Collection of Data
- Incident managers, medical care venues, and individual medial providers may wish to collect data about individuals they care for and staff they supervise during a mass casualty radiation incident
- The data collected will vary by
- Type of radiation incident
- Number of casualties
- Who is doing the data collection
- Purpose of collecting the data
- Amount of time available for collecting data
- Location and nature of population where data is collected, for example
- In the field, as with
- In a community reception center
- Field medical stations
- Other venues, including hospitals
- Suggestions for selected data elements are listed below.
- These do not represent official HHS policy or policy of any HHS agencies.
- Some data elements are relevant to radiation incidents and others are relevant to any large incident where there is significant population displacement.
- Consult HIPAA rules as appropriate when collecting clinical data.
- Be cognizant of those who are at-risk and have special needs.
- See also Public Health Emergency Researchers
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Sample Data Elements Potentially of Interest: Selected List
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TMT Handbook Forms, Questionnaires, and Information
- Triage, Monitoring and Treatment - Handbook for management of the public in the event of malevolent use of radiation (Registration required for download) (TMT Handbook Partners)
See Annex 3, pages 392-425 for prototypes of several forms developed by this consortium of non-US countries.
These forms may/may not be applicable in the US.
- Contamination monitoring
- Information sheet for Environmental Monitoring Team
- Results of field measurement made by the Environmental
- Monitoring Team
- Registry form for person involved in the emergency
- External contamination survey report
- Internal contamination report form
- Radionuclide/Organ specific measurements
- In vitro bioassay measurement report
- Individual dose assessment report form
- Emergency personnel dose follow up form
- Example report letter to members of the public for measurements less than the method detection limit
- Example report letter for assessed doses less than 1 mSv
- Example report letter for assessed doses greater than 1 mSv and less than the lower action level (maximum 20 mSv)
- Medical information
- Medical information form
- Information for family doctors in the event of an incident involving radiation
- Information for people who have been found to be contaminated with radioactive material
- Information to people who might have been exposed to radiation/radioactive material
- Press/Media forms
- Examples of press releases