SHEET ACTION TO TAKE ON THE SITE OF THE EVENT Evacuating the injured: leaving the controlled zone 21 Method of evacuating the injured GATHERING INFORMATION Any casualty evacuated to an AMP or a healthcare facility is given a personal prehospital card indicating the relevant medical information and a SINUS bracelet for medical management purposes. SEE SHEET 5 i If the medical ambulance enters the contaminated zone: • preparation that is recommended but not mandatory (it must never cause a loss of time): line interior with vinyl sheeting; • to avoid transferring contamination from the controlled zone to the support zone, the victim is transferred to another vehicle. The contaminated ambulance remains in the controlled zone and might possibly be used in this zone. Use of the double envelope technique. Protection by Personal Protective Equipment (PPE). Before getting into the evacuation vehicle: change gloves and put on a new pair of overshoes. On arrival at the healthcare facility: avoid having the teams enter the facility (relay team if this does not cause a loss of time). MEASURES TO TAKE FOR THE VEHICLE MEASURES TO TAKE FOR THE CASUALTIES MEASURES TO TAKE FOR THE TEAMS If the medical ambulance enters the contaminated zone: • preparation that is recommended but not mandatory (it must never cause a loss of time): line interior with vinyl sheeting; • to avoid transferring contamination from the controlled zone to the support zone, the victim is transferred to another vehicle. The contaminated ambulance remains in the controlled zone and might possibly be used in this zone. Leaving the zone: after “radiological” preparation. SEE SHEET 20 Risk of transferring contamination: • low; • virtually zero if the double envelope technique is used. Before transferring to the evacuation vehicle: • cut away the protective cover along the upper edge of the vacuum mattress; • leave the lower part of the contaminated protective cover where it is; • place the non-contaminated vacuum mattress on the evacuation vehicle stretcher. Before getting into the evacuation vehicle: change gloves and put on a new pair of overshoes. On arrival at the healthcare facility: avoid having the teams enter the facility (relay team if this does not cause a loss of time). Extreme Urgencies (EU) Absolute Urgencies (AU) evacuated directly to a healthcare facility Absolute Urgencies (AU) who can go through decontamination without loss of chance of survival, and Relative Urgencies (RU) As these victims must be decontaminated before they are evacuated, no particular evacuation measures are required. MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 69
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