12FICHE Questioning and description of the circumstances of an event MEDICAL RESPONSE STRATEGY The anamnesis must be based on specific questionnaires presented in several stages: during the triage of the victims, at the Advanced Medical Post (AMP) or in the healthcare facility if irradiation is suspected, when the patient is taken into medical care by a physician or, if applicable, a nurse. Victim triage stage The triage questionnaire is filled out for all conscious victims in order to rapidly identify the most exposed persons: persons who were closest to the event or are showing early signs of irradiation. The questionnaire is analysed locally following the indications of the referring physicians: nuclear physicians, radiologists, radiation oncologists, physicians with expertise in radiation protection. If a victim is unconscious, the information is obtained from witnesses (people who were close to the victim). Triage questionnaire (fill out three columns: “yes” / “no” / “details” on the Word file) 1 • Where were you at the time of the event? 2 • Roughly how far were you from the site of the event? 3 • Were you in a room? Which room? 4 • Were you outside a building? 5 • How long did you remain on the site of the event? 6 • Do you have any digestive problems (nausea, vomiting, diarrhoea)? 7 • At what time did you vomit? 8 • Do you feel very tired? 9 • Do you have a headache? Download the triage questionnaire Word file Early vomiting is a sign of severity in acute radiation syndrome. It is vital to determine whether vomiting has occurred. 05 SHEET IN PRACTICE For all the questionnaires Each questionnaire must be completed as quickly as possible. A sheet must be filled out for each victim giving a precise description of the circumstances of the event and all the necessary listed information. The questionnaires indicate the victim’s identification data (including the AMP patient number and the SINUS, SI‑VIC tag), the name of the physician or nurse who administered the questionnaire and the date and time it was filled out. 20 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY
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