Proposed triage categories for large-scale radiation incidents using high-accuracy biodosimetry methods

Health Physics

Volumn 98, Issue 2, 2010, Pages 136-144

  Rea, Michael E ^a   Gougelet, Robert M ^a,b   Nicolalde, Roberto J ^a   Geiling, James A ^c   Swartz, Harold M ^a  

^a DARTMOUTH MEDICAL SCHOOL   (United States)

^b DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

^c VA MEDICAL CENTER   (United States)

Author keywords

Accidents; Biological indicators; Dosimetry; Handling; Nuclear

Indexed keywords

ARTICLE; ATOMIC BOMB; BIOASSAY; CIVIL DEFENSE; DISASTER PLANNING; EMERGENCY HEALTH SERVICE; MASS SCREENING; METHODOLOGY; NUCLEAR ACCIDENT; ORGANIZATION AND MANAGEMENT; UNITED STATES; WHOLE BODY COUNTING;

BIOLOGICAL ASSAY; CIVIL DEFENSE; DISASTER PLANNING; EMERGENCY MEDICAL SERVICES; MASS SCREENING; NUCLEAR WEAPONS; RADIOACTIVE HAZARD RELEASE; TRIAGE; UNITED STATES; WHOLE-BODY COUNTING;

EID: 75649137680     PISSN: 00179078     EISSN: None     Source Type: Journal    
DOI: 10.1097/HP.0b013e3181b2840b     Document Type: Review

References (36)

