SHEET ACTION TO TAKE ON THE SITE OF THE EVENT Organising the relief work 19 Medical regulation DEPLOY THE APPROPRIATE OPERATIONAL AND REGULATION PROCEDURES FOR THIS TYPE OF EVENT • Identification of the medical teams of the SMUR and the Rapid Response Health Units (RRHUs) who can intervene in controlled zones. • The decontamination of people, whether injured or not, is the responsibility of the specialised units of the Fire and Rescue Services (FRS) and is carried out at the scene of the event or in the immediate vicinity. DIRECT AND DISPATCH TO THE APPROPRIATE HEALTHCARE FACILITIES, ON THE BASIS OF THE VICTIM CATEGORISATION Absolute Urgencies (AU), including Extreme Urgencies (EU), and Relative Urgencies (RU). In the face of a mass casualty RN emergency, each casualty must receive the requisite specialised care (aim: provide damage control care). SEE SHEET 4 TAKE CARE OF THE VICTIMS without endangering oneself and using the necessary Personal Protective Equipment (PPE). APPLY A VICTIM MANAGEMENT STRATEGY (MASS CASUALTY RATIONALE) • Collection and analysis the initial data, more specifically: information resulting from inter-service communication bringing together the arguments in favour of an RN event. • Alerting of the teams on the ground regarding suspicion of the RN risk implying the wearing of appropriate personal protective equipment. • Identification of the severity criteria for an initial quantitative (adults/children) and qualitative assessment of the victims, according to the described injuries and symptoms. • Mobilisation of the SMUR and RRHU teams (trained teams with appropriate PPE) in accordance with the predetermined operational procedure. • Alerting of the Regional Health Agency, the Director of the SAMU head office healthcare facility, the zone SAMU, the SAMUs bordering the Reference Regional Hospital for the RN risk (RRH RN), and the 1st line healthcare facilities. • SAMU • FRS • MOC • Regionally competent SAMU Responders + Responders + • SMUR • RRHU likely to intervene in controlled zones • MOC • Regionally competent SAMU The steps The steps Strategy for providing emergency medical care in the controlled zone. • It depends on the nature of the radionuclide involved. • It is organised jointly by the Chief Physician and the Fire Brigade Officer responsible for the Victim Assembly Area (VAA), in collaboration with the COS and the MOC. • It takes account of the availability of trained and physically prepared FRS and SMUR personnel, equipped with suitable protection (PPE and dosimeters), having the appropriate specific logistical and therapeutic resources. • Equipment of the SAMU and SMUR teams: they are equipped with Mobile Medical Stations (MMS) 1 and 2 containing antidotes / radionuclide chelating agents, and paediatric MMSs. • Equipment of the Fire and Rescue Services (FRS) of large conurbations: they are equipped with “VAA CBRN” kits containing medical equipment and health products. MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 63
RkJQdWJsaXNoZXIy NjQ0NzU=