A PRACTICAL GUIDE FOR ALL PARTICIPANTS IN MEDICAL EMERGENCY SITUATIONS Do you work for the Emergency Medical Assistance Service (SAMU), the Mobile Emergency and Resuscitation Service (SMUR) of the Fire and Rescue Service (FRS)? Do you work for the headquarters of a defence zone or a hospital emergency department? Are you an occupational physician, a first-aid rescue worker or an instructor? This national medical response guide is intended for all health and civil security actors who could be required to respond to a nuclear or radiological emergency. It essentially covers the initial measures to take so that the specialists can subsequently apply the appropriate treatments. This third update of the national guide incorporates the organisational changes that have come about since 2008 and the new contamination treatment protocols and means. Coordinated by ASN, the French Nuclear Safety Authority, this update was carried out by a working group chiefly comprising emergency physicians and experts in radiation protection, internal dosimetry and radiotoxicology. In the context of its duties, ASN contributes to the management of nuclear or radiological emergencies and advises the Government. As such it plays a leading role in preparing for radiological emergency situations. The 2023 issue of this reference guide is based on a study of practices with professionals in the field which has enabled their expectations to be more clearly identified. The guide has been completely reorganised to meet the needs and utilisation contexts of the addressees. It takes the form of operational sheets on which the relevant information for any situation can be found quickly to ensure a fast response: treatment in the event of irradiation, action to take in the event of contamination and technical sheets (procedure for removing clothing, means of protection, etc.). It also includes the possible treatments and dosage for each radionuclide. The guide is available primarily in digital format on the ASN website. Don’t hesitate to spread the work among your colleagues! We hope you enjoy reading it! PREFACE MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 5
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