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

— If a dangerous source is to be recovered, implement, as appropriate, the action guide for Recovery
of an uncontrolled dangerous source.
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.
Radiological assessment (radiological assessornational team) (See Element A3.1):
— Operate under the ICS incident commander.
— Monitor for gamma, beta and alpha and establish an inner-cordoned area (safety distance) in
accordance with Appendix 5 (Table A5-I).
— If there are indications that a dangerous neutron source (e.g. Cf-252, Be/Am well logging) may be
involved obtain experts to conduct neutron monitoring (possibly with IAEA assistance if not
available within the State).
— Promptly locate and keep people away from the significant source(s)/contamination in accordance
with Ref. [11].
— Brief incident commander on risks and provide measures to protect emergency workers (including
law enforcement) and control their dose (see Elements A6.7, A6.10).
— Provide support to medical response to include conducting radiological assessment at victim
assembly point and arranging support for the medical facilities treating possibly contaminated
victims.
— Establish radiological assessor base near the scene and activate an RMAC (see Appendix 14) if
needed to co-ordinate radiological field operations.
— Establish a system to take and analyse samples of potentially contaminated water at the source; use
locations where contamination may have been introduced and possible contamination
concentrators (e.g. filters).
— Estimate possible levels of contamination at the points of use, and time contamination will arrive
there.
— Establish a process to control the dose to the water system processing workers.
— Identify members of the public and workers who should:
• be immediately decontaminated;
• be decontaminated as soon as reasonable;
• be released – no further action needed;
• get a medical follow-up because of possible exposures.
— Inform those assessed of the results, risk, and actions they should take.
— Protect evidence needed by law enforcement to the extent possible consistent with public
protection including:
• working with law enforcement;
• securing the scene against possible criminal acts (e.g. theft, introduction of contamination);
• preserving documents, samples etc. associated with radiological response.
— Ensure law enforcement activities do not cause safety concerns.
— Ensure law enforcement responders are provided with adequate protection as emergency workers.
— Ensure that the radiological response does not interfere with law enforcement (e.g. unnecessary
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