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

Journal Article · · Emergency Medicine Clinics of North America
 [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)

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.

Research Organization:
Los Alamos National Laboratory (LANL), Los Alamos, NM (United States)
Sponsoring Organization:
USDOE
Grant/Contract Number:
AC52-06NA25396
OSTI ID:
1225736
Report Number(s):
LA-UR-14-28951; PII: S0733862714000789; TRN: US1600589
Journal Information:
Emergency Medicine Clinics of North America, Vol. 33, Issue 1; ISSN 0733-8627
Publisher:
ElsevierCopyright Statement
Country of Publication:
United States
Language:
English
Citation Metrics:
Cited by: 12 works
Citation information provided by
Web of Science

References (18)

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Characterizing public health emergency perceptions and influential modifiers of willingness to respond among pediatric healthcare staff journal September 2011
Assessment of Medical Reserve Corps Volunteers' Emergency Response Willingness Using a Threat- and Efficacy-Based Model
  • Errett, Nicole A.; Barnett, Daniel J.; Thompson, Carol B.
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journal March 2013
Radiological preparedness-awareness and attitudes: A cross–sectional survey of emergency medicine residents and physicians at three academic institutions in the United States journal December 2011
Radiation Safety Knowledge and Perceptions among Residents journal July 2014
Qualidade de vida dos indivíduos expostos ao césio-137, em Goiânia, Goiás, Brasil journal January 2013
Epidemiology of internal contamination with polonium-210 in the London incident, 2006 journal June 2011
Percutaneous Absorption of Tritium-Gas Contaminated Pump Oil journal January 1995
Medical Aspects of 137Cs Decorporation: The Goiania Radiological Accident journal January 1991
Ionizing Radiation Injuries and Illnesses journal February 2014
Deliberate Overdose of Uranium: Toxicity and Treatment journal January 1996
Medical and Related Aspects of the Goiania Accident: An Overview journal January 1991
Acute Radiation Syndrome: Assessment and Management journal January 2010
2011 Investigation of Internal Contamination with Radioactive Strontium Following Rubidium Rb 82 Cardiac PET Scan journal February 2014
Calcium and Zinc DTPA Administration for Internal Contamination with Plutonium-238 and Americium-241 journal July 2012
National surveillance for radiological exposures and intentional potassium iodide and iodine product ingestions in the United States associated with the 2011 Japan radiological incident journal October 2012
Breastfeeding and the Use of Human Milk journal February 2005
Mental health consequences of the Chernobyl disaster journal March 2012

Cited By (5)

Medical Therapy of Patients Contaminated with Radioactive Cesium or Iodine journal December 2019
Developing a robust LC-MS/MS method to quantify Zn-DTPA, a zinc chelate in human plasma and urine journal June 2018
Radiation and Thyroid Cancer journal April 2017
Radiation and Thyroid Cancer book January 2000
The healing effect of bone marrow-derived stem cells in acute radiation syndrome journal May 2016

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