ENVIRONMENTAL EMERGENCY 209 Radiation/Hazmat Special Note: Personnel safety is the highest priority. Do not handle the patient unless they have been decontaminated. All EMS treatment should occur in the Support Zone after decontamination of the patient. Appropriate PPE will be utilized. Assessment Extent of radiation/chemical exposure (number of victims, skin vs. inhalation exposure) Nature of exposure Symptoms exhibited by patient Neurologic status (LOC, pupil size) General appearance (dry or sweaty skin, flushed, cyanotic, singed hair) Associated injuries Decontamination prior to treatment If eye exposure, irrigate for a minimum of 20 minutes with NS associated injuries (LSB, limb immobilization, wound treatment) Supportive care per burn protocol Oxygen and airway maintenance appropriate to the patient’s condition EMR STOP Pulse oximetry (keep sats >94%) EMT STOP INT or IV NS/LR, if hypotensive 20 mL/kg (peds 20 mL/kg) AEMT STOP 12 Lead EKG, transmit
ENVIRONMENTAL EMERGENCY 209 Radiation/Hazmat Special Note: Personnel safety is the highest priority. Do not handle the patient unless they have been decontaminated. All EMS treatment should occur in the Support Zone after decontamination of the patient. Appropriate PPE will be utilized. Assessment Extent of radiation/chemical exposure (number of victims, skin vs. inhalation exposure) Nature of exposure Symptoms exhibited by patient Neurologic status (LOC, pupil size) General appearance (dry or sweaty skin, flushed, cyanotic, singed hair) Associated injuries Decontamination prior to treatment If eye exposure, irrigate for a minimum of 20 minutes with NS associated injuries (LSB, limb immobilization, wound treatment) Supportive care per burn protocol Oxygen and airway maintenance appropriate to the patient’s condition EMR STOP Pulse oximetry (keep sats >94%) EMT STOP INT or IV NS/LR, if hypotensive 20 mL/kg (peds 20 mL/kg) AEMT STOP 12 Lead EKG, transmit
TN_EMS_Protocol_Guidelines_-_Jul2017_Revised11.7.2017.docx