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Effectiveness of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) Event-Response Training in a Hospital
Almas Malek1,2,3, Attila J Hertelendy1, Eman Alshaikh1,2,4
1Department of Emergency Medicine, https://ror.org/03vek6s52Beth Israel Deaconess Medical Center, Boston, MA, USA.
Disaster Medicine and Public Health Preparedness
|December 23, 2025
Summary
Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) training enhances hospital staff knowledge and skills. Diverse training methods improve preparedness for critical incidents, benefiting patient outcomes and public safety.
Area of Science:
- Emergency Medicine
- Public Health Preparedness
- Healthcare Training
Background:
- Increasing global risks of Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) events.
- Hospitals face unique challenges during CBRNE incidents.
- Effective training is vital for healthcare providers to manage CBRNE events.
Purpose of the Study:
- To conduct a scoping review on the effectiveness of CBRNE training for hospital-based healthcare providers.
- To assess improvements in knowledge, competencies, and preparedness.
- To identify commonly used training methods and scenarios.
Main Methods:
- Comprehensive literature searches across multiple databases (MEDLINE, Embase, Scopus, Web of Science, CINAHL).
- Screening of papers using Covidence.
- Analysis of data to evaluate training effectiveness in hospital settings.
Main Results:
- 23 papers were included, with 91% reporting training effectiveness.
- Nurses were the primary participants in hospital-based training.
- Tabletop exercises and biological hazard scenarios were most common.
- No single training method was found to be universally superior.
Conclusions:
- Diverse CBRNE training modalities enhance healthcare provider knowledge and competencies.
- Improved preparedness leads to better disaster response.
- Effective training contributes to improved patient outcomes and public safety.
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