The Advanced Medical Post (AMP) is the core structure of the prehospital medical chain in events involving large numbers of victims. It is situated downstream of decontamination: in the support zone, in an existing building or a temporary structure (tent). Responders • Medical teams: physicians and paramedical personnel • Pharmaceutical teams • Emergency response teams: FRS, rescue workers from approved civil protection associations • Emergency medical teams: SMUR, RRHU Places Support zone + At the AMP entrance: attach the SINUS bracelet and conduct another medical triage The triage on entering the AMP serves to reassess the seriousness of the condition of the victims. Depending on their condition and the chosen place of hospitalisation, the victims will not necessarily stay at the AMP. • Binary triage: Absolute Urgencies (AU) / Relative Urgencies (RU). Deliver the necessary medical care Alongside the regulation work, at the AMP each victim receives the necessary medical care according to their condition, pending their transfer to the most suitable healthcare facility. The radiological context must not alter the stabilisation of the victims by the Mobile Emergency and Resuscitation Service (SMUR) and the Rapid Response Health Unit (RRHU). The AMP has radionuclide antidotes and chelating agents. The equipment at the AMP can be backed up by the means from the Mobile Medical Station (MMS) I or II and the paediatric MMS if necessary. When victims do not require any additional care before being transported, and a means of transport is available immediately, they will spend little time, if any, at the AMP. Ensure medical regulation Medical regulation ensured by the regionally competent Emergency Medical Assistance Service (SAMU) determines the priorities for victim transportation and the choice of place of hospitalisation. Ensure the protection of the personnel The personnel in contact with victims who have been decontaminated (full decontamination) and checked wear their usual working garments. SEE SHEET 22 If full decontamination has not been carried out, it is recommended that the personnel should always wear: • overblouse, • FFP3 mask or, failing this, FFP2, • two pairs of gloves. PROTECT IRRADIATED VICTIMS WITH NO EXTERNAL CONTAMINATION Heavily irradiated victims, confirmed as being free of external contamination, can suffer are reduction in their immune response. The must be protected against the risk of infection. It is vital for the personnel to continue wearing protective garments: overblouse, surgical mask and two pairs of gloves. i 28 At the AMP: managing the victims ACTION TO TAKE ON THE SITE OF THE EVENT SHEET Transfer of victims from the UPRC to the AMP Whenever possible, the Uninjured Persons Reception Centre (UPRC) is situated near the AMP. Any person whose medical condition deteriorates very suddenly is immediately transferred to the AMP or to an identified healthcare facility after medical regulation by the SAMU. 84 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY
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