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

• arrange to transport seriously injured people to local medical facility. If they may be contaminated, wrap them in
a blanket to control the spread of contamination. Tell those transporting the victim and the receiving medical
facility that the person may be contaminated and that the risk to those treating such a patient is negligible but
care should be taken to prevent inadvertent ingestion of contamination.
• gather potentially exposed or contaminated people, who are not seriously injured, in a safe location (victim
assembly point) to: register them, give them a medical and radiological evaluation (triage) and arrange for their
treatment.
• get monitored by the radiological team before leaving;
• get equipment monitored before leaving the area.
Incident commander (local officialnational official):
— Integrate the response (including law enforcement, investigative, radiological components and
public safety/administration) using the ICS (see Appendix 13) (the incident commander should be
a member of law enforcement).
— 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.
— Make arrangements to dispatch a radiation assistance team (radiological assessor) (see Element
A3.1) to perform monitoring.
— Implement action to protect the public, workers, responders, and the economy from the actual or
perceived radiological risk by implementing action consistent with international standards (see.
Ref. [11]).
— Monitor public response and deal with inappropriate behaviour (see Element A11.2).
— Once it becomes known to the public, implement provisions to address public concerns and to
mitigate the economic and psychological consequences.
— Be prepared for hoaxes once the event is publicly known.
— If a lost or stolen dangerous source may be involved implement, as appropriate, the action guide for
a Theft of a dangerous source.
— If significant public contamination is possible, implement, as appropriate, the action guide for
Public contamination.
— If serious overexposure is suspected, implement, as appropriate, the action guide for Serious
overexposure.
— If a dangerous source is to be recovered, implement, as appropriate, the action guide for Recovery
of an uncontrolled dangerous source.
— Develop and implement a recovery and cleanup plan in order to return to normality (see Elements
A12.1-4).
Emergency medical responder/team:
— Operate under the ICS incident commander.
— Implement and manage the on-scene medical response, including (see Elements A8.4, A 8.5):
• establish, with support from the radiological assessor, a victim assembly point near the scene of the emergency
for medical and radiological triage – field treatment.
• identify local medical facilities to be used for treatment of potentially contaminated/exposed victims; brief their
staff on treatment of exposed and contaminated casualties and risks. Arrange, with the radiological assessor, to
provide these local medical facilities with expert support, if needed, on radiological monitoring, decontamination
and radiation protection.
— Implement provisions to assess the concerns of members of the public (worried-well) about
radiation exposure/contamination (not at a hospital or other crucial facility).
— Provide medical advice and support to local medical community on treatment of
contaminated/exposed individuals and the risk (negligible) to their staff.
Public information officer/team:
— Operate under the ICS incident commander.
— Prepare for immense media attention once the emergency becomes publicly know.
— Provide media briefings from a single official source on the threat and the appropriate and
inappropriate public response actions (e.g. who should be monitored and where to go) and actions
being taken to ensure public safety, to protect products and international trade etc; activate a PIC if
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