The victims are admitted into the reception, medical and radiological triage zone. This zone is dedicated to triaging the casualties, conducting a brief medical examination and limited resuscitation. It could become contaminated. The victims are then directed to an appropriate medical care pathway. Responders • Personnel of the RRH RN and the other 1st line healthcare facilities • Radiation protection experts + Medical-surgical urgencies take priority over contamination and irradiation. The decontamination zone is potentially the most contaminated zone. Contacts between victims must be minimized to avoid any transfer of contamination to non-contaminated victims and to reduce the risks of contaminating the personnel. 90% of the contamination can be removed by undressing. This operation is very important. As soon as the alert is given, get the personnel ready to receive the victims (who self-present, potentially not triaged and not decontaminated, or are sent after regulation by the Emergency Medical Assistance Service – SAMU): under the Plan for managing hospital resource shortages and exceptional public health situations (“Chemical, Radiological, Nuclear” – CRN section, and if there is a massive influx of victims, the “Massive reception of victims” – AMAVI section) by activating the level 2 “White plan”. Protect the personnel and the structure against contamination transfer: the appropriate measures must have been taken to protect the personal and the infrastructure against the transfer of contamination and to ensure the emergency decontamination of the victims. Carry out emergency decontamination, then full decontamination. For the RRH RNs: treat the specific non-decontaminated Extreme Urgency (EU) cases, which could arrive exceptionally in small numbers after medical regulation. The hospital care concerns more specifically the Regional Reference Hospitals for the Radiological and Nuclear risk (RRH RN). Hospital care in the 1st line healthcare facilities 92 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY SHEET 31 Receiving and managing the victims ACTION TO TAKE IN A 1ST LINE HEALTHCARE FACILITY STEP 1 STEP 3 STEP 2 STEP 4
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