SHEET 36 ACTION TO TAKE IN A 2ND OR 3RD LINE HEALTHCARE FACILITY Receiving the victims Protecting the personnel • In a healthcare facility, the personnel ensuring the emergency management of potentially contaminated people must wear Personal Protective Equipment (PPE): a non-woven garment of category III, type 5-6 and an FFP3 mask or, failing this, an FFP2 mask. • The choice of clothing depends on the place and whether decontamination has been carried out or not: refer to the table below. INTERVENTION CONTEXT EQUIPMENT Victims previously decontaminated (full decontamination in the field) Usual work clothing. Gloves and surgical mask recommended (the risks of contamination and irradiation are inexistent or very low). Intervention at the HVAA after confirmation that there is no chemical contamination Non-woven coverall, FFP3 mask, surgical cap, safety glasses, overshoes or overboots. Intervention with individual victims given medical care in the emergency department in the field If in a life-threatening condition, surgical treatment, after emergency decontamination, on condition that the facility has an operating theatre The risk of contamination of the personnel and the infrastructure is low because the surgical intervention is targeted on the anatomical zone which has undergone emergency decontamination. All the responders must be listed and be subject to specific follow-up by the occupational medicine service. Protective clothing (PPE) appropriate for the operating theatre: - non-woven coverall type 5-6, overboots and FFP3 mask or, failing this, FFP2 mask: for the theatre nurses and the anaesthesia team; - surgical clothing with reinforced protection (orthopaedics gown), overboots and FFP3 mask or, failing this, FFP2 mask, safety glasses: for the surgical team. If possible use long-sleeved surgical gloves (used in obstetrics department), double pair of gloves. For further information on the PPE SEE SHEET 6 Personnel dressing and undressing SEE SHEET 30 106 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY
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