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Do hospitals in the 50 largest cities of the United States carry sufficient supply of the cyanide antidote kit?
In recent years, there has been growing concern for terrorism involving common industrial agents such as cyanide. Supply of the cyanide antidote kit (CAK) has not been reported in over 5 years and was limited to hospitals in one state or region. A nationwide survey was conducted in the 50 largest U....
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| Published in: | Clinical toxicology (Philadelphia, Pa.) Pa.), 2005-10, Vol.43 (6), p.713-714 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| container_title | Clinical toxicology (Philadelphia, Pa.) |
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| creator | Stanford, C F Ries, N L Bogdan, G M Dart, R C |
| description | In recent years, there has been growing concern for terrorism involving common industrial agents such as cyanide. Supply of the cyanide antidote kit (CAK) has not been reported in over 5 years and was limited to hospitals in one state or region. A nationwide survey was conducted in the 50 largest U.S. cities to determine CAK supply in areas of greatest potential terrorist impact. Pharmacies in hospitals with emergency departments (n = 1065) within the metropolitan statistical areas (MSAs) of the 50 largest cities (2000 Census) were contacted to provide CAK supply and stocking practices. Twenty-four poison control centers assisted with the survey. Supply and usage were compared between geographical regions (West, Midwest, South, Northeast) using non-parametric methods. The overall response rate was 76% (n = 806). Of all responding hospitals, 90% carried a supply of at least one CAK. The proportion of hospitals with supply was highest in the Northeast (97%) and lowest in the South (83%). CAK supply level was greater in the Northeast relative to hospitals in other regions (p |
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Supply of the cyanide antidote kit (CAK) has not been reported in over 5 years and was limited to hospitals in one state or region. A nationwide survey was conducted in the 50 largest U.S. cities to determine CAK supply in areas of greatest potential terrorist impact. Pharmacies in hospitals with emergency departments (n = 1065) within the metropolitan statistical areas (MSAs) of the 50 largest cities (2000 Census) were contacted to provide CAK supply and stocking practices. Twenty-four poison control centers assisted with the survey. Supply and usage were compared between geographical regions (West, Midwest, South, Northeast) using non-parametric methods. The overall response rate was 76% (n = 806). Of all responding hospitals, 90% carried a supply of at least one CAK. The proportion of hospitals with supply was highest in the Northeast (97%) and lowest in the South (83%). CAK supply level was greater in the Northeast relative to hospitals in other regions (p<.001). There was no difference between regions in proportion of hospitals that dispensed the CAK over the past year. The proportion of hospitals that stock the CAK was markedly higher in this survey than previous statewide reports. Greater supply in densely populated urban areas may reflect recently published antidote stocking guidelines and increased concern for terrorist attacks, particularly in the higher profile cities of the Northeast. Existing guidelines recommend a supply of one CAK, which would be insufficient to manage a terrorist attack involving 100 or more exposures in an urban area. Results from this survey suggest that less than 10 MSAs (<20%) have a total supply of at least 100 CAKs.</description><identifier>ISSN: 1556-3650</identifier><language>eng</language><ispartof>Clinical toxicology (Philadelphia, Pa.), 2005-10, Vol.43 (6), p.713-714</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Stanford, C F</creatorcontrib><creatorcontrib>Ries, N L</creatorcontrib><creatorcontrib>Bogdan, G M</creatorcontrib><creatorcontrib>Dart, R C</creatorcontrib><title>Do hospitals in the 50 largest cities of the United States carry sufficient supply of the cyanide antidote kit?</title><title>Clinical toxicology (Philadelphia, Pa.)</title><description>In recent years, there has been growing concern for terrorism involving common industrial agents such as cyanide. Supply of the cyanide antidote kit (CAK) has not been reported in over 5 years and was limited to hospitals in one state or region. A nationwide survey was conducted in the 50 largest U.S. cities to determine CAK supply in areas of greatest potential terrorist impact. Pharmacies in hospitals with emergency departments (n = 1065) within the metropolitan statistical areas (MSAs) of the 50 largest cities (2000 Census) were contacted to provide CAK supply and stocking practices. Twenty-four poison control centers assisted with the survey. Supply and usage were compared between geographical regions (West, Midwest, South, Northeast) using non-parametric methods. The overall response rate was 76% (n = 806). Of all responding hospitals, 90% carried a supply of at least one CAK. The proportion of hospitals with supply was highest in the Northeast (97%) and lowest in the South (83%). CAK supply level was greater in the Northeast relative to hospitals in other regions (p<.001). There was no difference between regions in proportion of hospitals that dispensed the CAK over the past year. The proportion of hospitals that stock the CAK was markedly higher in this survey than previous statewide reports. Greater supply in densely populated urban areas may reflect recently published antidote stocking guidelines and increased concern for terrorist attacks, particularly in the higher profile cities of the Northeast. Existing guidelines recommend a supply of one CAK, which would be insufficient to manage a terrorist attack involving 100 or more exposures in an urban area. 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Supply of the cyanide antidote kit (CAK) has not been reported in over 5 years and was limited to hospitals in one state or region. A nationwide survey was conducted in the 50 largest U.S. cities to determine CAK supply in areas of greatest potential terrorist impact. Pharmacies in hospitals with emergency departments (n = 1065) within the metropolitan statistical areas (MSAs) of the 50 largest cities (2000 Census) were contacted to provide CAK supply and stocking practices. Twenty-four poison control centers assisted with the survey. Supply and usage were compared between geographical regions (West, Midwest, South, Northeast) using non-parametric methods. The overall response rate was 76% (n = 806). Of all responding hospitals, 90% carried a supply of at least one CAK. The proportion of hospitals with supply was highest in the Northeast (97%) and lowest in the South (83%). CAK supply level was greater in the Northeast relative to hospitals in other regions (p<.001). There was no difference between regions in proportion of hospitals that dispensed the CAK over the past year. The proportion of hospitals that stock the CAK was markedly higher in this survey than previous statewide reports. Greater supply in densely populated urban areas may reflect recently published antidote stocking guidelines and increased concern for terrorist attacks, particularly in the higher profile cities of the Northeast. Existing guidelines recommend a supply of one CAK, which would be insufficient to manage a terrorist attack involving 100 or more exposures in an urban area. Results from this survey suggest that less than 10 MSAs (<20%) have a total supply of at least 100 CAKs.</abstract></addata></record> |
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| identifier | ISSN: 1556-3650 |
| ispartof | Clinical toxicology (Philadelphia, Pa.), 2005-10, Vol.43 (6), p.713-714 |
| issn | 1556-3650 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_17659165 |
| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| title | Do hospitals in the 50 largest cities of the United States carry sufficient supply of the cyanide antidote kit? |
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