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Highlights from this issue

Nuclear power plant accident As emergency clinicians we all have a duty to undertake regular chemical, biological, radiological and nuclear (CBRN) training in addition to major incident training. We do this training in the hope that we will never experience the reality of a CBRN incident like our colleagues in Japan. In March 2011, the Fukushima Daiichi Nuclear Power Plant suffered a series of radiation accidents after the Great East Japan earthquake and subsequent tsunami. This CBRN incident of potentially catastrophic proportions was caused the failure of the containment cooling system leading to a meltdown and a hydrogen explosion within the reactors. As delaying restoration work posed a serious risk to the entire country, the priority was to strengthen the emergency and disaster medical system as well as radiation emergency care for staff at the frontlines working in an environment that was at risk of large scale radiation exposure and secondary disaster. This paper by Morimura et al describes the response of the Japanese Association for Acute Medicine not only with respect to radiation and disaster medicine but how they worked with other organisations to ensure decontamination, treatment and safe transfer to radiation emergency medical centres. This paper makes for sobering reading but I urge you nonetheless to read it as it knocks on the door of reality and brings to life the complexity of a CBRN event, the need for a competent response and the importance of training.