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Disaster Response Template for Radiology Departments (AOCR)
This checklist is meant to serve as an adjunct to existing disaster plans for medical centers or clinics that may receive patients or victims of WMD (Weapons of Mass Destruction), specifically on those including Radiological weapons or accidents. Delivery methods include RDD (Radiation Dispersal Device, AKA dirty bomb).
Radiology staff may be involved in any of the following phases of a disaster. Radiation physicists may be consulted in the pre-hospital phase (and should be).
- Planning interagency coordination, education, outreach: Ongoing
- Exercises involving radiologics
- Emergency Department contaminated route, isolation area to inpatient
- Hazard impact, response
- Police followed by: fire, HAZ-MAT established
- When notified, gather info, consider calling FBI (OSI military)
- IC (Incident Commander) Establishes ECP (Entry Control Point, first response)
- Treat life threatening injuries, ABC’s
- Radiologic assessment 0.2 mR toxic corridor, Consider need for decon
- Using Radiac, GM tube, or ADM 300
- Assure IC tracks all casualties (to include people within the cordon)
- Casualty Collection Point, Decon/ HAZ/MAT
- Secondary triage, reassess with dosimetry as needed
- Mobilization, operations
- Transport system to hospitals, EMS
- AMF (Alternate Medical Facility) considerations
- i.e. facility attack or involved by proximity
- Arrival at Hospital
- Notify AFRRI (Armed Forces Radiobiology Research Institute)
- Notify NRC (Nuclear Regulatory Commission)
- Notify local authorities, FBI, PH, other experts
- Treat life threatening injuries, ABC’s
- Decon with soap and water scrub, then reassess with dosimetry
- Consequence Management
- Local PH department notified
- Verify FBI called
- CISM (Critical Incident Stress Management), post-event brief, hotwash
- Patient accounting to include deceased
- References:
- Disaster Preparedness for Radiology Professionals:
- Medical Mangement of Radiological Casualties Handbook
- AOA Bioterrorism Response
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