ACTION TO TAKE IN THE EVENT OF EXTERNAL IRRADIATION Guiding the diagnosis through questioning The questioning is part of the diagnostic procedure which involves several steps and is based on specific questionnaires. The anamnesis serves firstly to confirm whether or not there has been any exposure and therefore a risk of irradiation. Then, in the event of irradiation, whether it is total (whole body) or partial. Responders Medical teams: physicians and paramedical personnel Places AMP or healthcare facility + Vomiting at an early stage is a very important sign of severity. It is vital to determine whether vomiting has occurred. Detailed questionnaire in cases of suspected irradiation This supplements the triage questionnaire which is filled out for all conscious victims (rapidly identify the people closest to the event or showing early signs of irradiation). It serves to evaluate the dose received if irradiation is suspected or when victims have been exposed to a risk of irradiation. It comprises three parts: • part 1: the circumstances of the accident; • part 2: the reported disorders; • part 3: the observed disorders. SEE SHEET 5 If the answer to even just one of the questions is "yes", the following medical examination questionnaire must be filled out in the field (Advanced Medical Post – AMP). Medical examination questionnaire in cases of suspected irradiation It supplements the triage questionnaire and the detailed questionnaire. It must be filled out for all the victims identified through the preceding questionnaires as being exposed to an irradiation risk. It is filled out by the medical personnel at the AMP or the healthcare facility, in addition to the usual medical examination of any victim. SEE SHEET 5 Patient's medical management questionnaire It supplements the 2 preceding questionnaires and comprises two parts: • part 1: the general medical management (pathology and treatment, transport and destination, medical surveillance and clinical development, taking samples, therapeutic aspects); • part 2: radiological management (irradiation, guidance, residual external contamination with diagrams, internal contamination, measurements and samples, treatment of internal contamination). SEE SHEET 5 14SHEET IN PRACTICE Questionnaires Each questionnaire must be filled out accurately for each victim in the shortest possible time. MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 49
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