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You are here: Home > Contamination: Diagnose/Manage

Contamination: Diagnose/Manage

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Video Tutorial (3:33)
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Overview/algorithm for evaluating contamination and/or exposure Discovering different types of radiation events Description of differences between radiological and nuclear incident Perform lifesaving tasks before managing radiation problems inital on-site activities Algorithm for managing whole/partial-body exposure and acute radiation syndrome Algorithm for managing contamination and exposure No Contamination or Exposure Illustration and description of external and internal contamination Illustration and description of exposure Detailed decontamination procedures How to survey Video: Decontamination of infants and children Body chart for recording result of radiation survey Follow-up instructions for patients Dose estimator - Lymphocyte depletion kinetics Decontamination procedures for shrapnel Illustration: Wound contamination with radioactive shrapnel How to survey Gallery of radiation survey meters/detection devices Gallery of radiation survey meters/detection devices Swab each nostril separately to help estimate level of internal (lung) contamination Management modifiers for burns Management modifiers for trauma/injuries Caution - when and why changes in these guidelines may be necessary in mass casualty event Timing of surgery in contaminated victims Use of blood products in contaminated victims Management modifiers for at-risk/special needs populations Understand target for acceptable level of residual contamination after decontamination procedures Understand target for acceptable level of residual contamination after decontamination procedures Table of radioisotopes Table of countermeasures/blocking agents/chelating agents Caution and comments about radiation countermeasure for treatment of internal contamination Follow-up instructions for patients Register patient in incident database Management of the deceased How to survey Gallery of radiation survey meters/detection devices Caveat about using radiation survey meters to detect external and/or internal contamination Swab each nostril separately to help estimate level of internal (lung) contamination consider total body radiation survey with modified hospital nuclear medicine equipment Instructions for sample collection, labeling, packaging and shipping

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Key Guidance Documents

  • Field Guide for Health and Safety Officers: Radiological Incidents, 6/2014
    (NYC DHMH)     New!
  • Improvised Nuclear Device Response and Recovery: Communicating in the Immediate Aftermath, 6/2013 (US Gov Interagency Group)
  • Communicating During and After a Nuclear Power Plant Incident, 6/2013 (US Gov Interagency Group)
  • Population Monitoring and Radionuclide Decorporation Following a Radiological or Nuclear Incident (NCRP Report No. 166, 2011)
  • Responding to a Radiological or Nuclear Terrorism Incident: A Guide for Decision Makers (NCRP Report No. 165, 2010)
  • Management of Persons Contaminated With Radionuclides: Handbook (NCRP Report No. 161, Vol. I, 2008)
  • Planning Guidance for Response to a Nuclear Detonation, 2nd Ed, 6/2010 (National Security Staff)

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