Medical response in a nuclear or radiological emergency

SHEET 08 REGULATORY FRAMEWORK Reference systems DIAGRAM No. 2 General organisation of the response in a nuclear or radiological emergency Event Able-bodied men Able-bodied women Incapacitated persons Decontamination structure Decontamination structure Decontamination structure Direct transfer without decontamination to a healthcare facility* Interservice corridor ENTRY AIRLOCK EXIT AIRLOCK Evacuation to Reception Centre for Ininjured Persons (RCUP) Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA PERSONAL EFFECTS ASSEMBLY AREA (PEAA) INTERSERVICE AIRLOCK DATA GATHERING AND DECISION UNIT - - - + + + Advanced medical post Distribution and evacuation area Extreme urgencies UPAA VAA able-bodied persons VAA incapacitated persons DPMA Wind direction Diagram taken from Interministerial Circular No. 800/SGDSN/PSE/PPS of 18 February 2011 on the French national doctrine for the use of emergency rescue and medical care services in response to a terrorist attack involving radioactive materials. (contaminated zone) Controlled zone (triage, stabilisation, decontamination) Support zone (clean zone) 1 2 3 Exclusion zone Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area Event Able-bodied men Able-bodied women Incapacitated persons Decontamination structure Decontamination structure Decontamination structure Direct transfer without decontamination to a healthcare facility* Interservice corridor ENTRY AIRLOCK EXIT AIRLOCK Evacuation to Reception Centre for Ininjured Persons (RCUP) Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA PERSONAL EFFECTS ASSEMBLY AREA (PEAA) INTERSERVICE AIRLOCK DATA GATHERING AND DECISION UNIT - - - + + + Advanced medical post Distribution and evacuation area Extreme urgencies UPAA VAA able-bodied persons VAA incapacitated persons DPMA Wind direction Diagram taken from Interministerial Circular No. 800/SGDSN/PSE/PPS of 18 February 2011 on the French national doctrine for the use of emergency rescue and medical care services in response to a terrorist attack involving radioactive materials. (contaminated zone) Controlled zone (triage, stabilisation, decontamination) Support zone (clean zone) 1 2 3 Exclusion zone Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area Event Able-bodied men Able-bodied women Incapacitated persons Decontamination structure Decontamination structure Decontamination structure Direct transfer without decontamination to a hea Interservice corridor ENTR AIRLO EXIT AIRLOCK E f s ent Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA PERSONAL EFFECTS ASSEMBLY AREA (PEAA) - - - + + + Extreme urgencies UPAA VAA able-bodied persons VAA incapacitated persons DPMA Wind direction Diagram taken from Interministerial Circular No. 800/SGDSN/PSE/PPS of 18 February 2011 on the French national doctrine for the use of emergency rescue and medical care services in response to a terrorist attack involving radioactive material (contaminated zone) Controlled zone (triage, stabilisation, decontamination) 1 2 Exclusion zone Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area nt Able-bodied men Able-bodied women Incapacitated persons Decontamination structure Decontamination structure Decontamination structure Direct transfer without decontamination to a healthcare facility* Interservice corridor ENTRY AIRLOCK EXIT AIRLOCK Evacuation to Reception Centre for Ininjured Persons (RCUP) Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA PERSONAL EFFECTS ASSEMBLY AREA (PEAA) INTERSERVICE AIRLOCK DATA GATHERING AND DECISION UNIT - - - + + + Advanced medical post Distribution and evacuation area Extreme urgencies UPAA VAA able-bodied persons VAA incapacitated persons DPMA nd ction rom Interministerial Circular No. 800/SGDSN/PSE/PPS of 18 February 2011 on the French national doctrine mergency rescue and medical care services in response to a terrorist attack involving radioactive materials. minated zone) Controlled zone (triage, stabilisation, decontamination) Support zone (clean zone) 2 3 usion zone Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area Event Able-bodied men Able-bodied women Incapacitated persons Decontamination structure Decontamination structure Decontamination structure Direct transfer without decontamination to a healthcare facility* Interservice corridor ENTRY AIRLOCK EXIT AIRLOCK Evacuation to Reception Centre for Ininjured Persons (RCUP) Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA PERSONAL EFFECTS ASSEMBLY AREA (PEAA) INTERSERVICE AIRLOCK DATA GATHERING AND DECISION UNIT - - - + + + Advanced medical post Distribution and evacuation area Extreme urgencies UPAA VAA able-bodied persons VAA incapacitated persons DPMA Wind direction Diagram taken from Interministerial Circular No. 800/SGDSN/PSE/PPS of 18 February 2011 on the French national doctrine for the use of emergency rescue and medical care services in response to a terrorist attack involving radioactive materials. (contaminated zone) Controlled zone (triage, stabilisation, decontamination) Support zone (clean zone) 1 2 3 Exclusion zone Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area After stabilisation of the victim and protection of the means of transport. SEE SHEET 20 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 31

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