Document YDpJ6rjKp3RnvjN9x1o2Xv59V

18--Planning for Emergencies bees ) Installation of protechve wire mesh over windows along public thoroughfares is recommended Floodlighbng of cntacal parts of plants at night is necessary for good proteebon First aid and medical A helpful pubheabon in establishing a dis aster medical service is the Gutde to Develop ing an Industrial Disaster Medical Service compiled by the American Medical Associabon's Council on Occupabonal Health This guide can also assist a company in evaluabng its readiness and will reveal weak areas Ex amples of forms and casualty tags are in cluded Although the guide is designed to combat peacetime disasters, it provides a basis on which to expand the medical services to meet the devastabon following a nuclear at tack First aid and medical service should be headed by the company doctor, if available, as discussed in Chapter 21, "Occupabonal Health Services " In the orgamzabon of the medical phase of the emergency plan, those responsible must select and bam personnel, decide what measures, equipment, and supplies are needed, and establish first aid stabons and a treatment center All employees should be encouraged to en roll m a first aid course People assigned to first aid and medical units should pass stand ard and advanced first aid courses Local chapters of the American Nabonal Red Cross provide excellent training in this regard If a major disaster occurs, there may not be enough trained doctors and nurses available In such an eventuality, care beyond the first aid level wdl have to be provided by non medical people who have received additional training Such a medical team can be de veloped by recruiting volunteer medical aides, preferably with some experience In addihon to first aid training, more advanced mstruebon by regular medical personnel or local hospitals should be provided A major considerabon to keep in mind when establishing an emergency medical pro gram, is that while most of the medical aid will be given in a central medical stabon, some of it may be given on the job site, pos sibly under hazardous condibons 460 Plans should be made for representabves of the medical team to check all personnel at the disaster scene for trauma and to provide a written clearance for them to leave the plant when they are able to leave In this duty, representabves of the invesbgabon team may interview personnel before they leave to be sure that any needed eyewitness information is recorded Welfare and medical service includes the invesbgabon of needs for prevenbon of epi demics, food inspechon, and sanitabon inspec tion In the planning stages, company trucks, if any, should be designated as ambulances and the necessary equipment for them sup plied Two-way radio communication for such ambulance service is essenbal Provi sion should be made for nonpenshable food and water rabons There should be close coordinabon of plant first aid measures with the local civil defense, health, and medical services The chemical service responsibility of this unit requires that gas masks be provided m case tear gas is used as part of the sabotage effort and that trained personnel, equipment, and supplies for chemical defense and decontamination be on hand There should be a plan for priority sequence in decontammabon of the plant--that is, water supply, power plant, machinery areas, warehouse areas, etc Medical team personnel will also be respon sible for any radiological monitoring thought to be necessary after a nuclear attack The mere knowledge that such monitoring equip ment is available is a morale-builder After disaster, no one should be permitted to drmk water until it has been examined Warden service and evacuation The warden service is responsible for main taining employee control during emergencies, including (a) guiding employees to shelter, (b) directang employees away from hazardous areas, and (c) averting panic In smaller companies, the wardens could also have the responsibility of taking charge of shelters In some cases, the warden service may be re sponsible for seeing that shutdown of proc esses and equipment is carried out smoothly This type of service was devised primarily for areas of high populabon densibes, such as commercial structures and factones with