epr-method (2003) - IAEA Publications - International Atomic Energy ...

— If national radiological response resources are insufficient – request international assistance through
the IAEA.
— Reconstruct /record the doses received and inform those exposed about the risks, inform off-site
officials of any dose in excess of occupational limits and, arrange where appropriate (See element
A8.5), for long term medical follow-up.
Emergency medical responder/team:
— Implement and manage medical response, including (see Elements A8.4, A 8.5):
• establish, with support from radiological assessment, a victim assembly point near the scene of the
emergency to perform medical and radiological triage – field treatment.
• identify medical facilities for use in treatment of potentially contaminated/exposed victims; brief
their staff on treatment of exposed and contaminated casualties and risks.
— Provide selected medical facilities with expert support, if needed, on radiological monitor,
decontamination or radiation protection.
— Implement provisions to assess concerned people (worried-well 85 ) for radiation
exposure/contamination (not at a hospital or other crucial facility).
— Arrange to alert local medical facilities of the potential for arrival of concerned people (worriedwell)
wanting to be monitored if there is wide spread public concern.
— Provide medical advice and support to local medical community on treatment of
contaminated/exposed individuals and the risk (minimal) to their staff.
Public information officer/team:
— Operate under the ICS incident command.
— If the emergency receives media or public attention, implement media briefings, from a single
official source, on the threat and appropriate public actions; activate a PIC if needed (see Element
A9.1) 86 .
National officials:
— Operate under the ICS incident commander.
— Ensure that all governmental agencies are informed of who is leading the response and that they
receive an explanation of the risk and their role.
— Provide an emergency team of radiation specialists (radiological assessor) (see Element A3.1).
— Take action to mitigate the economic and psychological consequences of the threat, including:
• restricting national and international trade or movement of potentially contaminated items or people;
• promptly making a public announcement describing the hazard realistically followed by media
briefings from a single official source and activating a PIC if needed (see Element A9.1).
— Develop a recovery plan (include objectives and criteria) before recovery efforts begin (see
Element A12.1).
— Implement a longer-term medical monitoring programme if appropriate (see Element A8.5 and
Ref. [29]).
Incident investigator/team:
— Operate under the ICS incident commander.
— Conduct an investigation, in close co-operation with law enforcement if criminal activity is
suspected, to determine the cause, origin of the material or device involved, and the possible
involvement of other sources. Take appropriate action to prevent similar emergencies.
IAEA resources (if provided):
— Operate under the ICS incident commander.
— Respond to international inquiries and provide information on transnational emergencies.
— Arrange for activation of appropriate ERNET teams if assistance is requested (see Element A8.4).
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