1. Agency for Healthcare Research and Quality. Altered standards of care in mass casualty events: bioterrorism and other public health emergencies. Rockville: AHRQ; AHRQ Publication No. 05-0043 2005.
2. Albanese J, Martens K, Arnold JL, Kelly K, Forte E, Schneider M, Dainiak N. Building Connecticut's clinical biodosimetry laboratory surge capacity to mitigate the health consequences of radiological and nuclear disasters: a collaborative approach between the state biodosimetry laboratory and Connecticut's medical infrastructure. Radiat Meas 42:1138-1142; 2007.
3. Alexander GA, Swartz HM, Amundson SA, Blakeley WF, Buddemeier B, Gallez B, Dainiak N, Goans RE, Hayes RB, Lowry PC, Noska MA, Okunieff P, Sainer AL, Schauer DA, Trompier F, Turteltaub KW, Voisin P, Wiley AL, Wilkins R. BiodosEPR-2006 meeting: acute dosimetry consensus committee recommendations on biodosimetry applications in events involving uses of radiation by terrorists and radiation accidents. Radiat Meas 42:972-996; 2007.
4. Bell WC, Dallas CE. Vulnerability of populations and the urban health care systems to nuclear weapon attack-examples from four American cities. Int J Health Geogr 6(5); 2007. Available at: http://www.ij-healthgeographics. com/content/6/1/5. Accessed on 31 October 2008.
5. Berger ME, Leonard RB, Ricks RC, Wiley AL, Lowry PC, Flynn DF. Hospital triage in the first 24 hours after a nuclear or radiological disaster [online]. Oak Ridge Institute for Science and Education; 2004. Available at orau.gov/reacts/triage.pdf. Accessed 31 October 2008.
6. Centers for Disease Control and Prevention. Acute radiation syndrome: a fact sheet for physicians [online]. 2005. Available at www.bt.cdc.gov/radiation/ pdf/arsphysicianfactsheet. pdf. Accessed 31 October 2008.
7. Columbia University. Center for high throughput minimallyinvasive radiation biodosimetry [online]. 2007. Available at cmcr.columbia.edu/project1. html. Accessed 31 October 2008.
8. Committee on Trauma, American College of Surgeons. Statement on disaster and mass casualty management. J Am Coll Surgeons 197:855-856; 2003.
9. Dallas CE. Impact of small nuclear weapons on Washington, DC: outcomes and emergency response recommendations. Written statement to accompany testimony at the United States Senate Hearing for the Committee on Homeland Security and Governmental Affairs, titled "Nuclear Terrorism: Confronting the Challenges of the Day After [online]." 2007. Available at hsgac.senate.gov/public/- files/041508Dallas.pdf. Accessed 27 October 2008.
10. Dallas CE, Bell WC. Prediction modeling to determine the adequacy of medical response to urban nuclear attack. Disaster Med Public Health Prep 1:80-89; 2007.
11. Demidenko E, Williams BB, Swartz HM. Radiation dose prediction using time to emesis data in the case of nuclear terrorism. Radiat Res 171(3):310-319; 2009.
12. Devereaux AV, Dichter JR, Christian MD, Dubler NN, Sandrock CE, Hick JL, Powell T, Geiling JA, Amundson DE, Baudendistel TE, Braner DA, Klein MA, Berkowitz KA, Curtis JR, Robinson L. Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a task force for mass critical care summit meeting, January 26-27, 2007, Chicago, IL. Chest 133(5 Suppl):51S-66S; 2008.
13. Flynn D, Goans R. Nuclear terrorism: triage and medical management of radiation and combined-injury casualties. Surg Clin North Am 86:601-36l; 2006.
14. Fornace AJ, Idle J, Nazarov EG, Gonzalez F, Coy S. Systems and methods for high-throughput, minimally-invasive radiation biodosimetry. International patent WO/2008/025016 filed 08 February 2008 [online]. Available at www.wipo.int/pctdb/en/wo.jsp?WO-2008025016&IA-US2007076825& DISPLAY-STATUS. Accesed 31 October 2008.
15. Goans RE, Holloway EC, Berger ME, Ricks RC. Early dose assessment following severe radiation accidents. Health Phys 72:513-518; 1997.
16. Goans RE, Holloway EC, Berger ME, Ricks RC. Early dose assessment in criticality accidents. Health Phys 81:446-449; 2001.
17. Godfrey-Smith DI, Pass B. A new method of retrospective radiation dosimetry: optically stimulated luminescence in dental enamel. Health Phys 72:744-749; 1997.
18. Gougelet RM, Rea ME, Nicolalde RJ, Geiling J, Swartz HM. The view from the trenches: emergency medical response plans. Health Phys. 98:118-127; 2010.
19. Gusev I, Guskova AK, Mettler FA Jr. Medical management of radiation accidents. Boca Raton, FL: CRC Press; 2001.
20. Hérodin F, Drouet M. Cytokine-based treatment of accidentally irradiated victims and new approaches. Exp Hematol 33:1071-1080; 2005.
21. International Atomic Energy Agency. Cytogenetic analysis for radiation dose assessment, a manual. Vienna: IAEA; Technical Report Series, No. 405; 2001.
22. Iserson KV, Pesik N. Ethical resource distribution after biological, chemical, or radiological terrorism. Camb Q Healthc Ethics 12:455-465; 2003.
23. Ivanov VK, Gorski AI, Maksioutov MA, Tsyb AF, Souchkevitch GN. Mortality among the Chernobyl emergency workers: estimation of radiation risks (preliminary analysis). Health Phys 81:514-521; 2001.
24. Marston RQ, Solomon F. The medical implications of nuclear war/Institute of Medicine National Academy of Sciences. Washington, DC: National Academy Press; 1986.
25. Meade C, Molander RC. Considering the effects of a catastrophic terrorist attack. Technical Report of the RAND Center for Terrorism Risk Management Policy. Santa Monica, CA: RAND Corporation; 2006.
26. Miller AH, Munyak J, Swienton RE, Coule PL, Hosford K. Planning preparedness for terrorism. Medical response to terrorism: preparedness and clinical practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.
27. Singh VK, Grace MB, Jacobsen KO, Chang CM, Parekh VI, Inal CE, Shafran RL, Whitnall AD, Kao TC, Jackson WE, Whitnall MH. Administration of 5-androstenediol to mice: pharmacokinetics and cytokine gene expression. Exp Mol Pathol 84(2):178-88; 2008.
28. Swartz HM, Iwasaki A, Walczak T, Demidenko E, Salikhov I, Khan N, Lesniewski P, Thomas J, Romanyukha A, Schauer D, Starewicz P. In vivo EPR dosimetry to quantify exposures to clinically significant doses of ionising radiation. Radiat Protect Dosim 120:163-170; 2006.
29. U.S. Department of Health and Human Services. Radiation event emergency management, U.S. Dept. of Health and Human Services-REMM [online]. 2008a. Available at: www.remm.nlm.gov/. Accessed 31 October 2008.
30. U.S. Department of Health and Human Services. Radiation injury treatment network [online]. 2008b. Available at bloodcell. transplant.hrsa.gov/ABOUT/RITN/ index.html. Accessed 31 October 2008.
31. Waselenko JK, MacVittie TJ, Blakely WF, Penick N, Wiley AL, Dickerson WE, Tsu H, Confer DL, Coleman N, Seed T, Lowry P, Armitage JO, Daniak N. Medical management of the acute radiation syndrome: recommendations of the strategic national stockpile radiation working group. Ann Intern Med 140:1037-1051; 2004.
32. Weinstock DM, Case C Jr, Bader JL, Chao NJ, Coleman CN, Hatchett RJ, Weisdorf DJ, Confer DL. Radiologic and nuclear events: contingency planning for hematologists/oncologists. Blood 111:5440-5445; 2008.
33. Weisdorf D, Chao N, Waselenko JK, Dainiak JO. Acute radiation injury: contingency planning for triage, supportive care, and transplantation. Biol Blood Marrow Transplant 12:672-682; 2006.
34. Wilcox DE, He X, Li H, Gui J, Ruuge AE, Williams BB, Swartz HM. Dosimetry based on EPR spectral analysis of fingernail clippings. 98:309-317; 2010.
35. Williams BB, Dong R, Kmiec M, Burke G, Corliss B, Demidenko E, Gladstone D, Grinberg O, Nicolalde J, Pollack J, Raynolds T, Salikhov I, Sucheta A, Lesniewski P, Swartz HM. Radiation dose estimation from EPR tooth measurements. 98:327-338; 2010.
36. Yukihara EG, Mittani J, McKeever SWS, Simon SL. Optically stimulated luminescence of dental enamel for retrospective assessment of radiation exposure. Radiat Meas 42:1256-1260; 2007.