Disasters Resulting from Radiologic and Nuclear Events

John S. Parrish*, Gilbert Seda

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Radiation accidents are rare, but can produce large numbers of casualties with predictable patterns of injury. Casualties may suffer from a wide range of radiation exposures. Triage based on presence or absence of conventional injuries and an accurate assessment of radiation dose based on event history, symptoms, and laboratory testing, is critical. Treatment of acute radiation syndrome is supportive: including fluids, antibiotics, blood products, colony-stimulating factors, and stem cell or bone marrow transplantation. Care of radiation-injured patients with conventional trauma or burns needs to be modified to account for adverse effects of radiation on wound healing and susceptibility to infections.

Original languageEnglish
Pages (from-to)619-631
Number of pages13
JournalCritical Care Clinics
Volume35
Issue number4
DOIs
StatePublished - Oct 2019
Externally publishedYes

Keywords

  • Acute radiation syndrome
  • Biodosimetry
  • Chelating agents
  • Colony-stimulating factors
  • Internal contamination
  • Radiation injury

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