MEDICAL RESPONSE STRATEGY Questioning and description of the circumstances of an event Detailed questionnaire (cont’d) Part 2: The reported disorders 10 • Are you experiencing nausea? Since when? Slight or severe? 11 • Do you have abdominal pains? Since when? Slight or severe? 12 • Have you experienced loss of consciousness? When? How many times? 13 • Do you have difficulty swallowing? 14 • Have you experienced dizziness? Since when? Slight or severe? 15 • Have you vomited since the accident? How many times? At what time? 16 • Have you had diarrhoea since the accident? How many times? 17 • Do you feel tired? Exhausted? Since when? 18 • Do you have a headache? Since when? Slight or severe? 19 • Have you eaten since the accident? Part 3: The observed disorders 20 • Does the subject display redness of the skin? Since when? Indicate the exact location: face, hands, other. 21 • Did the subject vomit during the questioning? Note scrupulously: number of times, time and duration of vomiting. 22 • Did the subject have diarrhoea during the questioning? Note: number of times, time and visual aspect. 23 • Does the subject seem to have difficulty in answering the questions? If the answer to even just one of the preceding questions is “yes”, the following medical examination questionnaire must be filled out in the field (Advanced Medical Post – AMP). Medical examination questionnaire The medical examination questionnaire is filled out by the medical personnel in the AMP or the healthcare facility, in addition to the usual medical examination of any victim. Does the subject present: 11 • An erythema, a burn, a wound? Since when? Indicate its exact location (diagram or photo). 12 • Asthenia? Since when? Moderate, severe? 13 • Periods of nausea since the event? Moderate, severe? 14 • Abdominal pains? Since when? Moderate, severe? 15 • Vomiting? Note the times. 16 • Diarrhoea? Since when? Moderate, severe? How many stools since the accident? Liquid or solid appearance? Note the times. 17 • Difficulties in swallowing? Appearance of the oro-pharyngeal mucosa: normal, inflamed? 18 • Headaches? Since when? Moderate, severe? Characterise them. 19 • Dizzy spells? Since when? Moderate, severe? Characterise them. 10 • Loss of consciousness? How many times? Characterise them. 11 • Spatio-temporal disorientation? Moderate, severe? Specify. 12 • Ataxia? Moderate, severe? Specify. 05 SHEET Download the medical examination questionnaire Word file 22 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY
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