Medical response in a nuclear or radiological emergency

• Evacuate the victim(s) as rapidly as possible to the controlled zone, to the Victim Assembly Area (VAA). ‒ This reflex action must be carried out by the emergency responders. ‒ Very occasionally this action might require the presence of a physically trained physician equipped with appropriate protective equipment. • Carry out the lifesaving actions on the spot (medical-surgical urgencies take priority over radiological contamination). • Stabilise the victims, making sure not to delay their transfer to the healthcare facility. SEE SHEET 20 The faster the treatments are applied (before transfer to the healthcare facilities), the more effective they are. TYPE OF CONTAMINATION IMMEDIATE TREATMENT TO APPLY External (skin) Shower and non-aggressive washing SEE SHEETS 24 to 26 Internal Antidotes SEE radionuclides handbook + SEE SHEETS 27 + 38 to 40 Evacuate to the controlled zone, ensuring the necessary lifesaving actions 3 Treat the contaminations as rapidly as possible 4 SHEET 17 ACTION TO TAKE ON THE SITE OF THE EVENT Carrying out the initial first-aid measures Characteristics of the controlled zone • Lower level of contamination and/or irradiation (ideally, zone close to the background radiation level). • Lower level of danger (landslide or structural collapse, explosion, smoke, ballistic projection). • Accessibility of the emergency response teams, particularly the medical response teams. SEE SHEET 18 56 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY

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