![]() Changes in the fallout pattern due to wind shifts may require some RTR3 sites to change roles (to RTR2) or possibly be abandoned. RTR3 sites are likely to form in various locations spontaneously or by direction of the Incident Commander as opposed to preplanned Assembly Center (AC) sites. These may occur in the LD zone and beyond. Extensive self-evacuation is likely to be observed at these sites. Victims are anticipated to have limited trauma, such as glass injury, and most victims will be ambulatory, including people displaced by the explosion who have no injury or exposure. RTR3 - Sites are collection points where radiation is not present and will allow occupation for many hours or more.Most victims are expected to be ambulatory. The location will be along the outer edges of the Dangerous Fallout (DF) zone and the Light Damage (LD) zone and will have some elevated levels of radiation. RTR2 - Sites will be for triaging victims with radiation exposure only or possibly with minor trauma.The location will be near the severe damage (SD) zone external border and/or in the moderate damage (MD) zone. This limits responder time and would be associated with relatively severe victim injuries many victims may be expectant. RTR1 - Sites would have victims with major trauma and relatively high levels of radiation.Source: Planning Guidance for Response to a Nuclear Detonation, Second edition, 6/2010 (PDF - 2.62 MB) (National Security Staff, Interagency Policy Coordination Subcommittee for Preparedness & Response to Radiological and Nuclear Threats, Figure 4.1) The RTR system for a nuclear detonation response: theoretical zones in a 10 KT nuclear explosion at ground level Radiation Triage, Treat, and Transport System (RTR) after a Nuclear Detonation: Venues for the Medical Response Radiation Triage, Treat, and Transport System (RTR) after a Nuclear Detonation: Countermeasures - Use of Myeloid Cytokines.Template for Hospital Orders (Adults/Children).
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