DIAGRAM No 5 Ideal model of a reception setup in a 1st line healthcare facility (general diagram) Absolute urgencies from prehospital screening Entry in SI-VIC software Absolute urgencies URGENCIES TREATMENT ZONE MEDICAL AND RADIOLOGICAL TRIAGE Relative urgencies Surgical treatment of wounds Radiobiological assessments LESIONAL ASSESSMENT Triage DETECTION HOSPITAL DECONTAMINATION UNIT (HDU) MEDICAL MANAGEMENT HVAA Secretariat Victim traceability (SI-VIC software) – 1 – Emergency decontamination by undressing – 2 – Stabilisation of lesions and vital functions – 3 – Internal contamination treatment – 4 – Full decontamination – 1 – Undressing – 2 – Full decontamination – 3 – Check – 4 – Redressing Decontaminated victims Self-presenting potentially contaminated persons Self-presenting potentially contaminated persons + - Non-contaminated victims Non-decontaminated EUs HVAA: Hospital Victim Assembly Area After medical and radiological triage, the contaminated victims are treated in two separate zones: • decontamination of relative urgencies (in HDU), • treatment of Absolute Urgencies (AU). Prerequisite: The reception zone (Hospital Victim Assembly Area – HVAA) is situated before the entrance to the healthcare facility. The circuit is organised in accordance with the go-forward principle: back-tracking is impossible (in principle). The “go-forward” principle applies to the two broad categories of urgencies identified after triage: Relative Urgencies (RU) and Absolute Urgencies (AU). Each zone has a system for collecting contaminated waste (vinyl bags) and, insofar as possible, a system for collecting contaminated water. The traceability of the patient’s personal effects is ensured. If there is a massive influx of victims, the healthcare facilities must adapt, on the basis of this model, according to their architecture and their organisation (see “Chemical, Radiological, Nuclear” – CRN section of the Plan for managing hospital resource shortages and exceptional public health situations – “White plan”). 86 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY SHEET 29 ACTION TO TAKE IN A 1ST LINE HEALTHCARE FACILITY Preparing the premises, rehabilitating them and managing the waste
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