ACTION TO TAKE ON THE SITE OF THE EVENT Protecting the responders in the exclusion zone and the controlled zone 22 SHEET Protect responders in the exclusion zone and the controlled zone 3 principles 1. Only duly trained emergency response and emergency medical assistance teams protected against the risk of external and internal contamination and equipped with dosimeters may enter these zones, which are delimited beforehand. 2. The victims must be protected against the risk of internal contamination. 3. Medical-surgical urgencies take priority over contamination and irradiation. Evaluate the risk The risk evaluation is limited to determining the contaminating agent(s), if this is possible. If the nature and level of risk can be refined, the wearing of recommended Personal Protective Equipment (PPE) can be adapted accordingly. Get suitably equipped • Interventions in controlled zone The personnel of the Mobile Emergency and Resuscitation Services (SMUR), the Fire Brigade (FB) personnel of the Fire and Rescue Services (FRS), including the Rapid Response Health Unit (RRHU) and the Mobile Radiological Response Units (MRRU) personnel and the Internal Security Forces (ISF) are trained to intervene in controlled zones at the Victim Assembly Area (VAA). They are equipped with a CBRN suit that is permeable to air and a cartridge filter CBRN mask affording P3 protection. After dispelling any doubt about a chemical (C) risk and if decided by the Emergency Operations Commander (EOC), the PPE may be adapted: mask with cartridge filter or FFP3 mask or, failing this, FFP2 mask, non-woven paper coverall type 5-6, safety glasses, surgical cap if the coverall has no hood. • Interventions in exclusion zone The FB personnel of the FRS, and the MRRU personnel in particular, are trained and equipped to intervene in exclusion zones. Their PPE is adapted to the type of risk encountered. In situations of life-threatening emergency, the SMUR and the FRS RRHU personnel can also intervene in exclusion zones if they have appropriate PPE. © ASN/P. Beuf MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 71
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