ACTION TO TAKE ON THE SITE OF THE EVENT 23SHEET Triaging the victims in the VAA In the Victim Assembly Area (VAA), the victims receive all the necessary emergency treatments. If many people are involved, triaging is vital because the prioritisation of actions and treatments varies according to the categories of victims (contaminated, irradiated, contaminated and irradiated). Responders • Emergency medical teams: SMUR, RRHU Places Controlled zone + The VAA groups together: • able-bodied and incapacitated injured victims, • uninjured but contaminated victims, • uninjured persons (able-bodied victims who are neither injured nor contaminated). Triaging focuses first on the degree of urgency (medical criteria), then according to the level of contamination. It serves to distinguish: • the Absolute Urgencies (AU), including Extreme Urgencies (EU). • the Relative Urgencies (RU). In the case of an event involving a large number of victims, the prehospital medical structure consists of an Advanced Medical Post (AMP). Able-bodied men Able-bodied women Incapacitated Decontamination structure Decontamination structure Decontamination structure Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA 1 3 - - - + + + UPAA VAA able-bodied persons VAA incapacitated persons DPMA Controlled zone (triage, stabilisation, decontamination) Direct transfer without decontamination to a healthcare facility* Extreme Urgencies PERSONAL EFFECTS ASSEMBLY AREA (PEAA) Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area DIAGRAM No. 8 Medical and radiological triage Able-bodied men Able-bodied women Incapacitated Decontamination structure Decontamination structure Decontamination structure Decontamination check Decontamination check Decontamination check Decontamination structure Decontamination structure RADIOLOGICAL TRIAGE MEDICAL TRIAGE IN VAA 3 - - - + + + UPAA VAA able-bodied persons VAA incapacitated persons DPMA Controlled zone (triage, stabilisation, decontamination) Direct transfer without decontamination to a healthcare facility* Extreme Urgencies PERSONAL EFFECTS ASSEMBLY AREA (PEAA) Uninjured victims without symptoms Able-bodied victims with symptoms Decontaminated victims Incapacitated victims with symptoms Deceased victims Medical team personnel DPMA: Deceased Persons Management Area PEAA: Personal Effects Assembly Area UPAA: Uninjured Persons Assembly Area VAA: Victim Assembly Area * After preparation of the victim and protection of the means of transport. SEE SHEET 20 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 75
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