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Title: Emergency department management of patients internally contaminated with radioactive material

After a radiation emergency that involves the dispersal of radioactive material, patients can become externally and internally contaminated with one or more radionuclides. Internal contamination can lead to the delivery of harmful ionizing radiation doses to various organs and tissues or the whole body. The clinical consequences can range from acute radiation syndrome (ARS) to the long term development of cancer. Estimating the amount of radioactive material absorbed into the body can guide the management of patients. Treatment includes, in addition to supportive care and long term monitoring, certain medical countermeasures like Prussian blue, Calcium DTPA and Zinc DTPA.
Authors:
 [1] ;  [2] ;  [3] ;  [4]
  1. National Center for Environmental Health, Atlanta, GA (United States); Emory Univ., Atlanta, GA (United States)
  2. National Center for Environmental Health, Atlanta, GA (United States)
  3. Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
  4. Radiation Emergency Assistance Center/Training Site, Oak Ridge, TN (United States)
Publication Date:
OSTI Identifier:
1225736
Report Number(s):
LA-UR--14-28951
Journal ID: ISSN 0733-8627; PII: S0733862714000789; TRN: US1600589
Grant/Contract Number:
AC52-06NA25396
Type:
Accepted Manuscript
Journal Name:
Emergency Medicine Clinics of North America
Additional Journal Information:
Journal Volume: 33; Journal Issue: 1; Journal ID: ISSN 0733-8627
Publisher:
Elsevier
Research Org:
Los Alamos National Laboratory (LANL), Los Alamos, NM (United States)
Sponsoring Org:
USDOE
Country of Publication:
United States
Language:
English
Subject:
61 RADIATION PROTECTION AND DOSIMETRY radioactive terrorism; contamination; radioactive elements; radiation dosage; chelation therapy