Management Modifiers for Exposure Algorithm


Burns and the Radiation Exposure Algorithm


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Trauma and the Radiation Exposure Algorithm


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Mass Casualty Emergencies and Radiation Exposure Algorithm


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Timing of Surgery and the Radiation Exposure Algorithm


  • Radiation exposure + trauma requiring emergency surgery
    • Attempt to take surgical emergencies to the operating room
      • Within 36-48 hours after high-dose radiation exposure
      • Before decline of white blood cell and platelet counts
    • Pre-operative administration of white cell cytokines may extend the time window for surgery.
  • This algorithm and supporting material provide guidelines, not mandates.
  • See Radiation Effects on Blood Counts page for details.

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Blood Products Use and the Radiation Exposure Algorithm


  • Patients with significant whole body radiation exposure (Acute Radiation Syndrome) will be immunosuppressed.
    • They are at risk for post-transfusion graft versus host disease (GVHD).
  • Guidelines suggest that these patients should received blood products that have been both
    • Irradiated and
    • Leuko-reduced
  • If irradiated, leuko-reduced blood is unavailable
    • Emergency transfusions may still be considered.
    • Attention should be paid to possible post-transfusion GVHD.
  • This algorithm and supporting material provide guidelines, not mandates.
  • See Blood Products page for details

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At-Risk / Special Needs Populations and the Radiation Exposure Algorithm


  • See the At-Risk / Special Needs Populations page
    • Describes groups especially vulnerable to the effects of radiation
  • These populations may require
  • Effective and ethical allocation of medical resources is crucial for all populations.
  • This algorithm and supporting material provide guidelines, not mandates.

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