In time of emergency

Tornado Warning

[ ] All persons should now be moved into designated safety areas.

[ ] Staff should go to designated safety areas.
After A Tornado

If your building has been damaged.

[ ] Never use matches, candles or cigarettes in the area where tornado damage has occurred. There is the

possibility of gas leaks.

[ ] Shut off main gas line to the damaged building or buildings.
[ ] Shut off main electrical panel in any part of electrical system is damaged.
[ ] Assist in evacuation of all persons from damaged buildings.
[ ] If you need to Evacuate your building see Evacuation Checklist.
[ ] Shut off main water line only if water lines are broken.
[ ] Watch for fallen power lines.
[ ] Assign staff to keep people away from dangerous areas.

Radiological Emergency Checklist

[ ] Emergency responders should utilize full protective gear including SCBA.

[ ] Survey meters and dosimeters should be used to determine exposure rates of

an area and total exposures to the individual.

[ ] Emergency responders should not exceed:

5 REM of exposure for non-lifesaving duties.

10 REM for protection of valuable property.

25 REM for lifesaving or protection of large populations.

[ ] Establish an exclusion zone to isolate the area from non-emergency response

personnel.

[ ] All contaminated articles (turn-out gear, tools, etc.) Should be bagged and

tagged and will remain in the controlled area for proper disposition.

[ ] Prohibit eating, drinking, and smoking in the immediate area. (This is to

prevent internal contamination).

External radiation Protective Measures
There are three things to put between you and the source of radiation: TIME, DISTANCE, AND SHIELDING.
TIME: Limit the length of time you are exposed.
DISTANCE: Maintain a safe distance or limit close contact between you and the source.
SHIELDING: Place an absorbing material between you and the source (example a fire truck).
Remain calm. Do not be overly concerned with the presence of radioactive material or allow it to disrupt usual emergency response activities. Remember, it is improbable that emergency personnel will receive any radiation injury during these operations.

Radiological Emergency Checklist

Emergency Medical Treatment

[ ] Assess and treat life-threatening injuries immediately. The need for immediate

medical attention of victims takes priority over the radiological aspects of the

incident.
Treatment priorities include:
-Airway

-Breathing

-Circulation

-Spinal and other injuries

[ ] Remove patient to secondary treatment area away from areas of exposure

and contamination as soon as possible.

[ ] The decontamination of victims or responders at the incident site consists of

removal of clothing only. Any further decontamination may spread

contaminants.
[ ] Victims should be transported from the scene by personnel who have

remained out of the controlled area.

[ ] Move the ambulance cot to the clean side of the control line and unfold a

clean sheet or blanket over it.

[ ] Place the victim on the covered cot and or package the victim by folding the

sheet or blanket over and secure the ends in an appropriate manner. Do not

remove the victim from the backboard if one was used.

Radiological Emergency Checklist

Emergency Medical Treatment

[ ] The ambulance being used to transport victims from a contaminated scene

should be prepared with plastic sheeting covering the floor and walls of the

vehicle in order to prevent contamination of the vehicle. For example:

Contamination dirt on the shoes of personnel removing victims to control area,

then getting on the shoes of other personnel, and being tracked into the

vehicle.
[ ] Transport the victims to the hospital emergency department. The hospital

should be given additional appropriate information, and the ambulance crew

should ask for any special instructions the hospital may have.

[ ] Follow the hospital’ radiological protocol upon arrival.
[ ] The ambulance and crew should not return to regular service until the crew,

vehicle, and equipment have undergone monitoring and decontamination if

necessary.
[ ] Personnel should not eat, drink, smoke, etc; at the accident site, in the

ambulance, or at the hospital until they have undergone monitoring and

decontamination if necessary.

Different Forms of Radioactive Material

Solid Form of Radioactive Material:

It is highly unlikely that a victim would become contaminated. As long as responders utilize Time, Distance, And Shielding when dealing with a radioactive source, They will keep exposure low. It is also highly unlikely that a victim could transfer contamination to any responders.

Powder Form of Radio Active Material:

When radioactive material is in powder form, a victim may become contaminated by inhalation and/or by direct physical contact which leaves contaminates on the skin and clothes. Responders can become contaminated by direct contact with these victims and the surrounding scene, since they could actually touch or inhale the powder. When there is wind present, the powder form of radioactive material can also be carried farther distances and be a potential inhalation contaminate to persons both close and farther away. If it is raining, the powder can be transported by water runoff thus contaminating the environment.

To reduce the danger of contamination from radioactive material in powder form, responders can cover the powder with a tarp to protect it from rain and wind. Another option would be to place dirt over and around the material for containment.
Liquid Form of Radioactive Material:

When a radioactive material is in liquid form, a victim can become contaminated by swallowing or coming into direct physical contact with the liquid. Responders can receive contamination by direct physical contact with substance, with the contaminated victim, or any absorbent materials that have been contaminated with liquid. If the liquid evaporates, a residue will be left behind which can also pose a contamination hazard. If it raining, the liquid can be carried by water runoff thus contaminating the environment and drinking water.

To reduce the danger of spread of contamination when the radioactive material is in liquid form, responders need to use diking material to contain it. If it is raining, a tarp can be placed over the liquid material as well.

Different Forms of Radioactive Material

Gaseous Forms of Radioactive Material:

When a radioactive material in gaseous form, anyone coming into contact with the gas can become contaminated: (A) internally by inhalation, or (B) by absorption into skin if the person walks through the cloud of vapor. When wind is present, these gases can travel long distances in gaseous plume.

To reduce the amount of contamination, the gaseous leak must be stopped at its source.

Decontamination

Any contaminated responders need to shower at community hospital units specially designated shower, (using lukewarm water and mild soap), in order to catch and contain the containment.

Mass Casualty Checklist

For Dispatchers
Upon notification from the Incident Commander that a mass casualty incident exists, the following notification should be made:
[ ] Mutual aid fire & EMS departments

Advise them to bring the following items from their stations.

1. 
   All their backboards
   
2. 
   All their strap and cervical collars.
   

[ ] Assign a mutual aid department to pick up additional I.V. Solutions.

[ ] Law Enforcement (419-946-4444 or 419-946-6991).
[ ] Contact the dispatcher supervisor, advise of situation.

1. 
   The first dispatcher handles the radio, the second dispatcher handles phone(s), third dispatcher, if available, coordinates activities between the other two dispatchers.
   

[ ] County Emergency Management Director (740-225-3811).

[ ] Morrow County Hospital (419-946-5015).
[ ] Request Mount Gilead fire to bring their portable cascade system.
[ ] American Red Cross (419-946-2811).
[ ] For additional EMS Oxygen Cylinders alert Mount Gilead EMS.