Nuclear or Radiological Terrorism, Rapid Response to 05


Nuclear or Radiological Terrorism, Rapid Response to 05 :

(2) Triage B: The Triage Process: (a) The hospital triage plan should be based on and coordinated with the community plan. It should focus on training and exercises. (b) Triage will be conducted at the scene and at the hospital, but communities and responders should attempt to do as much as possible at the scene. (c) After a mass casualty or Hazardous Materials (HazMat) incident, hospitals should "lock down," providing only two entrances: (c-1) A site for triage and patients (c-2) A site for personnel, staff, press, officials, etc. (d) It will require community support and local law enforcement to assist in the lock down because the hospital is an important disaster response asset. (d-1) Casualty distribution to participating health care facilities should be based on and coordinated with the community plan. (d-2) Hospital space must be reserved for the most critically injured or ill. (e) The assessment center should be used for observation, decontamination, limited treatment and evaluation and reuniting with family members where possible. (f) Under the triage process for patients with life-threatening conditions, emergency department staff should stabilize and treat physical symptoms according to standard procedures. The threat of contamination should not preclude patient treatment. (g) Under the triage process for patients with non-life threatening conditions: (g-1) When possible, trained staff should survey all patients for radioactive contamination (See Appendix C for information on radiation survey instrumentation). (h) If contamination is detected or suspected, remove the patient's clothing, give the patient a shower, then treat physical symptoms according to standard procedures. (i) Localized contamination can be rinsed off with pre-moistened wipes or washed with soap and water as opposed to showering the individual. (j) If radiation is still detected after washing, admit the patient if medically warranted and arrange for further evaluation and decontamination

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