Medical response in a nuclear or radiological emergency

ACTION TO TAKE ON THE SITE OF THE EVENT In the VAA: treating the absolute urgencies 24 SHEET PROTECTION OF THE MEDICAL TEAMS The medical teams must be suitably protected until the absence of contamination is confirmed. SEE SHEET 22 i • Protect wounds with a waterproof dressing. • Protect or move away items that are not water resistant (remove them if possible). • Decontaminate the patients with soapy water, using a showerhead if necessary for victims in the lying position. Shaving is contraindicated because it causes micro-lesions of the skin. Full decontamination after completing the emergency procedures (non-aggressive showering) 2 EU: in principle, do not decontaminate before evacuation These victims have injuries which require immediate medical care and possibly emergency surgery. • Carry out the vital resuscitation actions before transporting the victims. • Evacuate as is after preparation, without full decontamination. In the event of emergency evacuation, undressing must be carried out taking precautions to avoid spreading any contamination. • Decontaminate hands and face using a damp compress, to be used once only. • Protect the upper airways with a surgical mask. • Prepare the victim. Proceed with medical evacuation to an appropriate healthcare facility after medical regulation. SEE SHEET 20 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 77

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