In the current international context, emergency medical services have to be prepared for chemical, biological, radiological, and nuclear events. Emergency response to radiological or nuclear events requires coordination between many components: the fire brigade, emergency medical services (including nurses and physicians), police, hospitals, etc. To optimize efficiency, victim management in France is governed by specific policies and planned responses. This plan for radiological/nuclear event response is inspired by military chemical, biological, radiological, and nuclear victim management in the operational theatre and is based on extraction (removal to a safe environment), first triage, decontamination, second triage, treatment, substance identification, and training. It is also supported by specific equipment. Prehospital victim management in case of nuclear and radiological accident or attack will be described, as well as French-specific supplies. This response plan is constantly evolving due to the complexity of radiological and nuclear events.
1Institut de Recherche Biomédicale des Armées (IRBA), Département des Effets Biologiques des Rayonnements, BP 73, 91223 Brétigny sur Orge Cedex, France;
2Paris Fire Brigade, Medical Department, 9 Boulevard du Palais, 75004 Paris, France.
The authors declare no conflicts of interest.
For correspondence contact: Diane Riccobono, IRBA; Département des Effets Biologiques des Rayonnements, BP 73, 91223 Brétigny sur Orge Cedex, France, or email at email@example.com or firstname.lastname@example.org.
(Manuscript accepted 24 November 2017)