What is the first priority in coordination following a CBRN attack?

The first priority in coordination following a CBRN (Chemical, Biological, Radiological, Nuclear) attack is immediate decontamination. This step is crucial because it helps eliminate harmful agents from affected individuals, which in turn reduces the risk of further exposure and potential spread of the contaminant. Rapid decontamination procedures can significantly decrease the mortality and morbidity associated with CBRN incidents, as contaminants can have lethal effects if not addressed promptly.

Decontaminating individuals and ensuring that hazardous substances are removed before any transportation to medical facilities or evacuation can occur is essential for public health and safety. If decontamination is neglected, subsequent actions—like transportation or evacuation—could inadvertently expose healthcare personnel, responders, or the general public to hazardous materials, leading to broader health crises.

While assessing casualties, evacuating the area, and transporting victims to hospitals are important components of the overall response plan, these actions should only be undertaken after ensuring that individuals are decontaminated to prevent further exposure and contamination of the environment. Therefore, immediate decontamination stands out as the critical first step following a CBRN attack.