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LLNL Emergency Plan <br />Rev-23 <br />October 2017 <br /> <br /> 88 <br />9 EMERGENCY MEDICAL SUPPORT <br />This section describes the system for medical support of Laboratory personnel, including those <br />with radiological, biological, and/or hazardous material contamination during an emergency. See <br />Section 4 of this document for specific facility and equipment information. <br />9.1 Medical Response System <br />ACFD personnel, paramedics, and emergency medical technicians are the First Responders to <br />medical emergencies at LLNL. At the Livermore site, patients are evaluated and transported to <br />the appropriate receiving facility in accordance with Alameda County Emergency Medical <br />Services policies and procedures. In general, basic life-support patients are transported to the <br />HSD during normal working hours. Advanced life-support patients, as well as patients needing <br />emergency medical assistance outside of normal working hours, are transported to the <br />appropriate offsite receiving facility. Stanford Health Care-ValleyCare Medical Center in <br />Pleasanton is the primary destination. Patients who meet Alameda County critical trauma criteria <br />are transported to Eden Medical Center in Castro Valley (designated trauma center for southern <br />Alameda County). During normal working hours, the HSD provides treatment for ill and injured <br />employees on a walk-in basis in addition to scheduled services. <br />For Site 300, the primary offsite receiving facility is Sutter Tracy Community Hospital. For <br />critical trauma patients, air ambulance transport may be utilized to transport patients to Eden <br />Medical Center in Castro Valley or San Joaquin General Hospital in Stockton. The Site 300 <br />satellite clinic is currently supported by a registered nurse providing a more limited range of <br />services than those provided at the Livermore site, including walk-in services, scheduled <br />appointments, and evaluation of ambulance transport for basic life-support patients. Consultation <br />with a physician at the Livermore site will be obtained according to established patient treatment <br />policies and procedures. <br />In the event of a multi-casualty incident at either site, the IC, in consultation with the HSD <br />Medical Director or designee, will resolve issues of triage and transport in accordance with <br />ACFD emergency operations policies and procedures and the internal HSD disaster plan. <br />In the event of a site-wide incident, such as an earthquake, where outside resources may be <br />limited, the Disaster/Self-Help Program Plan is implemented. This plan provides for additional <br />support in the areas of triage and transport of injured personnel by first-aid trained volunteers. <br />The Laboratory maintains MOUs with Eden Medical Center, Stanford Health Care-ValleyCare <br />Medical Center, and Sutter Tracy Community Hospital for services in the event of a chemical, <br />biological, or radiological incident. Included in the MOU are provisions for joint training, drills <br />and exercises, equipment maintenance, personnel support and procedures including chelation for <br />internal transuranic contamination.