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LLNL Emergency Management Plan Rev 24 January 2019 9 EMERGENCY MEDICAL SUPPORT This section describes the system for medical support of Laboratory personnel, including those with radiological,biological, and/or hazardous material contamination during an emergency. See Section 4 of this document for specific facility and equipment information. 9.1 Medical Response System ACFD personnel,paramedics, and emergency medical technicians are the First Responders to medical emergencies at LLNL. At the Livermore site, patients are evaluated and transported to the appropriate receiving facility in accordance with Alameda County Emergency Medical Services policies and procedures. In general,basic life-support patients are transported to the HSD during normal working hours. Advanced life-support patients, as well as patients needing emergency medical assistance outside of normal working hours, are transported to the appropriate offsite receiving facility. Stanford Health Care-ValleyCare Medical Center in Pleasanton is the primary destination. Patients who meet Alameda County critical trauma criteria are transported to Eden Medical Center in Castro Valley(designated trauma center for southern Alameda County). During normal working hours, the HSD provides treatment for ill and injured employees on a walk-in basis in addition to scheduled services. For Site 300, the primary offsite receiving facility is Sutter Tracy Community Hospital. For critical trauma patients, air ambulance transport may be utilized to transport patients to Eden Medical Center in Castro Valley or San Joaquin General Hospital in Stockton. The Site 300 satellite clinic is currently supported by a registered nurse providing a more limited range of services than those provided at the Livermore site, including walk-in services, scheduled appointments, and evaluation of ambulance transport for basic life-support patients. Consultation with a physician at the Livermore site will be obtained according to established patient treatment policies and procedures. In the event of a multi-casualty incident at either site, the IC, in consultation with the HSD Medical Director or designee, will resolve issues of triage and transport in accordance with ACFD emergency operations policies and procedures and the internal HSD disaster plan. In the event of a site-wide incident, such as an earthquake, where outside resources may be limited, the LLNL Disaster Response Plan is implemented. This plan provides for additional support in the areas of triage and transport of injured personnel by first-aid trained volunteers. The Laboratory maintains MOUs with Eden Medical Center, Stanford Health Care-ValleyCare Medical Center, and Sutter Tracy Community Hospital for services in the event of a chemical, biological, or radiological incident. Included in the MOU are provisions for joint training, drills and exercises, equipment maintenance, personnel support and procedures including chelation for internal transuranic contamination. 89