On-Site Health Management Requirements in Radiological and Nuclear Disasters: A Systematic Review

Introduction: Radiological and Nuclear disasters are emergencies which can result in injury, illness, or death. On -site health management are underprepared to respond to recognize key factors which underlie the On -site health management Radiological and Nuclear response is crucial to provide evidence -based knowledge to inform policies and above all clinical practice. Thus, this study aimed to extract the effective components and factors in the dynamic On -site health management and Emergency on the Scene systems. Methods: A systematic review was accomplished in accordance with Preferred Reporting Items for Systematic Reviews and MetaAnalyses. The seven -stage structure was used in line with the Preferred Reporting Items for Systematic Reviews and Meta -Analyses (PRISMA) 2020 statement . The coverage index was strict in terms of the environment, participants (first responders), condition (Radiological and Nuclear responses), and proceedings (diagnosis, decontamination and detection). Twenty databases and topic -specific journals were searched. Researches were critically appraised using Mixed Methods Appraisal Tool. Studies were thematically coded and synthesized using NVivo 10. Results: Totally, 1065 articles were extracted through the systematic review. After studying the titles, abstracts and contents of the extracted articles, 20 were selected for the final analysis. Data were grouped into 4 themes: of preparedness in Scene, Medical Triage System, Contamination Survey, and Management of uninjured. Conclusion: The results of this systematic review presented an overall view of the effective components in the dynamic On -site health management and Emergency on the Scene systems. Key factors infrastructure the dynamic On -site health management and Emergency on the Scene system to plan, prepare, and respond to emergencies effectively has legal, practical, and spiritual implications. Further, with the Known concerns from this review, in terms of both knowledge and behaviors propoSEl that a systems approach is required to comprehend the On -site health management and Emergency on the Scene Nuclear and Radiological response in the future.