarely conducted because they require substantial investment, specifically to budget and time. A self-reported survey may serve as an alternative approach, although it may not be as effective as drills and exercises. As part of the survey development process, this article discusses preliminary validation of a survey instrument to measure the level of preparedness towards radiation emergency amongst healthcare personnel. Prior to this validation process, extensive literature reviews pointed out that the instrument consists of three constructs of preparedness, namely readiness, willingness, and ability. A total of seven subject matter experts were invited to judge the contents for verification purposes. Randolph Kappa analysis was then conducted to analyse their judgment to allow irrelevant items to be filtered from the rest prior to any improvements. Initially, the survey instrument consisted of 69 items; however, the analysis omitted 16 of them. The following values for each preparedness construct were: Readiness (0.77), Willingness (0.70), and Ability (0.73). These findings indicate that contents of the instrument are valid. Further analysis should be fulfilled to complete validation process to ensure its practicality prior to using it as an evaluation tool.

Simulation study on radiation exposure of emergency medical responders from radioactively contaminated patients

Emergency medical responders (EMRs) who treat victims during a radiation emergency are at risk of radiation exposure. In this study, the exposure dose to EMRs treating hypothetically contaminated patients was estimated using a Monte Carlo simulation, and the findings may be useful for educating EMRs and reducing their anxiety. The Monte Carlo simulation estimated radiation doses for adult computational phantoms based on radioactive contamination conditions and radiation dosages from previous studies. At contamination conditions below the typical upper limit of general Geiger–Müller survey meters, the radiation doses to EMRs were estimated to be less than 1 μSv per hour. In cases with greater contamination due to mishandling of an intense radioactive source (hundreds of GBq), the radiation doses to EMRs could reach approximately 100 mSv per hour. These results imply that a radiological accident with a highly radioactive source could expose EMR to significant radiation that exceeds their dose limit. Thus, authorities and other parties should ensure that EMRs receive appropriate education and training regarding measures that can be taken to protect themselves from the possibility of excessive radiation exposure. The results of this study may provide EMRs with information to take appropriate protective measures, although it is also important that they not hesitate to perform lifesaving measures because of concerns regarding radiation.

Assessment of an Emergency Medicine System for Radiation Accidents in Korea: A State Survey of the Workers Involved the Medical Response to Radiation Accidents

Radiation emergency medicine systems are operated around the world to provide special care for the injured that require immediate medical attention in accidents. The objective of this survey was to evaluate people’s perception of those who design the emergency medical plan for radiation accidents and those who supervise it in Korea. A questionnaire survey was conducted on the people involved in a regulatory system for medical response in a radiation emergency. Of 150 survey recipients, 133 (88.7%) completed the survey, including 92 workers and 41 inspectors. The respondents expressed the view that the national emergency medical plan is prepared above the average level using a Likert-style scale of 1 to 5 (mean = 3.55, SD = 0.74). Interestingly, using the Mann–Whitney U test, it could be shown that inspectors evaluated the emergency medical system for radiation accidents more strictly in all of the questions than the licensee workers, especially on radiation medical emergency preparedness (p = 0.004) and the governmental regulatory policy for radiation safety (p = 0.007). For a more efficient system of radiation emergency medicine, licensee workers prioritized the workforce, whereas inspectors favored laws and regulations for safety. The survey results show different perspectives between inspectors and licensee workers, which stem from the actual properties of each occupational role in the regulatory system for radiation medical emergency. These data could be utilized for communication and interaction with relevant people to improve the medical response preparedness against radiation accidents.