RECEPTION ZONE PERFORM MEDICAL TRIAGING: ABSOLUTE URGENCIES (AU), RELATIVE URGENCIES (RU) 1. Direct the AUs to a dedicated zone without prior full decontamination. 2. Direct the non-decontaminated RUs to a Hospital Decontamination Unit (HDU) for full decontamination. 3. Carry out the lesional assessment of the victims: to be carried out by the physician who triages the victims, so that this zone never becomes overcrowded. DIAGRAM No 5 Ideal model of a reception setup in a 1st line healthcare facility (general diagram) Healthcare facility admission and treatment protocols 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 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY 93 ACTION TO TAKE IN A 1ST LINE HEALTHCARE FACILITY Receiving and managing the victims 31 SHEET
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