Hospital management of mass radiological casualties: Reassessing exposures from contaminated victims of an exploded radiological dispersal device

Health Physics

Volumn 89, Issue 5, 2005, Pages 513-520

  Smith, James M ^a   Ansari, Armin ^a   Harper, Frederick T ^b  

^a NATIONAL CENTER FOR ENVIRONMENTAL HEALTH   (United States)

^b SANDIA NATIONAL LABORATORIES   (United States)

Author keywords

Emergencies, radiological; Emergency planning; National Council on Radiation Protection and Measurements; Terrorism

Indexed keywords

RADIOISOTOPE;

AEROSOLIZATION TEST; BLAST INJURY; COMPUTER MODEL; CONFERENCE PAPER; DEVICE; DOSIMETRY; EMERGENCY TREATMENT; EXPLODED RADIOLOGICAL DISPERSAL DEVICE; HEALTH CARE INDUSTRY; HEALTH CARE PERSONNEL; HOSPITAL CARE; HUMAN; LABORATORY TEST; NUCLEAR ACCIDENT; OCCUPATIONAL EXPOSURE; OCCUPATIONAL SAFETY; OPERATING ROOM PERSONNEL; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIATION INJURY; RADIATION MONITORING; RADIATION PROTECTION; RADIOACTIVE CONTAMINATION; SIMULATION; TERRORISM; TREATMENT PLANNING; VICTIM;

ACCIDENTS, RADIATION; DECONTAMINATION; HOSPITALS; HUMANS; RADIATION DOSAGE; RADIATION INJURIES; RADIATION MONITORING; RADIATION PROTECTION; TERRORISM;

EID: 26844505738     PISSN: 00179078     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.HP.0000175444.30788.75     Document Type: Conference Paper

References (28)

1. American College of Radiology. Disaster preparedness for radiology professionals: response to radiological terrorism. Reston, VA: American College of Radiology with American Society for Therapeutic Radiology and Oncology and American Association of Physicists in Medicine (Version 2.1); 2003. Available at: www.acr.org or www.astro.org/ pdf/gr/disasterprimer.pdf. Accessed 2 February 2005.
2. Armed Forces Radiobiological Research Institute. Medical management of radiological casualties: handbook. Bethesda, MD: AFRRI; 2003. Available at: www.afrri.usuhs. miVwww/outreach/mmoresources.htm. Accessed 2 February 2005.
3. Boughton BA, Delaurentis JM. Description and validation of ERAD: an atmospheric dispersion model for high explosive detonations. Albuquerque, NM: Sandia National Laboratories; SAND 92-2069; 1992.
4. Code of Federal Regulations. Standards for Protection against Radiation. Washington, DC: U.S. Government Printing Office; CFR Title 10, Part 20, Section 20.1201; 1996a.
5. Code of Federal Regulations. Standards for Protection against Radiation. Washington, DC: U.S. Government Printing Office; CFR Title 10, Part 20, Section 20.1301; 1996b.
6. Ferguson CD, Kazi T, Perera J. Commercial radioactive sources: surveying the security risks. Monterey, CA: Center for Non-proliferation Studies, Monterey Institute of International Studies; Occasional Paper No. 11; 2003. Available at: http:// cns.miis.edu/pubs/opapers.htm. Accessed 1 February 2005.
7. Hogan DE, Waeckerle JF, Dire DJ, Lillibridge SR. Emergency department impact of the Oklahoma City terrorist bombing. Ann Emergency Med 34:160-167; 1999.
8. Institute of Medicine/National Research Council. Chemical and biological terrorism: research and development to improve civilian medical response. Washington, DC: National Academy Press; 1999.
9. International Atomic Energy Agency. Categorization of radioactive sources. Vienna: IAEA; TECDOC-1344; 2003.
10. International Commission on Radiological Protection. Report of the task group on reference man. New York: Elsevier Science; ICRP Publication 23; 1975.
11. International Commission on Radiological Protection. Basic anatomical and physiological data for use in radiological protection: reference values. New York: Elsevier Science; ICRP Publication 89; 2002.
12. Lanzilotti SS, Galanis G, Leoni N, Craig B. Hawaii medical professionals assessment. Hawaii Med J 61:162-173; 2002.
13. Larsen ME. NEST containment calculator. Albuquerque, NM: Sandia National Laboratories; SAND 94-2030; 1994.
14. Messerschmidt O. Medical procedures in a nuclear disaster: pathogenesis and therapy for nuclear-weapons injuries. Munich: Verlag K. Thiemig; 1979.
15. Mettler FA, Voelz GL. Major radiation exposures-what to expect and how to respond. N Engl J Med 346:1554-1561; 2002.
16. National Council on Radiation Protection and Measurements. Limitation of exposure to ionizing radiation. Bethesda, MD: NCRP; Report No. 116; 1993.
17. National Council on Radiation Protection and Measurements. Management of terrorist events involving radioactive material: Bethesda, MD: NCRP; Report No. 138; 2001.
18. Okumura T, Suzuki K, Fukuda A, Kohama A, Takasu N, Ishimatsu S, Hinohara S. The Tokyo subway sarin attack: disaster management, part 1: community emergency response. Acad Emerg Med 5:613-617; 1998.
19. Radiation Emergency Assistance Center/Training Site. Guidance for radiation accident management [online]. Oak Ridge: REAC/TS; 2002. Available at: www.orau.gov/ reacts/guidance.htm. Accessed 2 February 2005.
20. Shleien B, Slabak LA, Birky BK. Handbook of health physics and radiological health. Baltimore, MD: Williams & Wilkins; 1998.
21. Snyder WS, Fisher HL, Ford MR, Warner GG. Estimates of absorbed dose fractions for monoenergetic photon sources uniformly distributed in various organs of a heterogeneous phantom. J Nucl Med Suppl 3:7-52; 1969.
22. U.S. Centers for Disease Control and Prevention. Interim guidelines for hospital response to mass casualties from a radiological incident [online]. Atlanta, GA: CDC; 2003a. Available at: www.bt.cdc.gov/radiation/pdf/ MassCasualtiesGuidelines.pdf. Accessed 2 February 2005.
23. U.S. Centers for Disease Control and Prevention. Roundtable on hospital communications in a mass casualty radiological event [online]. Atlanta, GA: CDC; 2003b. Available at: www.bt.cdc.gov/radiation/pdf/hospitalroundtablereport.pdf. Accessed 2 February 2005.
24. U.S. Department of Homeland Security. Working Group on Radiological Dispersal Device (RDD) Preparedness: Medical Preparedness and Response Sub-Group [online]. Atlanta, GA: CDC; 2003. Available at: www.bt.cdc.gov/ radiation/index.asp. Accessed 2 February 2005.
25. U.S. Environmental Protection Agency. Manual of protective action guides and protective actions for nuclear incidents. Washington, DC: U.S. EPA; 400-R-92-001; 1992.
26. Van Tuyle GJ, Mullen E. Large radiological source applications: RDD implications and proposed alternative technologies. Los Alamos, NM: Los Alamos National Laboratory; Report LA-UR-03-6281; 2003.
27. Van Tuyle GJ, Strub TL, O'Brian HA, Mason CFV, Gitomer SJ. Reducing RDD concerns related to large radiological source applications. Los Alamos, NM: Los Alamos National Laboratory; Report LA-UR-03-6664; 2003.
28. Zimmerman PD, Loeb C. Dirty bombs: the threat revisited [online]. Washington, DC: Center for Technology and National Security Policy, National Defense University; 2004. Available at: www.ndu.edu/ctnsp/defense_horizons/ DH38.pdf. Accessed 2 February 2005.