Medical response in a nuclear or radiological emergency

The people not present on the site of the event but situated nearby (permanent or occasional residents) are potentially concerned. They are also grouped in an RCUP. These people may be effectively impacted by the event, feel potentially directly involved or worry that they might have been exposed or contaminated. A medical examination and body contamination check are carried out at the RCUP. An information and support unit associated with medical-psychological care provided by the Emergency Psycho-Medical Units (EPMU) may be put in place in order to identify people requiring medical follow-up. The uninjured persons are assembled in a Reception Centre for Uninjured Persons (RCUP). Persons who have not undergone a contamination check2 on the site of the event, shall be checked for contamination just before they enter the RCUP. If necessary, decontamination will then be organised by the authorities. This procedure starts with questioning of the victims, by which they can be classified in one of three categories (contaminated, irradiated, contaminated and irradiated). The victims are then directed to the appropriate care structures according to their category. NATURE OR TYPOLOGY OF VICTIMS ACCORDING TO THE TYPE OF ACCIDENT The victim typology depends on the nature of the event or its modus operandi for terrorist attacks (e.g. use of explosives for the dispersion of RN agents resulting in complex casualties: injured, burned, blasted, contaminated irradiated). These victims will require appropriate care in the pre-identified 1st line healthcare facilities and in the RRHH RN facilities which have specialised resources and skills. The National Reference Hospital for the RN risk (NRH RN) is mobilised to treat the most serious victims in priority (examples: severe contaminations, paediatric care, etc.) and to provide their expertise to the other facilities. SEE SHEETS 3 7 Uninjured persons present on the site of the event The people situated near the site of the event 2. Hand-held radiological contamination meter. SEE SHEET 32 MEDICAL RESPONSE STRATEGY The 3 types of victim SHEET 04 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 19

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