ACTION TO TAKE IN A 2ND OR 3RD LINE HEALTHCARE FACILITY Receiving the victims The 2nd and 3rd line facilities must ensure the minimum response when potentially contaminated persons self-present at the facility. The victims may self-present or be brought in by third parties. These are not cases of Absolute Urgency (AU), but there is always a possibility that their condition will deteriorate. Responders • Personnel of the 2nd and 3rd-line healthcare facilities + Simply undressing people removes up to 90% of the external contamination. 36SHEET The healthcare facility must organise and guide victim undressing in accordance with the emergency decontamination procedure described below. VICTIM REQUIRING TREATMENT IN THE OPERATING THEATRE Insofar as possible, these victims are sent to a 1st line healthcare facility, unless they are in a life-threatening condition, in which case they will be treated in the receiving facility if it has appropriate technical platform. In this case apply procedure of SHEET 35 . i (Hospital Victim Assembly Area – HVAA) planned for these situations, with markings that establish a route between the entrance and a waiting area. • A 350-litre bin bag over which the patient gets undressed. • A 10-litre bin bag for personal effects. • An FFP3 mask or, failing this, an FFP2 mask. • A surgical cap. • Overshoes. • A survival blanket. • A bracelet with labels. (A3-format posters with pictograms must be planned for). Uninjured persons shall be able to undress themselves, but they must be guided. It is defined by the Regional Health Agency. Receive the victims in the external zone or the room (well ventilated). Give each patient a “contaminated victim” kit. Guide the patients. Put identification on the personal effects bags. Direct the patients to the full decontamination unit. STEP 1 STEP 2 STEP 3 STEP 4 STEP 5 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 105
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